The Influence of a Health Education Intervention on Health Behaviors and Mental Well-being Among College Students
Main Article Content
Keywords
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Abstract
This study investigates the effects of a health education intervention on health behaviors, self-efficacy, and well-being among college students
Participants: The study involved 532 undergraduate participants
Methods: A theory-based intervention was implemented where participants were divided into control and intervention groups. The intervention group attended a 7-week health education program focusing on knowledge, attitude, and practice related to health behaviors.
Results: Comparing the intervention group (IG) with the control group (CG), significant improvements were observed in the IG regarding high physical activity, regular breakfast consumption, reduced screen time, lower sugar beverage intake, and decreased Internet addiction tendencies. The IG also showed an increase in health behavior scores (p = 0.040) compared to the CG, while subjective well-being and self-efficacy changes were similar between the two groups.
Conclusions: The findings suggest that health education interventions can effectively promote positive health behaviors
References
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15. Wartberg, L., Kriston, L., Kegel, K., & Thomasius, R. (2016). Adaptation and psychometric evaluation of the Young Diagnostic Questionnaire (YDQ) for parental assessment of adolescent problematic Internet use. Journal of Behavioral Addictions, 5(2), 311–317. doi:10.1556/2006.5.2016.049.
16. Li, Y., Zhang, X., Lu, F., Zhang, Q., & Wang, Y. (2014). Internet addiction among elementary and middle school students in China: A nationally representative sample study. Cyberpsychology, Behavior, and Social Networking, 17(2), 111–116. doi:10.1089/cyber.2012.0482.
17. Ni, S. G., Xu, J. H., & Ye, L. (2012). Revision of irrational procrastination scale in Chinese college students and its relations with self-efficacy and health behavior. Chinese Journal of Clinical Psychology, 20(05), 603–605 + 655.
18. Zhang, J. X., & Schwarzer, R. (1995). Measuring optimistic self-beliefs: A Chinese adaptation of the General Self-Efficacy Scale. Psychological International Journal of Psychology Orient, 38(3), 174–181.
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20. Greene, G. W., White, A. A., Hoerr, S. L., et al. (2012). Impact of an online healthful eating and physical activity program for college students. American Journal of Health Promotion, 27(2), e47–e58. doi:10.4278/ajhp.110606-QUAN-239.
21. Després, J. P. (2016). Physical activity, sedentary behaviours, and cardiovascular health: When will cardiorespiratory fitness become a vital sign? Canadian Journal of Cardiology, 32(4), 505–513.
22. Pedersen, B. K., & Saltin, B. (2015). Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases. Scandinavian Journal of Medicine & Science in Sports, 25, 1–72. doi:10.1111/sms.12581.
23. Peterson, N. E., Sirard, J. R., Kulbok, P. A., DeBoer, M. D., & Erickson, J. M. (2018). Sedentary behavior and physical activity of young adult university students. Research in Nursing & Health, 41(1), 30–38. doi:10.1002/nur.21845.
24. Lai, S. K., Costigan, S. A., Morgan, P. J., et al. (2014). Do school-based interventions focusing on physical activity, fitness, or fundamental movement skill competency produce a sustained impact in these outcomes in children and adolescents? A systematic review of follow-up studies. Sports Medicine, 44(1), 67–79. doi:10.1007/s40279-013-0099-9.
25. Nanney, M. S., Lytle, L. A., Farbakhsh, K., et al. (2015). Weight and weight-related behaviors among 2-year college students. Journal of American College Health, 63(4), 221–229. doi:10.1080/07448481.2015.1015022.
26. Chen, J., Cheng, J., Liu, Y., et al. (2014). Associations between breakfast eating habits and health-promoting lifestyle, suboptimal health status in southern China: A population-based, cross-sectional study. Journal of Translational Medicine, 12(1), 348.
27. Fernandes, J., Arts, J., Dimond, E., Hirshberg, S., & Lofgren, I. E. (2013). Dietary factors are associated with coronary heart disease risk factors in college students. Nutrition Research, 33(8), 647–652. doi:10.1016/j.nutres.2013.05.013.
28. Abdel Rahman, A., Jomaa, L., Kahale, L. A., Adair, P., & Pine, C. (2018). Effectiveness of behavioral interventions to reduce the intake of sugar-sweetened beverages in children and adolescents: A systematic review and meta-analysis. Nutrition Reviews, 76(2), 88–107. doi:10.1093/nutrit/nux061.
29. Sun, J., Yi, H., Liu, Z., et al. (2013). Factors associated with skipping breakfast among Inner Mongolia medical students in China. BMC Public Health, 13(1), 42.
30. Dlodlo, N., & Mahlangu, H. B. (2013). Usage of mobile-devices for recreation among the millennial generation. African Journal of Physical Health Education, Recreation & Dance, 19(4), 874–890.
31. Head, K. J., Noar, S. M., Iannarino, N. T., & Grant Harrington, N. (2013). Efficacy of text messaging-based interventions for health promotion: A meta-analysis. Social Science & Medicine, 97, 41–48. doi:10.1016/j.socscimed.2013.08.003.
32. Lee, L. L., Kuo, Y. C., Fanaw, D., Perng, S. J., & Juang, I. F. (2012). The effect of an intervention combining self-efficacy theory and pedometers on promoting physical activity among adolescents. Journal of Clinical Nursing, 21(7-8), 914–922. doi:10.1111/j.1365-2702.2011.03881.x.
33. Lustria, M. L. A., Noar, S. M., Cortese, J., Van Stee, S. K., & Glueckauf, R. L., & Lee, J. (2013). A meta-analysis of web-delivered tailored health behavior change interventions. Journal of Health Communication, 18(9), 1039–1069. doi:10.1080/10810730.2013.768727.
34. Maher, C. A., Lewis, L. K., Ferrar, K., Marshall, S., De Bourdeaudhuij, I., & Vandelanotte, C. (2014). Are health behavior change interventions that use online social networks effective? A systematic review. Journal of Medical Internet Research, 16(2), e40. doi:10.2196/jmir.2952.
35. Mohr, D. C., Burns, M. N., Schueller, S. M., Clarke, G., & Klinkman, M. (2013). Behavioral intervention technologies: Evidence review and recommendations for future research in mental health. General Hospital Psychiatry, 35(4), 332–338. doi:10.1016/j.genhosppsych.2013.03.008.
36. Prestwich, A., Kellar, I., Parker, R., et al. (2014). How can self-efficacy be increased? Meta-analysis of dietary interventions. Health Psychology Review, 8(3), 270–285. doi:10.1080/17437199.2013.813729.
37. Olander, E. K., Fletcher, H., Williams, S., Atkinson, L., Turner, A., & French, D. P. (2013). What are the most effective techniques in changing obese individuals’ physical activity self-efficacy and behaviour: A systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 10(1), 29. doi:10.1186/1479-5868-10-29.
38. Institute of International Education. (2016). Top 25 places of origin of international students, 2014/15-2015/16. Retrieved from https://www.iie.org/en/Research-and-Insights/Open-Doors/Data/International-Students/Places-of-Origin/Leading-Places-of-Origin/2015-16.
39. Chen, W. (1998). Chinese and American college students’ motives for participation in physical activities. Perceptual and Motor Skills, 87(suppl 3), 1463–1470. doi:10.2466/pms.1998.87.3f.1463.
40. Pan, Y. L., Dixon, Z., Himburg, S., & Huffman, F. (1999). Asian students change their eating patterns after living in the United States. Journal of the American Dietetic Association, 99(1), 54–57. doi:10.1016/S0002-8223(99)00016-4.
41. Han, X., Han, X., Luo, Q., Jacobs, S., & Jean-Baptiste, M. (2013). Report of a mental health survey among Chinese international students at Yale University. Journal of American College Health, 61(1), 1–8. doi:10.1080/07448481.2012.738267.
2. Lippke, S., Nigg, C. R., & Maddock, J. E. (2012). Health-promoting and health-risk behaviors: Theory-driven analyses of multiple health behavior change in three international samples. International Journal of Behavioral Medicine, 19(1), 1–13. doi:10.1007/s12529-010-9135-4.
3. Xu, Y., Qi, J., Yang, Y., & Wen, X. (2016). The contribution of lifestyle factors to depressive symptoms: A cross-sectional study in Chinese college students. Psychiatry Research, 245, 243–249. doi:10.1016/j.psychres.2016.03.009.
4. Bauer, U. E., Briss, P. A., Goodman, R. A., & Bowman, B. A. (2014). Prevention of chronic disease in the 21st century: Elimination of the leading preventable causes of premature death and disability in the USA. Lancet, 384(9937), 45–52. doi:10.1016/S0140-6736(14)60648-6.
5. Duan, Y. P., Wienert, J., Hu, C., Si, G. Y., & Lippke, S. (2017). Web-based intervention for physical activity and fruit and vegetable intake among Chinese university students: A randomized controlled trial. Journal of Medical Internet Research, 19(4), e106. doi:10.2196/jmir.7152.
6. Feng, Q., Zhang, Q. L., Du, Y., Ye, Y. L., & He, Q. Q. (2014). Associations of physical activity, screen time with depression, anxiety and sleep quality among Chinese college freshmen. PLoS One, 9(6), e100914. doi:10.1371/journal.pone.0100914.
7. Kwan, M. Y., Cairney, J., Faulkner, G. E., & Pullenayegum, E. E. (2012). Physical activity and other health-risk behaviors during the transition into early adulthood: A longitudinal cohort study. American Journal of Preventive Medicine, 42(1), 14–20. doi:10.1016/j.amepre.2011.08.026.
8. Small, M., Bailey-Davis, L., Morgan, N., & Maggs, J. (2013). Changes in eating and physical activity behaviors across seven semesters of college: Living on or off campus matters. Health Education & Behavior, 40(4), 435–441. doi:10.1177/1090198112467801.
9. Ye, Y. L., Wang, P. G., Qu, G. C., Yuan, S., Phongsavan, P., & He, Q. Q. (2016). Associations between multiple health risk behaviors and mental health among Chinese college students. Psychology, Health & Medicine, 21(3), 377–385. doi:10.1080/13548506.2015.1070955.
10. Ulla Diez, S. M., Fortis, A. P., & Franco, S. F. (2012). Efficacy of a health-promotion intervention for college students: A randomized controlled trial. Nursing Research, 61(2), 121–132. doi:10.1097/NNR.0b013e3182475aaa.
11. LaChausse, R. G. (2012). My student body: Effects of an internet-based prevention program to decrease obesity among college students. Journal of American College Health, 60(4), 324–330. doi:10.1080/07448481.2011.623333.
12. Bagherniya, M., Taghipour, A., Sharma, M., et al. (2018). Obesity intervention programs among adolescents using social cognitive theory: A systematic literature review. Health Education Research, 33(1), 26–39. doi:10.1093/her/cyx079.
13. Plotnikoff, R. C., Costigan, S. A., Williams, R. L., et al. (2015). Effectiveness of interventions targeting physical activity, nutrition and healthy weight for university and college students: A systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 12(1), 45.
14. Bandura, A. (2004). Health promotion by social cognitive means. Health Education & Behavior, 31(2), 143–164. doi:10.1177/1090198104263660.
15. Wartberg, L., Kriston, L., Kegel, K., & Thomasius, R. (2016). Adaptation and psychometric evaluation of the Young Diagnostic Questionnaire (YDQ) for parental assessment of adolescent problematic Internet use. Journal of Behavioral Addictions, 5(2), 311–317. doi:10.1556/2006.5.2016.049.
16. Li, Y., Zhang, X., Lu, F., Zhang, Q., & Wang, Y. (2014). Internet addiction among elementary and middle school students in China: A nationally representative sample study. Cyberpsychology, Behavior, and Social Networking, 17(2), 111–116. doi:10.1089/cyber.2012.0482.
17. Ni, S. G., Xu, J. H., & Ye, L. (2012). Revision of irrational procrastination scale in Chinese college students and its relations with self-efficacy and health behavior. Chinese Journal of Clinical Psychology, 20(05), 603–605 + 655.
18. Zhang, J. X., & Schwarzer, R. (1995). Measuring optimistic self-beliefs: A Chinese adaptation of the General Self-Efficacy Scale. Psychological International Journal of Psychology Orient, 38(3), 174–181.
19. Topp, C. W., Østergaard, S. D., Søndergaard, S., & Bech, P. (2015). The WHO-5 Well-being Index: A systematic review of the literature. Psychotherapy and Psychosomatics, 84(3), 167–176. doi:10.1159/000376585.
20. Greene, G. W., White, A. A., Hoerr, S. L., et al. (2012). Impact of an online healthful eating and physical activity program for college students. American Journal of Health Promotion, 27(2), e47–e58. doi:10.4278/ajhp.110606-QUAN-239.
21. Després, J. P. (2016). Physical activity, sedentary behaviours, and cardiovascular health: When will cardiorespiratory fitness become a vital sign? Canadian Journal of Cardiology, 32(4), 505–513.
22. Pedersen, B. K., & Saltin, B. (2015). Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases. Scandinavian Journal of Medicine & Science in Sports, 25, 1–72. doi:10.1111/sms.12581.
23. Peterson, N. E., Sirard, J. R., Kulbok, P. A., DeBoer, M. D., & Erickson, J. M. (2018). Sedentary behavior and physical activity of young adult university students. Research in Nursing & Health, 41(1), 30–38. doi:10.1002/nur.21845.
24. Lai, S. K., Costigan, S. A., Morgan, P. J., et al. (2014). Do school-based interventions focusing on physical activity, fitness, or fundamental movement skill competency produce a sustained impact in these outcomes in children and adolescents? A systematic review of follow-up studies. Sports Medicine, 44(1), 67–79. doi:10.1007/s40279-013-0099-9.
25. Nanney, M. S., Lytle, L. A., Farbakhsh, K., et al. (2015). Weight and weight-related behaviors among 2-year college students. Journal of American College Health, 63(4), 221–229. doi:10.1080/07448481.2015.1015022.
26. Chen, J., Cheng, J., Liu, Y., et al. (2014). Associations between breakfast eating habits and health-promoting lifestyle, suboptimal health status in southern China: A population-based, cross-sectional study. Journal of Translational Medicine, 12(1), 348.
27. Fernandes, J., Arts, J., Dimond, E., Hirshberg, S., & Lofgren, I. E. (2013). Dietary factors are associated with coronary heart disease risk factors in college students. Nutrition Research, 33(8), 647–652. doi:10.1016/j.nutres.2013.05.013.
28. Abdel Rahman, A., Jomaa, L., Kahale, L. A., Adair, P., & Pine, C. (2018). Effectiveness of behavioral interventions to reduce the intake of sugar-sweetened beverages in children and adolescents: A systematic review and meta-analysis. Nutrition Reviews, 76(2), 88–107. doi:10.1093/nutrit/nux061.
29. Sun, J., Yi, H., Liu, Z., et al. (2013). Factors associated with skipping breakfast among Inner Mongolia medical students in China. BMC Public Health, 13(1), 42.
30. Dlodlo, N., & Mahlangu, H. B. (2013). Usage of mobile-devices for recreation among the millennial generation. African Journal of Physical Health Education, Recreation & Dance, 19(4), 874–890.
31. Head, K. J., Noar, S. M., Iannarino, N. T., & Grant Harrington, N. (2013). Efficacy of text messaging-based interventions for health promotion: A meta-analysis. Social Science & Medicine, 97, 41–48. doi:10.1016/j.socscimed.2013.08.003.
32. Lee, L. L., Kuo, Y. C., Fanaw, D., Perng, S. J., & Juang, I. F. (2012). The effect of an intervention combining self-efficacy theory and pedometers on promoting physical activity among adolescents. Journal of Clinical Nursing, 21(7-8), 914–922. doi:10.1111/j.1365-2702.2011.03881.x.
33. Lustria, M. L. A., Noar, S. M., Cortese, J., Van Stee, S. K., & Glueckauf, R. L., & Lee, J. (2013). A meta-analysis of web-delivered tailored health behavior change interventions. Journal of Health Communication, 18(9), 1039–1069. doi:10.1080/10810730.2013.768727.
34. Maher, C. A., Lewis, L. K., Ferrar, K., Marshall, S., De Bourdeaudhuij, I., & Vandelanotte, C. (2014). Are health behavior change interventions that use online social networks effective? A systematic review. Journal of Medical Internet Research, 16(2), e40. doi:10.2196/jmir.2952.
35. Mohr, D. C., Burns, M. N., Schueller, S. M., Clarke, G., & Klinkman, M. (2013). Behavioral intervention technologies: Evidence review and recommendations for future research in mental health. General Hospital Psychiatry, 35(4), 332–338. doi:10.1016/j.genhosppsych.2013.03.008.
36. Prestwich, A., Kellar, I., Parker, R., et al. (2014). How can self-efficacy be increased? Meta-analysis of dietary interventions. Health Psychology Review, 8(3), 270–285. doi:10.1080/17437199.2013.813729.
37. Olander, E. K., Fletcher, H., Williams, S., Atkinson, L., Turner, A., & French, D. P. (2013). What are the most effective techniques in changing obese individuals’ physical activity self-efficacy and behaviour: A systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 10(1), 29. doi:10.1186/1479-5868-10-29.
38. Institute of International Education. (2016). Top 25 places of origin of international students, 2014/15-2015/16. Retrieved from https://www.iie.org/en/Research-and-Insights/Open-Doors/Data/International-Students/Places-of-Origin/Leading-Places-of-Origin/2015-16.
39. Chen, W. (1998). Chinese and American college students’ motives for participation in physical activities. Perceptual and Motor Skills, 87(suppl 3), 1463–1470. doi:10.2466/pms.1998.87.3f.1463.
40. Pan, Y. L., Dixon, Z., Himburg, S., & Huffman, F. (1999). Asian students change their eating patterns after living in the United States. Journal of the American Dietetic Association, 99(1), 54–57. doi:10.1016/S0002-8223(99)00016-4.
41. Han, X., Han, X., Luo, Q., Jacobs, S., & Jean-Baptiste, M. (2013). Report of a mental health survey among Chinese international students at Yale University. Journal of American College Health, 61(1), 1–8. doi:10.1080/07448481.2012.738267.
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Feb 15, 2023
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Zayed Adlan Hashem Almuntashiri, S. M. S. A. A. J. F. A. M. M. S. A. S. A. M. A. S. R. M. S. Z. A. O. R. A.-A. M. N. A. M. S. H. A. F. (2023). The Influence of a Health Education Intervention on Health Behaviors and Mental Well-being Among College Students. Journal of Population Therapeutics and Clinical Pharmacology, 30(2), 631–637. https://doi.org/10.53555/jptcp.v30i2.5342
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