Effectiveness of “Eat right, be positive about your body and live actively” programme in preventing overweight and disordered eating among Malaysian adolescents
Obesity and disordered eating (DE) have potential shared risk factors, including dietary practice, physical activity level and body image perception. Thus, prevention of both obesity and DE can be done simultaneously. The present study aimed to evaluate the effectiveness of the ‘Eat Right, Be Positi...
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| 在線閱讀: | http://psasir.upm.edu.my/id/eprint/89982/1/FPSK%28p%29%202019%2036%20-%20IR.pdf |
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| id |
my-upm-ir.89982 |
|---|---|
| record_format |
uketd_dc |
| institution |
Universiti Putra Malaysia |
| collection |
PSAS Institutional Repository |
| language |
English |
| advisor |
Chin, Yit Siew |
| topic |
Adolescent Feeding and Eating Disorders Overweight |
| spellingShingle |
Adolescent Feeding and Eating Disorders Overweight Sharif Ishak, Sharifah Intan Zainun Effectiveness of “Eat right, be positive about your body and live actively” programme in preventing overweight and disordered eating among Malaysian adolescents |
| description |
Obesity and disordered eating (DE) have potential shared risk factors, including dietary practice, physical activity level and body image perception. Thus, prevention of both obesity and DE can be done simultaneously. The present study aimed to evaluate the effectiveness of the ‘Eat Right, Be Positive about Your Body and Live Actively’ (EPaL) intervention programme for preventing risk of becoming overweight and DE in Malaysian adolescents. The EPaL intervention programme promoted three main components of healthy lifestyle, namely healthy eating, positive body image and active lifestyle. The present study comprised two phases, in which Phase 1 of the study aimed to develop the EPaL intervention programme and Phase 2 of the study aimed to evaluate the effectiveness of the EPaL intervention programme.
The Phase 1 of the study started with a needs assessment, and followed by the development of the EPaL Educational Package (EPaL Educational Module, EPaL Activity Book and EPaL Educational/ Activity Cards and Posters) for adolescents. The needs assessment was conducted using focus group discussions involved 72 secondary school adolescents in Form 1 and Form 2. The EPaL Educational Package, which consisted of EPaL Module: Volume 1 (Topic 1 until Topic 4) and EPaL Module: Volume 2 (Topic 5 until Topic 8), was developed. Content validity of the EPaL Educational Package by a team of expert panels was conducted. The face validity assessment of the EPaL intervention programme involved 54 adolescents aged 11-16 years who evaluated the EPaL intervention programme. The Phase 2 of the study was the evaluation of the effectiveness of the EPaL intervention programme
among secondary school adolescents. This study used a quasi-experimental study design. Peer
education was applied in coveying the knowledge and skills on healthy lifestyle to the
adolescents. It compared the effects of the intervention on personal, eating and
physical activity behaviour variables, and health outcomes, between intervention (IG) and
comparison groups (CG). The comparisons were determined at three time points - before
intervention (pre-intervention), after intervention (Post I) and 3 months after
intervention (Post II). The IG received EPaL intervention programme for 16 weeks while
CG received no intervention and had their standard Physical Education and Health classes.
There were 76 adolescents (IG: n=34; CG: n=42) in Form 1 and Form 2 included in the final analysis.
The IG reported significantly higher knowledge score at both Post I (adjusted mean
difference = 3.34; 95%CI = 0.99, 5.69; p = 0.006) and Post II (adjusted mean difference =
2.82; 95%CI = 0.86, 4.78; p = 0.005), a higher percentage of energy from carbohydrate at Post I
(adjusted mean difference = 4.41; 95%CI = 0.80, 8.03; p = 0.017) and a higher emotional
functioning at Post II (adjusted mean difference = 10.98; 95%CI = 1.07, 20.89; p = 0.030) as
compared to CG. The IG demonstrated significantly lower uncontrolled eating at Post II (adjusted
mean difference = -2.48; 95%CI = -4.65, -0.32; p = 0.025) compared to CG. There was a
significant increase over time in the proportion of adolescents who correctly estimated their
weight status (Q = 6.118, p = 0.047) and a decrease in the proportion of adolescents who
consumed afternoon tea (Q = 6.750, p = 0.034) in IG.
In conclusion, the EPaL intervention programme was effective in improving knowledge,
perception of body weight status, uncontrolled eating and emotional functioning among the
adolescents. The present study added to the knowledge and evidence on the effectiveness of health
interventions. Hence, it can be used as a model to develop future health and nutrition
interventions for adolescents in
Malaysia. |
| format |
Thesis |
| qualification_level |
Doctorate |
| author |
Sharif Ishak, Sharifah Intan Zainun |
| author_facet |
Sharif Ishak, Sharifah Intan Zainun |
| author_sort |
Sharif Ishak, Sharifah Intan Zainun |
| title |
Effectiveness of “Eat right, be positive about your body and live actively” programme in preventing overweight and disordered eating among Malaysian adolescents |
| title_short |
Effectiveness of “Eat right, be positive about your body and live actively” programme in preventing overweight and disordered eating among Malaysian adolescents |
| title_full |
Effectiveness of “Eat right, be positive about your body and live actively” programme in preventing overweight and disordered eating among Malaysian adolescents |
| title_fullStr |
Effectiveness of “Eat right, be positive about your body and live actively” programme in preventing overweight and disordered eating among Malaysian adolescents |
| title_full_unstemmed |
Effectiveness of “Eat right, be positive about your body and live actively” programme in preventing overweight and disordered eating among Malaysian adolescents |
| title_sort |
effectiveness of “eat right, be positive about your body and live actively” programme in preventing overweight and disordered eating among malaysian adolescents |
| granting_institution |
Universiti Putra Malaysia |
| publishDate |
2019 |
| url |
http://psasir.upm.edu.my/id/eprint/89982/1/FPSK%28p%29%202019%2036%20-%20IR.pdf |
| _version_ |
1747813599888277504 |
| spelling |
my-upm-ir.899822021-08-18T02:27:26Z Effectiveness of “Eat right, be positive about your body and live actively” programme in preventing overweight and disordered eating among Malaysian adolescents 2019-04 Sharif Ishak, Sharifah Intan Zainun Obesity and disordered eating (DE) have potential shared risk factors, including dietary practice, physical activity level and body image perception. Thus, prevention of both obesity and DE can be done simultaneously. The present study aimed to evaluate the effectiveness of the ‘Eat Right, Be Positive about Your Body and Live Actively’ (EPaL) intervention programme for preventing risk of becoming overweight and DE in Malaysian adolescents. The EPaL intervention programme promoted three main components of healthy lifestyle, namely healthy eating, positive body image and active lifestyle. The present study comprised two phases, in which Phase 1 of the study aimed to develop the EPaL intervention programme and Phase 2 of the study aimed to evaluate the effectiveness of the EPaL intervention programme. The Phase 1 of the study started with a needs assessment, and followed by the development of the EPaL Educational Package (EPaL Educational Module, EPaL Activity Book and EPaL Educational/ Activity Cards and Posters) for adolescents. The needs assessment was conducted using focus group discussions involved 72 secondary school adolescents in Form 1 and Form 2. The EPaL Educational Package, which consisted of EPaL Module: Volume 1 (Topic 1 until Topic 4) and EPaL Module: Volume 2 (Topic 5 until Topic 8), was developed. Content validity of the EPaL Educational Package by a team of expert panels was conducted. The face validity assessment of the EPaL intervention programme involved 54 adolescents aged 11-16 years who evaluated the EPaL intervention programme. The Phase 2 of the study was the evaluation of the effectiveness of the EPaL intervention programme among secondary school adolescents. This study used a quasi-experimental study design. Peer education was applied in coveying the knowledge and skills on healthy lifestyle to the adolescents. It compared the effects of the intervention on personal, eating and physical activity behaviour variables, and health outcomes, between intervention (IG) and comparison groups (CG). The comparisons were determined at three time points - before intervention (pre-intervention), after intervention (Post I) and 3 months after intervention (Post II). The IG received EPaL intervention programme for 16 weeks while CG received no intervention and had their standard Physical Education and Health classes. There were 76 adolescents (IG: n=34; CG: n=42) in Form 1 and Form 2 included in the final analysis. The IG reported significantly higher knowledge score at both Post I (adjusted mean difference = 3.34; 95%CI = 0.99, 5.69; p = 0.006) and Post II (adjusted mean difference = 2.82; 95%CI = 0.86, 4.78; p = 0.005), a higher percentage of energy from carbohydrate at Post I (adjusted mean difference = 4.41; 95%CI = 0.80, 8.03; p = 0.017) and a higher emotional functioning at Post II (adjusted mean difference = 10.98; 95%CI = 1.07, 20.89; p = 0.030) as compared to CG. The IG demonstrated significantly lower uncontrolled eating at Post II (adjusted mean difference = -2.48; 95%CI = -4.65, -0.32; p = 0.025) compared to CG. There was a significant increase over time in the proportion of adolescents who correctly estimated their weight status (Q = 6.118, p = 0.047) and a decrease in the proportion of adolescents who consumed afternoon tea (Q = 6.750, p = 0.034) in IG. In conclusion, the EPaL intervention programme was effective in improving knowledge, perception of body weight status, uncontrolled eating and emotional functioning among the adolescents. The present study added to the knowledge and evidence on the effectiveness of health interventions. Hence, it can be used as a model to develop future health and nutrition interventions for adolescents in Malaysia. Adolescent Feeding and Eating Disorders Overweight 2019-04 Thesis http://psasir.upm.edu.my/id/eprint/89982/ http://psasir.upm.edu.my/id/eprint/89982/1/FPSK%28p%29%202019%2036%20-%20IR.pdf text en public doctoral Universiti Putra Malaysia Adolescent Feeding and Eating Disorders Overweight Chin, Yit Siew |