The effect of health literacy-grounded web-based education on nutrition and exercise behaviours in adolescents: A randomized controlled trial

IF 1.9 4区 医学 Q2 NURSING International Journal of Nursing Practice Pub Date : 2024-04-01 DOI:10.1111/ijn.13253
Hanifi Dülger PhD, Sultan Ayaz-Alkaya PhD
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Abstract

Aim

The research was conducted to measure the effect of health literacy-grounded web-based education program on health literacy, nutrition and exercise behaviours in adolescents.

Background

The increasing prevalence of obesity in adolescents is explained by a sedentary lifestyle and unhealthy diet. Health literacy is essential for adolescents to maintain their healthy behaviours.

Methods

The research was conducted as a parallel group randomized controlled trial. The study was completed by 114 adolescents (experimental = 42, control = 72). The Personal Information Form, the Health Literacy Scale for School-Age Children and the Nutrition and Exercise Subscales were used to collect data. A web-based education program was implemented. Two-way mixed design ANOVA with Bonferroni test was used to examine the group, time and group * time interaction of the measurements.

Results

There was no statistically significant difference between the experimental and control groups regarding health literacy level, nutrition and exercise behaviours pre-test mean scores (p > 0.05). In the post-test, the mean scores of health literacy and nutrition behaviours in the experimental group were higher than the control group (p < 0.001). However, there was no significant difference in exercise behaviours (p > 0.05). The power and effect size in mean scores changes for health literacy (99.8%, η2 = 0.039) and nutrition (99.8%, η2 = 0.039) were moderate.

Conclusion

The study concluded that health literacy-grounded web-based education program increased the health literacy levels of adolescents and improved their nutritional behaviours; however, there was no sufficient change in exercise behaviours.

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以健康知识为基础的网络教育对青少年营养和运动行为的影响:随机对照试验。
目的:本研究旨在衡量以健康素养为基础的网络教育项目对青少年健康素养、营养和运动行为的影响:背景:久坐不动的生活方式和不健康的饮食是导致青少年肥胖症发病率上升的原因。健康知识对青少年保持健康行为至关重要:研究以平行分组随机对照试验的形式进行。114名青少年(实验组=42人,对照组=72人)完成了这项研究。收集数据时使用了个人信息表、学龄儿童健康素养量表以及营养和运动分量表。实施了一项基于网络的教育计划。采用双向混合设计方差分析和Bonferroni检验来检验测量结果的组别、时间和组别*时间交互作用:结果:实验组和对照组在健康知识水平、营养和运动行为方面的测试前平均得分没有明显的统计学差异(P>0.05)。在后测中,实验组的健康知识水平和营养行为的平均得分高于对照组(P 0.05)。健康素养(99.8%,η2 = 0.039)和营养(99.8%,η2 = 0.039)平均分变化的功率和效应大小适中:研究得出结论,以健康素养为基础的网络教育项目提高了青少年的健康素养水平,改善了他们的营养行为;但是,运动行为没有发生足够的变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
85
审稿时长
3 months
期刊介绍: International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.
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