Comparing peer-led and adult-led education to  promote a healthy diet among Turkish school  children: Türk okul çocuklarında sağlıklı beslenmenin geliştirilmesi için  yetişkinden ve akrandan eğitim yöntemlerinin karşılaştırılması

Meryem  Öztürk Haney; Akgün Yeşiltepe

doi:10.5152/EurJTher.2017.49

Authors

Meryem Öztürk Haney Department of Public Health Nursing, Dokuz Eylül University School of Nursing
Akgün Yeşiltepe Department of Public Health Nursing, Dokuz Eylül University School of Nursing

DOI:

https://doi.org/10.5152/EurJTher.2017.49

Keywords:

Adult-led education, diet behavior, diet education, peer-led education, school children

Abstract

Objective: The aim was to compare the effect of peer-led and adult-led educational models that deliver educational programs to promote healthy dietary habits among school children.
Methods: Pre-test and post-test design was used for group comparisons. The participants were 51 fourth-grade students. The data were collected with a socio-demographic questionnaire, the Children’s Dietary Self-Efficacy Scale (CDSS), and the Diet Behavior Scale (DBS). Descriptive, chi-square test, paired sample t-test, Mann-Whitney U test, Wilcoxon test and a Multivariate Analysis of Variance (MANOVA) test were administered for data analysis.
Results: No statistically significant difference was found between the groups with regard to pre-test diet scores (p>0.05). After education, diet self-efficacy and diet behavior scores significantly improved in the adult-led group (p<0.05). No significant difference was observed between the groups with regard to post-test diet scores (p>0.05).
Conclusion: Use of an integrated educational approach that contains both adult-led and peer-led education can be more effective in the improvement of student’s dietary scores.

Metrics

Metrics Loading ...

References

Guyer B, Ma S, Grason H, Frick KD, Perry DF, Sharkey A, et al. Early childhood health promotion and its life course health consequences. Acad Pediatr 2009; 9: 142-9.

Centers for Disease Control and Prevention. Results from the School Health Policies and Practices Study 2012. Available from: http://www.cdc.gov/ healthyyouth/shpps/ 2012/ pdf/shpps-results_2012.pdf .

Bereket A, Atay Z. Current status of childhood obesity and its associated morbidities in Turkey. J Clin Res Pediatr Endocrinol 2012; 4: 1-7.

Haney MO, Erdogan S. Factors related to dietary habits and body mass index among Turkish school children: a Cox’s interaction model-based study. J Adv Nurs 2013; 69: 1346-56.

Manios Y, Kolotourou M, Moschonis G, Sur H, Keskin Y, Kocaoglu B, et al. Macronutrient intake, physical activity, serum lipids and increased body weight in primary schoolchildren in Istanbul. Pediatr Int 2005; 47: 159-66.

Simsek E, Akpinar S, Bahcebasi T, Senses DA, Kocabay K. The prevalence of overweight and obese children aged 6-17 years in the west black sea region of Turkey. Int J Clin Pract 2008; 62: 1033-8.

World Health Organization. Report of the World Health Organization Study Group. Diet, Nutrition and the Prevention of Chronic Diseases 2003. Available from: http://whqlibdoc. ho.nt/trs/WHO_TRS_916.pdf.

The Ministry of Health of Turkey Public Health Agency. Turkey Healthy Eating and Active Life Program 2013 (in Turkish). Available from: http://www.beslenme.gov.tr/ content/files/home/turkiye_saglikli_beslenme_ve_hareketli_hayat_programi.pdf

British Medical Association (2005) Preventing childhood obesity. A report from the BMA Board of Science. London: BMA.

Bahar Z. Okul sağlığı hemşireliği. DEUHYO ED 2010; 3: 195-200.

Allen KN, Taylor JS, Kuiper R. Effectiveness of nutrition education on fast food choices in adolescents. J Sch Nurs 2007; 23: 337-41.

National Education Statistics, Formal Education 2012-2013 (in Turkish). Available from: http://sgb.meb.gov.tr/www/milli-egitim-istatistikleri-orgun-egitim-2012-013/icerik/79 (accessed 21 October 2013).

Mellanby AR, Rees JB, Tripp JH. Peer-led and adult-led school health education: a critical review of available comparative research. Health Educ Res 2000; 15: 533-45.

Colby SE, Haldeman L. Peer-led theater as a nutrition education strategy. J Nutr Educ Behav 2007; 39: 48-9.

Stock S, Miranda C, Evans S, Plessis S, Ridley J, Yeh S, et al. Healthy Buddies: a novel, peer-led health promotion program for the prevention of obesity and eating disorders in children in elementary school. Pediatrics 2007; 120: 1059-68.

Orme J, Starkey F. Peer drug education: the way forward? Health Educ 1999; 1: 8-16.

Audrey S, Holliday J, Campbell R. It’s good to talk: adolescent perspectives of an informal, peer-led intervention to reduce smoking. Soc Sci Med 2006; 63: 320-34.

Smith LH. Piloting the use of teen mentors to promote a healthy diet and physical activity among children in Appalachia. J Spec Pediatr Nurs 2011; 16: 16-6.

Ergün S, Kalkim A, Dolgun E. Child-to-child training for prevention of school ınjuries in Odemis, Turkey. J Sch Nurs 2013; 29: 337-42.

Edmundson E, Parcel GS, Perry CL, Feldman HA, Smyth M, Johnson CC, et al. The effect of the child and adolescent trial for cardiovascular health intervention on psychosocial determinants of cardiovascular disease risk behavior among third grade students. Am J Health Promot 1996; 10: 217-25.

Parcel GS, Edmundson E, Perry CL, Feldman HA, O’Hara-Tompkins N, Nader PR, et al. Measurement of self-efficacy for diet-related behaviors among elemantary school children. J Sch Health 1995; 65: 23-7.

Fahlman MM, Dake JA, McCaughtry N, Martin J. A pilot study to examine the effects of a nutrition intervention on nutrition knowledge, behaviors, and efficacy expectations in middle school children. J Sch Health 2008; 78: 216-22.

Prelip M, Slusser W, Thai CL, Kinsler J, Erausquin JT. Effects of a school-based nutrition program diffused throughout a large urban community on attitudes, beliefs, and behaviors related to fruit and vegetable consumption. J Sch Health 2011; 81: 520-9.

Durusu K. The effect of health education on knowledge, attitude and behaviour’s of primary school children. Erciyes University, Health Science Institute. PhD thesis, Kayseri, Turkey, 1996. pp.126-7.

Tabak R. Health Education. Ankara, Somgür Publication, 2000.

Shah S, Peat JK, Mazurski EJ, Wang H, Sindhusake D, Bruce C, et al. Effect of peer led programme for asthma education in adolescents: cluster randomised controlled trial. BMJ 2001; 322: 583-5.

Story M, Lytle LA, Birnbaum AS, Perry CL. Peer-led, school based nutrition education for young adolescents: feasibility and process evaluation of the TEENS study. J Sch Health 2002; 72: 121-7.

Mellanby AR, Newcombe RG, Rees J, Tripp JH. A comparative study of peer-led and adult-led school sex education. Health Educ Res 2001; 16: 481-92.

Ataman Ü. Preschool nutrition education on child to child education. Selçuk University Social Science Institute. Msc thesis, Konya, Turkey, 2009.

Haleem A, Siddiqui MI, Khan AA. School-based strategies for oral health education of adolescents-a cluster randomized controlled trial. BMC Oral Health 2012; 12: 54.