Volume 28, Issue 2 (3-2018)                   J Holist Nurs Midwifery 2018, 28(2): 101-108 | Back to browse issues page


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Farrokhmanesh M, Mokhtari Lakeh N, Asiri S, Kazem Nezhad Leyli E, Ghaemi A, Afzali S. A Comparative Effect of Child-to-Child and Health Educator to-Child Teaching Approaches on Nutritional Status in Elementary School Students . J Holist Nurs Midwifery. 2018; 28 (2) :101-108
URL: http://hnmj.gums.ac.ir/article-1-970-en.html
Instructor Social Determinants of Health Research Center (SDHRC), Department of Nursing, Instructor, PhD Candidate in Educational Administration, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran , lakeh.nasrin@gmail
Abstract:   (195 Views)
Introduction: Nutritional problems are one of the most important health issues among school-aged children, and modification of the nutritional status in children is as well important.
Objective: Present study aims to determine the effectiveness of child to child teaching approach as compared to educator to child teaching approach on promotion of nutritional status of elementary school students in Rasht city in 2014-15.
Materials and Methods: This is an educational trial study. Samples were chosen by random-cluster sampling model through which 452 students aging 9-11 years were selected from third, fourth and fifth grades from elementary schools of different districts of Rasht. Tools consisted of demographic questionnaire and food frequency questionnaire (checklist) with 54 items on snacks. From 452 students, 188 students with unfavorable frequency were divided into three groups; 62 students in child-to-child group, 68 students in health educator-to-child group and 58 students in control group. An educational package (including pamphlets, booklets and posters) was taught by researcher on food pyramid, healthy and unhealthy snacks using role play and fruit festival conducted in three sessions each lasting 30 minutes for three level elementary students and health educators. Of course the control group received no intervention. Data was analyzed by descriptive and inferential statistics such as Chi Square, Mann Whiteny ans Kruskal Wallis tests.
Results: The differences of mean in score changes before and after education in child to child group was more effective than educator to child teaching group (P=0.001). Based on food frequency score obtained on nutritional status after teaching, the health educator to child group performed better than other groups (P=0.014).
Conclusion: Study findings indicated that child to child teaching was close to the performance of health educators in relation to promotion of nutritional status and favorable food frequency. Therefore in attention to potential ability of children in teaching, they can improve school health programs along with educator to child teaching approach.
 
Full-Text [PDF 558 kb]   (60 Downloads) |   |   Full-Text (HTML)  (41 Views)  
Article Type : Research | Subject: Special
Received: 2018/03/19 | Accepted: 2018/03/19 | Published: 2018/03/19

References
1. Najjar Lashgari S, Rahim Aghaee F, Dehghan Nayeri N. [The effect of child to child education on health awareness of third grade female students in primary school (Persian)]. Modern Care Journal. 2013; 10(2):132-40.
2. Mohammadi Zeidi I, Pakpour A. [Effectiveness of educational intervention based on theory of planned behavior for promoting breakfast and healthy snack eating among elementary school students (Persian)]. Razi Journal of Medical Sciences. 2013; 20(112):67-78.
3. Mirzaei M, Karimi M. [Prevalence of overweight and obesity among the first grade primary students in Yazd (Persian)]. Scientific Journal of Ilam University of Medical Sciences. 2010; 18(4):43-9.
4. Amini K, Mojtahedi SY, Mousaiefard M. [Consumption of fruits, vegetables, dairy products and meat among high school students in Zanjan Province, Iran (Persian)]. Journal of School of Public Health and Institute of Public Health Research. 2009; 7(2):25-39.
5. Brouwer RJ, Neelon SE. Watch Me Grow: A garden-based pilot intervention to increase vegetable and fruit intake in preschoolers. BMC Public Health. 2013; 13(1):363. doi: 10.1186/1471-2458-13-363 [DOI:10.1186/1471-2458-13-363]
6. Khadgawat R, Marwaha R, Garg M, Ramot R, Oberoi A, Sreenivas V et al. Impact of vitamin D fortified milk supplementation on vitamin D status of healthy school children aged 10–14 years. Osteoporosis International. 2013;24(8):2335-43. doi: 10.1007/s00198-013-2306-9 [DOI:10.1007/s00198-013-2306-9]
7. Fesharaki M, Sahebozamani M, Rahimi R. [Investigate the effect of teaching on life style of over weight female elementary school students in Orumieh city (Persian)]. Iranian Journal of Diabetes and Lipid Disorders. 2011;9(3):290-5.
8. Kalantari N, Shenavar R, Rashidkhani B, Houshiar Rad A, Nasihatkon A, Abdollahzadeh M. [Association of overweight and obesity in first-year primary school children in Shiraz with breastfeeding pattern, birth weight, and family socio-economic status in school year 2008-09 (Persian)]. Iranian Journal of Nutrition Sciences & Food Technology. 2011; 5(3):19-28.
9. Amini M, Dadkhah-Piraghaj M, Abtahi M, Abdollahi M, Houshiarrad A, Kimiagar M. Nutritional assessment for primary school children in Tehran: an evaluation of dietary pattern with emphasis on snacks and meals consumption. International Journal of Preventive Medicine. 2014; 5(5):611-6. PMID: 24932393 [PMID] [PMCID]
10. Moeini B,GHaderi A, Hazavehe M, Allahverdi H, Moghaddam A, Jalilian F. [A comparative study of peer education and trainer education on the Basis of Health Belief model (HBM) in improving oval Health in Sannandaj Boys elementary schools (Persian)]. toloo-e-behdasht. 2013; 12(2):1-13.
11. Wang D, Stewart D. The implementation and effectiveness of school-based nutrition promotion programmes using a health-promoting schools approach: A systematic review. Public Health Nutrition. 2013; 16(06):1082-100. doi: 10.1017/s1368980012003497 [DOI:10.1017/S1368980012003497]
12. Santos RG, Durksen A, Rabbani R, Chanoine JP, Miln AL, Mayer T, McGavock JM. Effectiveness of peer-based healthy living lesson plans on anthropometric measures and physical activity in elementary school students: A cluster randomized trial. JAMA pediatrics. 2014; 168(4):330-7. doi: 10.1001/jamapediatrics.2013.3688 [DOI:10.1001/jamapediatrics.2013.3688]
13. Mainbolagh BL, Rakhshani F, Zareban I, Montazerifar F, Sivaki HA, Parvizi Z. [The effect of peer education based on health belief model on nutrition behaviors in primary school boys (Persian)]. Journal of Research & Health. 2012; 2(2):214-25.
14. Baghiani Moghadam MH, Forghani H, Zolghadr R, Rahaei Z, Khani P. [Peer-led versus teacher-led AIDS education for female high-school students in Yazd, Islamic Republic of Iran (Persian)]. Eastern Mediterranean Health Journal. 2012; 18(4):353-7. PMID: 22768697 [DOI:10.26719/2012.18.4.353]
15. Liu Q, Liu L, Vu H, Liu X, Tang S, Wang H. Comparison between peer-led and teacher-led education in tuberculosis prevention in rural middle schools in Chongqing, China. Asia Pacific Journal of Public Health. 2013; 27(2):NP2101–NP2111. doi: 10.1177/1010539513498767 [DOI:10.1177/1010539513498767]
16. Esfahani FH, Asghari G, Mirmiran P, Azizi F. [Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran Lipid and Glucose Study (Persian)]. Journal of Epidemiology. 2010; 20(2):150-8. [DOI:10.2188/jea.JE20090083] [PMID] [PMCID]
17. Soheili Azad A, Nourjah N, Norouzi F. [Survey the eating pattern between elementary students in Langrood (Persian)]. Journal of Guilan University of Medical Sciences. 2007; 16(62):36-41.
18. Soheili Azad A, Nourjah N, Aalamdar E. [Surveying the food intake of primary school students in Tehran (Persian)]. Research in Medicine. 2005; 29(2):165-8.
19. Karimi A, Shojaezadeh D, Majdzadeh R, Rashidian A, Omidvar N. [Application of an integrative approach to identify determinants of junk food consumption among female adolescents (Persian)]. Iranian Journal of Nutrition Sciences & Food Technology. 2009; 4(2):61-70.
20. Dahri M, Safarian M, Hajyfarajy M, Hoshyarrad A, Abadi A. [The association of overweight and obesity with menarche age and nutritional status in girls aged 11-15 in Mashhad (Persian)]. Medical Journal of Mashhad University of Medical Sciences. 2011; 53(4):245-53.
21. Ayaz S, Açıl D. Comparison of Peer Education and the Classic Training Method for School Aged Children Regarding Smoking and its Dangers. Journal of Pediatric Nursing. 2015; 30(3):e3–e12. doi: 10.1016/j.pedn.2014.11.009 [DOI:10.1016/j.pedn.2014.11.009]

Add your comments about this article : Your username or Email:
Write the security code in the box

Send email to the article author


© 2017 All Rights Reserved | Journal of Holistic Nursing And Midwifery

Designed & Developed by : Yektaweb