Evaluation of the Effectiveness of Healthy Nutrition and Obesity Awareness Education for Middle School Students Using Drama-Based Learning Activities

Year 2024, Volume: 8 Issue: 2, 135 - 143, 30.08.2024

Rukayye Eryiğit , Fatma Dinç , Murat Etiğ , Melike Kılıç , Sude Naz Özer

https://doi.org/10.25048/tudod.1440579

Abstract

Aim: The prevalence of childhood obesity is rapidly increasing, making it one of the most common nutritional problems globally. This study aimed to investigate the impact of education using the creative drama technique on obesity awareness and healthy nutrition-exercise behavior among middle school students.
Material and Methods: This single-group pre-test-post-test quasi-experimental study was conducted in a state middle school in a Western Black Sea Region province between October 2023 and January 2024, involving 156 middle school students selected through random sampling. A six-session face-to-face education program on obesity prevention and healthy nutrition was implemented. Data collection forms included a Demographic Information Form, an Obesity Awareness Scale, and a Nutrition-Exercise Behavior Scale. Data collection forms were administered to students before (t1) and one month after the education (t2).
Results: The mean age of the participating students was 12.33±0.92. Only 3.8% of students had previously received education on combating obesity through healthy nutrition. There was a significant increase in students’ obesity awareness (t1=2.99±0.17, t2=3.54±0.20) and nutrition-exercise behavior scores (t1=153.76±13.07, t2=165.1±11.57) after the education.
Conclusion: Interactive and participatory learning through the creative drama technique effectively increased students’ obesity awareness and promoted healthy nutrition-exercise behaviors. Education focusing on hands-on experiences and active engagement was found to be successful in enhancing students’ awareness of obesity and encouraging healthier lifestyle choices.

Keywords

Child, Creative drama, Health education, Obesity awareness, Nutrition

Project Number

This work was supported by the Scientific and Technical Research Council of Turkey (TUBITAK) 2209-A University Students Research Projects Support Program [Grant number: 1919B012224405].

Drama Temelli Öğrenme Etkinlikleri Kullanılarak Ortaokul Öğrencilerine Yönelik Sağlıklı Beslenme ve Obezite Farkındalığı Eğitiminin Etkinliğinin Değerlendirilmesi

Abstract

Amaç: Çocukluk çağı obezitesi prevalansı hızla artmakta, dünyada ele alınması gereken en yaygın beslenme sorunlarından birisi haline gelmiştir Bu çalışmanın amacı ortaokul öğrencilerine yönelik yaratıcı drama tekniği ile verilen eğitimin obezite farkındalığına, sağlıklı beslenme-egzersiz davranışına etkisini incelemekti.
Gereç ve Yöntemler: Bu çalışma tek gruplu ön test-son test yarı deneysel olarak yapılmıştır. Çalışma Batı Karadeniz Bölgesi’ndeki bir ilde kura yöntemi ile belirlenen bir devlet ortaokulunda Ekim 2023-Ocak 2024 tarihleri arasında 156 ortaokul öğrencisiyle gerçekleştirilmiştir. Öğrencilere obeziteden korunma-sağlıklı beslenmeye yönelik eğitim programı, altı oturum şeklinde yüz yüze uygulanmıştır. Veri toplama formları olarak Tanıtıcı Bilgi Formu, Obezite Farkındalık Ölçeği ve Beslenme-Egzersiz Davranışları Ölçeği kullanılmıştır. Öğrencilere veri toplama formları eğitimden önce (t1) ve eğitimden bir ay sonra (t2) uygulanmıştır.
Bulgular: Çalışmaya katılan öğrencilerin yaş ortalaması 12,33±0,92’dir. Daha önceden obeziteyle mücadele hakkında sağlıklı beslenme eğitimini öğrencilerin %3,8’i almıştır. Öğrencilerin obezite farkındalıkları (t1=2,99±0,17, t2=3,54±0,20), beslenme-egzersiz davranışları (t1=153,76±13,07, t2=165,1±11,57) toplam puan ortalamalarında eğitim sonrasında anlamlı artış görülmüştür.
Sonuç: Öğrencilerin interaktif katılımlı, yaparak-yaşarak öğrenme sağladıkları, sağlıklı beslenme ve obeziteye yönelik farkındalık eğitimi, öğrencilerin obezite farkındalıklarını, sağlıklı beslenme-egzersiz davranışlarını arttırmada etkiliydi.

Keywords

Çocuk, Yaratıcı drama, Sağlık eğitimi, Obezite farkındalığı, Beslenme

Ethical Statement

Ethical approval was obtained from the Non-Interventional Research Ethics Committee of a University (Decision date: 29.03.2023, Decision no: 07), and institutional permission was obtained from the Provincial Directorate of National Education.

Supporting Institution

This work was supported by the Scientific and Technical Research Council of Turkey (TUBITAK) 2209-A University Students Research Projects Support Program [Grant number: 1919B012224405].

Project Number

This work was supported by the Scientific and Technical Research Council of Turkey (TUBITAK) 2209-A University Students Research Projects Support Program [Grant number: 1919B012224405].

References

• 1. World Health Organization. Obesity: Preventing and managing the global epidemic. Geneva, 2000. Accessed address: http://www.who.int/nutrition/publications/obesity/ WHO_ TRS_894/en/. Access date:10/02/2024.
• 2. Xu S, Xue Y. Pediatric obesity: Causes, symptoms, prevention and treatment. Exp Ther Med. 2016;11(1):15-20.
• 3. Nga VT, Dung VNT, Chu DT, Tien NLB, Van Thanh V, Ngoc VTN, Hoan LN, Phuong NT, Pham VH, Tao Y, Linh NP, Show PL, Do DL. School education and childhood obesity: A systemic review. Diabetes Metab Syndr. 2019;13(4):2495-2501.
• 4. World Health Organization. World Obesity Day 2022-Accelerating action to stop obesity. Geneva, 2022. Accessed address: https://www.who.int/news/item/04-03-2022-world-obesity- day-2022-accelerating%20action-to-stop-obesity. Access date:15/02/2024.
• 5. Demir D, Bektas M. The effect of an obesity prevention program on children’s eating behaviors, food addiction, physical activity, and obesity status. J Pediatr Nurs. 2021;61:355-363.
• 6. Medeiros GCBSd, Azevedo KPMd, Garcia D, Oliveira Segundo, VH, Mata ÁNdS, Fernandes AKP, Santos RPd, Trindade DDBdB, Moreno IM, Guillén Martínez D, et al. Effect of school-based food and nutrition education ınterventions on the food consumption of adolescents: a systematic review and meta-analysis. Int J Environ Res Public Health. 2022;19:10522.
• 7. Özdemir Ö, Bıkmaz Z, Akgün G. Health perceptions and obesity awareness of nursing students. J Prof Nurs. 2022;42:162- 167.
• 8. Wang Y, Cai L, Wu Y, Wilson RF, Weston C, Fawleo O, Bleich SN, Cheskin LJ, Showell NN, Lau BC, Chin DR, Zhang A, Segal J. What childhood obesity prevention programmes work? A systematic review and meta-analysis. Obes Rev. 2015;16(7):547–565.
• 9. Min HY, Kim SJ, Cho H. Effects of an adolescent obesity management educational program on middle and high school teachers in south korea. Asian Nurs Res (Korean Soc Nurs Sci). 2017;11(2):84-91.
• 10. Kubik MY, Fulkerson JA, Sirard JR, Garwick A, Temple J, Gurvich O, Lee J, Dudovitz B. School-based secondary prevention of overweight and obesity among 8 to 12 year old children: Design and sample characteristics of the SNAPSHOT trial. Contemp Clin Trials. 2018;75:9-18.
• 11. Yurt S, Yıldız A. The impact of the motivation interview with the overweight adolescents on eating habits, behaviours and weight. Turkiye Klinikleri J Public Health Nurs Special Topics 2016;2:7–13.
• 12. Cheng H, George C, Dunham M, Whitehead L, Denney-Wilson E. Nurse-led interventions in the prevention and treatment of overweight and obesity in infants, children and adolescents: A scoping review. Int J Nurs Stud. 2021;121:104008.
• 13. Güler R, Kublay G, Fırat Kılıç H. The effectiveness of a nurseled health development programme on fourth-grade schoolage children in North Cyprus: A randomised- controlled trial Health Educ J. 2023;82(2):169–183.
• 14. Adıgüzel O. Concept, components and stages of creative drama. Creative Drama Journal. 2006;1(1):17–30.
• 15. Adıgüzel HÖ, Timuçin, E. The effect of creative drama on student achievement in the instruction of some development and learning theories. Procedia Soc Behav Sci. 2010;9:1741–1746.
• 16. Heathcote, D. Learning, knowing, and languaging in drama: An interview with Dorothy Heathcote. Language Arts. 1983;60(6):695–701.
• 17. Batdı V, Batdı, H. Effect of creative drama on academic achievement: A meta-analytic and thematic analysis. Educational Sciences: Theory&Practice. 2015;15(6):1459–1470.
• 18. Celume MP, Besançon M, Zenasni F. Fostering children and adolescents’ creative thinking in education. theoretical model of drama pedagogy training. Front Psychol. 2019;7;9:2611.
• 19. Lee B, Patall E, Cawthon S, Steingut R. The effect of drama- based pedagogy on prek-16 outcomes: a meta-analysis of research from 1985 to 2012. Rev Educ Res. 2015;85(1):3–49.
• 20. Wyatt KM, Lloyd JJ, Abraham C, Creanor S, Dean S, Densham E, Daurge W, Green C, Hillsdon M, Pearson V, Taylor RS, Tomlinson R, Logan S. The Healthy Lifestyles Programme (HeLP), a novel school-based intervention to prevent obesity in school children: study protocol for a randomised controlled trial. Trials. 2013;14:95.
• 21. Demir Acar M, Bayat M. The effect of diet-exercise trainings provided to overweight and obese teenagers through creative drama on their knowledge, attitude, and behaviors. Child Obes. 2019;15(2):93-104.
• 22. Ütkür-Güllühan N, Bekiroğlu D, Emral T. The effect of online creative drama method on primary school students’ levels of happiness and fun in school: Solomon four-group design, Innovation The European Journal of Social Science Research. 2023;36(4):1-20.
• 23. Allen A. Effects of educational ıntervention on children’s knowledge of obesity risk factors. Phd Thesis. 2011. Carroll College https://www.carroll.edu/nursing/student-successes.
• 24. Kafkas ME, Özen G. Obezite farkındalık ölçeğinin Türkçeye uyarlanması: Bir geçerlik ve güvenirlik çalışması.˙İnönü Üniversitesi Beden Eğitimi ve Spor Bilimleri Dergisi, 2014;1(2):1–15.
• 25. Altay N, Toruner EK, Akgun-Citak E. Determine the BMI levels, self-concept and healthy life behaviours of children during a school based obesity training programme. AIMS Public Health. 2020;7(3):535-547.
• 26. Tucker S, Lanningham-Foster LM. Nurse-led school-based child obesity prevention. J Sch Nurs. 2015;31(6):450-466.
• 27. Jester A, Kreider KE, Ochberg R, Meek J. Effectiveness of ımplementing ınitial education strategies to promote awareness and healthy habits in childhood obesity: a quality ımprovement project. J Pediatr Health Care. 2018;32(2):157-162.
• 28. Aktaş, E., Çövener Özçelik, Ç. Obesity awareness among elementary school students: a controlled before after study. Clinical and Experimental Health Sciences. 2023;13(4):725-731.
• 29. Tavşancıl E. Measurement of Attitudes and Data Analysis with SPS. 6th Edition Ankara, Nobel Yayın Dağıtım, 2019.
• 30. Marsden E, Torgerson CJ. Single group, pre-and post-test research designs: Some methodological concerns, Oxford Review of Education. 2012;38(5):583-616.