School-based Educational Intervention Research Articles

Integrating mental health literacy in the English language arts middle school classroom

Mental health challenges are on the rise among today’s youth. Recent reports have noted an acute and significant need for school-based mental health education and supportive interventions for children and adolescents. Among these approaches, a growing focus has centered on improving students’ mental health literacy (MHL) as a foundational component in addressing overall mental health needs. While schools offer an ideal venue for access and implementation, there exist a variety of limitations to integrating MHL content, particularly within the middle school classroom. In this manuscript, we offer recommendations for educators, school social support workers, and administrators who are interested in teaming together to develop and embed a literature-based MHL curriculum into the middle school English Language Arts (ELA) classroom. Our suggestions offer a framework for planning, developing, and implementing such a curriculum within the confines of current school structures and processes while maintaining the teacher’s role as educator.

Counting who makes the grade: Updated estimates of the share of over-age for grade learners in sub-Saharan Africa using MICS6 data

Many education systems within sub-Saharan Africa are affected by the problem of over-aged learners. Children who are above the expected age for their grade experience poorer outcomes relative to other learners and it is therefore of interest to policymakers to accurately identify them for the purposes of informing effective remedial interventions. UNICEF’s sixth round of Multiple Indicator Cluster Survey’s [MICS6] are among the relatively few robust nationally representative data sources that can be used to calculate the share of over-age for grade learners within education systems. This paper identifies variability in the estimation method used to identify the same target over-age population (i.e. learners who are older than the official age for the grade they are currently attending) across MICS6 country reports in 14 countries in sub-Saharan Africa. Nine countries utilise a different method which captures only part of the desired target population. This approach fails to identify at least 50% of learners who are over-age for grade by two years in their primary education system and up to 57% of over-age for grade learners in lower secondary. Results are discussed in terms of their implications for supporting policymakers to plan and implement effective school-based education and health interventions, using Comprehensive Sexuality Education as an example.

Gamification in nutrition education: the impact and the acceptance of digital game-based intervention for improving nutritional habits

AbstractAs school-based nutrition education interventions have become increasingly popular in recent years, they have proven effective in raising children awareness and responsibility toward good eating habits as well as improving their knowledge, skills, and attitudes. The aim of this work is to evaluate whether a gamification approach, using a digital application developed in AdobeXD, could be an appropriate strategy for increasing attention span toward nutrition education messages when compared to a classical didactic approach. The study involved 126 children aged 7 to 8 years, divided into control group (lesson with nutrition expert supported by slides) and intervention group (interactive lesson via application). A questionnaire was then administered to all participants to assess the knowledge they gained regarding basic nutrition education concepts. An additional questionnaire was distributed to the intervention group for the prototype digital evaluation based on the Technology Acceptance Model (TAM) framework. The results show that the digital application has the potential to be an effective tool for producing significant improvements in nutrition knowledge. The greater rating on the usefulness of the content, rather than on other intrinsic features of the prototype, demonstrates that the use of a digital approach can play a key role in capturing new concepts of nutrition education.

Increasing vaccinations through an on-site school-based education and vaccination program: A city-wide cluster randomized controlled trial.

Vaccination rates for mumps, measles, and rubella (MMR) and tetanus, diphtheria, pertussis, and polio (Tdap-IPV) fall short of global targets, highlighting the need for vaccination interventions. This study examines the effectiveness of a city-wide school-based educational vaccination intervention as part of an on-site vaccination program aimed at increasing MMR and Tdap-IPV vaccination rates versus on-site vaccination alone among sociodemographically diverse students from Berlin, Germany. The study was a 1:1 two-arm cluster randomized controlled trial, with schools randomly assigned to either the Educational Class Condition (ECC) or the Low-Intensity Information Condition (LIIC). Both received an on-site vaccination program, while students in the ECC received an additional educational unit. Primary outcomes were MMR and Tdap-IPV vaccination rates. In total, 6512 students from 25 randomly selected urban area secondary schools participated. For students providing their vaccination documents on the day of the intervention (2273, 34.9%), adjusted Poisson mixed models revealed significant between-group differences in favor of the ECC (MMR: logRR = 0.47, 95%CI [0.01,0.92], RR = 1.59; Tdap-IPV: logRR = 0.28, 95%CI [0.10,0.47], RR = 1.32). When adjusting for socioeconomic and migration background, between-group differences became non-significant for MMR but remained significant for Tdap-IPV. Findings suggest that educational, school-based on-site vaccination appears to be a promising strategy for increasing vaccination uptake in adolescents.

Effectiveness of multi-component modular intervention on screen-based and non-screen-based sedentary time among adolescents in an urban area of Mangalore: a school-based cluster randomised controlled trial-protocol

Background Behavioural risk factors are often present during adolescence and account for 70% of premature deaths during adulthood. Excessive sedentary behaviour and screen time have become significant concerns, especially among adolescents, due to their potential negative impact on physical and mental health. Adolescents with a high screen-based sedentary time are more likely to be physically inactive, have unhealthy body structure and poor academic performance. The objective of our study is to assess the effect of multi-component modular educational intervention on screen-based sedentary time (SST) and non-screen-based Sedentary time (NSST) among adolescents. Methods Ethical approval for the study has been obtained from the institutional Ethics Committee of Kasturba Medical College in Mangalore, India. This cluster randomized control trial will be carried out in schools located in the urban area of Mangalore. Using simple randomization, the eligible schools will be randomized into intervention and control arms, each consisting of 10 clusters. A multi-component modular educational intervention will be administered to participants in the intervention group at baseline, second and fourth month. The control group will receive the standard curriculum. Both the groups will be assessed at baseline and at second month, fourth month and sixth month of follow up for SST, NSST and level of physical activity. Anthropometric measurements like height, weight, waist circumference and hip circumference will be taken at baseline and sixth month of follow up. Results A comprehensive school-based modular educational intervention can have cumulative advantages by reducing screen- and non-screen-based sedentary time, and encouraging physical activity. Similar modular teaching can be incorporated into the curriculum, which will promote healthy life-style among the adolescents.

School-based psychosocial and educational interventions for children and adolescents after the 1999 Marmara earthquakes in Turkey: A review on lessons learned

The massive earthquakes experienced in August and November 1999 affected thousands of people in the Marmara region, the most densely populated and industrialized part of Turkey. The humanitarian and economic cost was so enormous, and these earthquakes have changed the Turkish disaster management system and the Turkish people’s approach to disasters. Marmara earthquakes are also considered as a milestone in the provision of psychosocial services for disaster victims. This paper aims to review the psychosocial interventions targeting children, adolescents, and their families after the 1999 earthquakes in Turkey. The progression from initial responses to more organized psychosocial interventions is outlined. Conducting the interventions at schools has ensured that thousands of children, teachers, and parents are reached in the most efficient and effective way possible. The significance of the school context in designing psychosocial interventions is highlighted and implications of the lessons learned for traumatic experiences of children and parents are also explored. It is evaluated that these inferences obtained from the Marmara earthquake in Turkey can be used in disasters around the world.

Feasibility and impact of school-based nutrition education interventions on the diets of adolescent girls in Ethiopia: a non-masked, cluster-randomised, controlled trial.

Adolescence is a critical period of physical and psychological development, especially for girls, because poor nutrition can affect their wellbeing as well as that of their children. We aimed to assess the feasibility and impact of a package of nutrition education interventions delivered through public primary schools on the diets of adolescent girls in Ethiopia. In this non-masked, cluster-randomised, controlled trial, primary schools (clusters) in the Southern Nations, Nationalities, and People's Region and Somali region of Ethiopia were randomly allocated to the intervention group (nutrition information provided during flag ceremonies, classroom lessons, school club meetings, peer group mentoring, BMI measurement and counselling, and parent-teacher meetings) or the control group (standard academic curriculum on health and nutrition) by use of computer-generated pseudo-random numbers. Duration of the school-based interventions was 4 months, and the key messages were related to dietary diversity (eating a variety of foods), energy adequacy (eating breakfast and healthy snacks), and healthy food choices (avoiding junk foods). Adolescent girls were eligible for participation if aged 10-14 years and enrolled in grades 4-8 in a study school. Data were collected with two independent cross-sectional surveys: baseline before the start of implementation and endline 1·5 years later. The primary outcome of impact was dietary diversity score, defined as the number of food groups (out of ten) consumed over the previous 24 h using a list-based method, and minimum dietary diversity, defined as the proportion of girls who consumed foods from at least five of the ten food groups, in the intention-to-treat population. We also assessed intervention exposure as a measure of feasibility. We estimated intervention effects using linear regression models for mean differences at endline, with SEs clustered at the school level, and controlled for adolescent age, region, household food security, and wealth. The trial is registered with ClinicalTrials.Gov, NCT04121559, and is complete. 27 primary schools were randomly allocated to the intervention group and 27 to the control group. Between March 22 and April 29, 2021, 536 adolescent girls participated in the endline survey (270 in the intervention group and 266 in the control group), with median age of 13·3 years (IQR 12·1-14·0). At endline, the dietary diversity score was 5·37 (SD 1·66) food groups in the intervention group and 3·98 (1·43) food groups in the control group (adjusted mean difference 1·33, 95% CI 0·90-1·75, p<0·0001). Increased minimum dietary diversity was also associated with the intervention (182 [67%] of 270 in the intervention group vs 76 [29%] of 266 in the control group; adjusted odds ratio 5·37 [95% CI 3·04-9·50], p<0·0001). 256 (95%) of 270 adolescent girls in the intervention group were exposed to at least one of the five in-school intervention components. Integrating nutrition interventions into primary schools in Ethiopia was feasible and increased dietary diversity incrementally among adolescent girls, but could be limited in changing other food choice behaviours, such as junk food consumption, based on nutrition education alone. Bill & Melinda Gates Foundation.

Impact of a school-based nutrition educational intervention on knowledge related to iron deficiency anaemia in rural Karnataka, India: A mixed methods pre-post interventional study.

To understand the extent to which adolescent awareness about anaemia and anaemia prevention can be changed by nutrition messages received at school. Mixed-methods pre-post intervention study. Three government schools in Bagalkot, Belagavi and Raichur districts of Karnataka, India. Students of grade six and seven and teachers involved in implementing the intervention. An educational intervention was co-developed by school teachers and nutrition experts using locally adapted resource materials that consisted of lectures, role play and practical demonstrations. Seven half-hour educational sessions were delivered by school teachers over 7 weeks to 455 students. Pre- and post-intervention tests measured changes in adolescents' knowledge about anaemia. Semi-structured in-depth interviews with teachers and focus groups with students explored their reactions to the intervention. Knowledge score related to anaemia. The percentage of children with correct scores increased by 7.3-49.0 percentage points for the tested questions after implementation of the intervention. The mean knowledge score increased by 3.67 ± 0.17 (p < 0.01). During interviews, teachers and students highlighted high acceptance of the intervention and materials, an increase in awareness, a positive attitude towards changing behaviour around diet, an increase in the demand for iron and folic acid supplements and improved sharing of messages learned with peers and families. Challenges expressed included need for further training, time limitations and hesitancy in teaching about menstruation and pregnancy. Educational interventions carried out for adolescents by teachers in schools are effective in improving awareness and attitude related to anaemia and its prevention.

Health literacy among adolescents and young adults in the Eastern Mediterranean region: a scoping review

ObjectivesFor adolescents and young adults, most health literacy research has been conducted in Western countries, but few studies have been conducted in the Eastern Mediterranean region (EMR). This review aimed...

School-based peer education interventions to improve health: a global systematic review of effectiveness

IntroductionPeer education, whereby peers (‘peer educators’) teach their other peers (‘peer learners’) about aspects of health is an approach growing in popularity across school contexts, possibly due to adolescents preferring to seek help for health-related concerns from their peers rather than adults or professionals. Peer education interventions cover a wide range of health areas but their overall effectiveness remains unclear. This review aims to summarise the effectiveness of existing peer-led health interventions implemented in schools worldwide.MethodsFive electronic databases were searched for eligible studies in October 2020. To be included, studies must have evaluated a school-based peer education intervention designed to address the health of students aged 11–18-years-old and include quantitative outcome data to examine effectiveness. The number of interventions were summarised and the impact on improved health knowledge and reductions in health problems or risk-taking behaviours were investigated for each health area separately, the Mixed Methods Appraisal Tool was used to assess quality.ResultsA total of 2125 studies were identified after the initial search and 73 articles were included in the review. The majority of papers evaluated interventions focused on sex education/HIV prevention (n = 23), promoting healthy lifestyles (n = 17) and alcohol, smoking and substance use (n = 16). Papers mainly reported peer learner outcomes (67/73, 91.8%), with only six papers (8.2%) focussing solely on peer educator outcomes and five papers (6.8%) examining both peer learner and peer educator outcomes. Of the 67 papers reporting peer learner outcomes, 35/67 (52.2%) showed evidence of effectiveness, 8/67 (11.9%) showed mixed findings and 24/67 (35.8%) found limited or no evidence of effectiveness. Of the 11 papers reporting peer educator outcomes, 4/11 (36.4%) showed evidence of effectiveness, 2/11 (18.2%) showed mixed findings and 5/11 (45.5%) showed limited or no evidence of effectiveness. Study quality varied greatly with many studies rated as poor quality, mainly due to unrepresentative samples and incomplete data.DiscussionSchool-based peer education interventions are implemented worldwide and span a wide range of health areas. A number of interventions appear to demonstrate evidence for effectiveness, suggesting peer education may be a promising strategy for health improvement in schools. Improvement in health-related knowledge was most common with less evidence for positive health behaviour change. In order to quantitatively synthesise the evidence and make more confident conclusions, there is a need for more robust, high-quality evaluations of peer-led interventions using standardised health knowledge and behaviour measures.

School Age Children Knowledge regarding Oral Hygiene- Effectiveness of Planned Teaching Programme in a selected school Bangalore, Karnataka

Background of the study: Oral hygiene is the regular practice of keeping one's mouth clean and free of disease and other problems (e.g. bad breath) by regular brushing of the teeth (dental hygiene) and cleaning between the teeth. It is very important that oral hygiene shall be carried out on a regular basis to enable the prevention of dental diseases and bad breath. Objectives of the study: To assess the effectiveness of planned teaching program onknowledge regarding oral hygiene among school age children. Methods: Pre experimental, one group pre and post test design was adopted in this study. The sample were chosen by non-probabilityconveniencesampling technique followed by purposivesampling method, consist of 40 school age childrens. The study was conducted at St Philomena English School, Kumaraswamy layout, Bangalore, Karnataka, India. Self- structured knowledge questionnaire is given to assess the knowledge on oral hygiene. Which followed by a planned teaching program on oral hygiene and administering the same questionnaire to assess the post test. Results: The findings of the study showed that the overall mean post-test knowledge score regardingoral hygiene among school age children was 15.35% with SD of 4.86 was significantly higher than the mean of pre-test 6.65% with SD of 2.17. Computed paired t-value 11.9 was higher than the table value 2.02 at p &lt;0.05 level, there was significant association was found between the pre-test and post-test knowledge score. The results of the study revealed that majority of the respondents had inadequate knowledge regarding oral hygiene 14(35%) Moderate knowledge 1(2.5%) in the pre-test level. A Total 23(57.5%) had moderateand15(37.5%) had adequate knowledge regarding oral hygiene in the post test level. Conclusion: School-based oral health education interventions can have positive impacts on behavioural outcomes among children.our study concluded that the planned teaching programme on knowledge regarding oral hygiene among school age children in selected school, Bangalore was found to be effective in the enhancing knowledge of school age children as evidenced by the significant change between pre-test and post-test knowledge score.

An educational approach to at-risk children as ‘specialized needs’ students lacking family resources: implementation and implications

ABSTRACT The present study examines the implications of a pedagogical approach that views at-risk children as ‘specialized needs’ students lacking family resources, limiting their future educational and employment prospects. This approach deliberately addresses the distinctive needs of this population. The research investigates a case study conducted at an elementary school in Israel that includes at-risk students and which follows the proposed approach. Data were collected through semi-structured in-depth interviews with 15 at-risk students and 15 members of the teaching staff, as well as observations and document collection. Findings were analysed using qualitative-phenomenological methodology. Two main themes emerged: (1) differential responses to basic and optimal needs; (2) needs-supportive pedagogy. The findings demonstrate that the school adopts a pedagogical orientation wherein addressing at-risk students’ lack of home functionality is considered a prerequisite for learning. Study participants described the school as a ‘second home’ providing for students’ basic and optimal family needs, and fostering students’ development through cultivating a sense of belonging, empowerment, and self-worth. From a theoretical standpoint, this study presents a pedagogical concept that enhances knowledge of school-based educational interventions for at-risk students. From a practical standpoint, it presents an organisational model that can be studied and applied in similar educational systems.

School-Based Educational Interventions on Prevention and Control of Malaria-A Systematic Review and Meta-Analysis.

Student messengers act as change agents for health and modify the behavior of their families as well as the community. Integration of the school health programs with malaria education enhances the participation of school teachers, parents, as well as the local community in malaria elimination. The objective of this review is to strengthen the evidence for school-based health educational interventions for malaria control and prevention activities. We searched six databases namely PubMed Central, Science Direct, CINAHL with full text, Google Scholar, Cochrane Library, and Pro-Quest to find relevant studies between January 2001 and March 2022 based on PRISMA guidelines. Randomized controlled trial, before-after intervention, and quasi-experimental study designs were included and a meta-analysis was carried out using the random-effect model to pool out the results by using Rev-man 5.4 software. In this review, 13 studies were included. The pooled outcome of school-based educational interventions on malaria was moderate (Standardized Mean Difference-2.59) and a significant difference was observed in intervention and control schools (Z = 7.33, P < 0.00001). In conclusion, this review identified the facts for the prevention and control of malaria through school-based educational interventions. Our findings strengthen the concept of malaria elimination through student messengers to mobilize the local community.

Effect of School-Based Educational Interventions on the Knowledge of Malaria and Dengue Among Higher Secondary School Children in Chennai, India: A Pre and Post-intervention Study.

Introduction: School children are a means to reach and sensitize the community on the prevention of seasonal diseases such as malaria and dengue. The current study aims to determine the impact of school-based educational interventions on the knowledge of students toward the prevention and control of malaria and dengue in higher secondary schools.Methods: This pre- and post-intervention study was conducted in three higher secondary schools in Zone IV, North Chennai, from September to December 2021. A total of 284 students in the age group of 13-17 years participated in the study. School-based educational interventions were delivered through PowerPoint-assisted lectures, participatory group activities, and demonstration of mosquito larvae and their control. The impact of the interventions as the change in knowledge level was analyzed using McNemar’s test, with a p-value of <0.05.Results: Educational interventions led to the improvement in knowledge about malaria symptoms, such as fever (43.7% to 76.1%; p<0.001), chills (45.1% to 82.4%; p<0.001), and headache (46.1% to 86.6%; p<0.001), and the knowledge of Aedes mosquito bites as the cause of dengue transmission enhanced (41.9% to 92.2%; p<0.001). Similarly, there was an increase in knowledge on the identification of vector mosquito breeding sites inside the house (11.9% to 67.9%; p<0.001) and outside the house (10.9% to 69.7%; p<0.001) and mosquito net usage (21.5% to 76.1%; p<0.001) after the interventions.Conclusion: School-based educational interventions had a significant impact on enhancing the knowledge on the prevention and control of malaria and dengue among school children. Involving school children can strengthen existing malaria and dengue prevention and control strategies in endemic areas.

Designing a Scalable Nutrition Education Package to Improve Diets of Adolescent Girls Through Primary Schools in Ethiopia

ObjectivesImproving adolescent girls’ nutrition is a high priority for the government of Ethiopia due to its immediate benefits for girls’ education and foundational role in protecting the productive and reproductive lives of women. Alive and Thrive (A&T) aimed to develop and implement an effective nutrition education package for scaling up by government education and health authorities. MethodsWe applied the socio-ecological model of social behavior change to systematically develop and test contextualized nutrition interventions in Southern Nations, Nationalities, and Peoples’ (agrarian) and Somali (pastoralist) regions. Using multiple sources of data and information we identified gaps in dietary practices, barriers, motivations; influential persons; and channels of communication for reaching adolescent girls in primary schools and influential persons, at high coverage and with frequent contacts. Region specific interventions, protocols, tools, and materials were field tested and tailored to fit the contact points and capacity of schools. ResultsThree dietary practices were selected based on evidence of gaps and potential benefits, 1) dietary diversity through promotion of locally available foods and food groups missing from adolescent girls’ diets by region, 2) frequency of meals and 3) reducing the consumption of unhealthy foods. Teachers, parents and peers were found to have the greatest influence on adolescent girls’ dietary practices. Community leaders (including religious leaders in Somali) and health extension workers were influential among parents, and school principals and supervisors were important for motivating teachers. ConclusionsSystematically targeting priority behaviors, engaging key influential persons, achieving high coverage and frequency through existing multiple contact points, and utilizing communication channels available through in-classroom and other activities were critical for developing a feasible and scalable package of school-based nutrition education interventions. Using data to design interventions and streamline implementation strategies facilitated the scale up of an effective intervention package for schools. Funding SourcesBill & Melinda Gates Foundation, through A&T, managed by FHI Solutions.

An analysis of current obesity strategies for adolescents in NSW against best practice recommendations: Implications for researchers, policymakers and practitioners.

Obesity is a significant health challenge facing adolescents. There is a critical need for government action to support all adolescents to improve risk factors for obesity. This study critically appraised initiatives, guidelines and policies (termed "strategies") from local health districts (LHDs), speciality health networks and Primary Health Networks (PHNs) across New South Wales (NSW), relevant to the prevention and management of obesity amongst adolescents and compare these to best practice recommendations. We critically appraised strategies against best practice recommendations that included support, access, responsiveness to needs, supportive environment, monitoring and evaluation and health equity. Strategies were collected by systematically searching websites of 15 LHDs, one speciality health network and 10 PHNs. There was evidence of strategies regarding adolescent obesity prevention and management across all best practice recommendations. There was limited evidence of adolescent consumer participation, digital strategies for health services and online health information. There were minimal targeted public or school-based education campaigns and interventions on physical activity or nutrition. Place-based approaches such as sports and recreation facilities were not included in policies regarding the sale of healthy food and drinks. Evaluation evidence across all strategies was minimal. Numerous strategies are being implemented across NSW to address adolescent obesity. Despite this, the alignment of strategies with best practice recommendations is poor and evidence of progress in tackling adolescent obesity remains unclear. SO WHAT?: Opportunities to generate and translate best practice evidence within government strategies for obesity must be prioritised with embedded measurement and evaluation plans.

A school-based educational on-site vaccination intervention for adolescents in an urban area in Germany: feasibility and psychometric properties of instruments in a pilot study

BackgroundVaccination rates for measles, mumps, and rubella (MMR) and diphtheria, tetanus, pertussis, and polio (Tdap-IPV) are not optimal among German adolescents. Education in combination with easy access to vaccination may be a promising approach to improve vaccination rates. The present paper describes a pilot study of a planned cluster randomized controlled trial (cRCT) in which we aim to improve MMR and Tdap-IPV vaccination rates together with knowledge and self-efficacy in a school setting.MethodsThe study covered 863 students from 41 classes of four schools. The optimization and feasibility of access to schools, recruitment strategies, intervention, and assessment procedures were examined. The course and content of the educational unit were evaluated with a mixed-methods approach. A pre-post measurement design was tested for the vaccination rate in all schools. Additionally, at two schools, improvement in vaccination-related knowledge and perceived self-efficacy were measured by questionnaire pre-educational unit (n=287) and post-educational unit (n=293). The remaining two schools provided only postintervention data. Finally, we evaluated the psychometric properties (i.e., reliability, retest reliability, and change rates) of the questionnaire, applying Cronbach’s alpha, factor analyses, generalized estimating equations and linear mixed models.ResultsThe findings of the pilot study indicated good feasibility. Of the total sample, 437 students (50.9%) brought their vaccination cards to school, 68 students received Tdap-IPV vaccinations, and 11 received MMR vaccinations. Out of six knowledge questions, on average, the students had M=2.84 (95% CI [2.69, 3.10]) correct answers before and M=4.45 (95% CI [4.26, 4.64]) after the class. Ranging from 1 to 4, the self-efficacy scale changed by 0.3 points (p <.001); Cronbach’s alpha was 0.67 and 0.76 pre- and post-educational unit, respectively, and a one-factor solution was found. Content analysis of the five semistructured group interviews (n=12, 58.3% female) showed that all students found the length of the intervention to be appropriate. The teaching methods, including interactive and social media components, were perceived as very good.ConclusionsA school-based educational and on-site vaccination intervention appears to be feasible in terms of procedures and the adequacy of the instruments for the adolescent target group.Trial registrationISRCTN, ISRCTN18026662. Pilot study for main trial registered 8 December 2017.

Effects of School-Based Educational Program on Backpack Carrying Behavior in Teenage Students.

One of the most serious issues is the growing prevalence of backaches among adolescent students as a result of carrying backpacks. The purpose of this study was to examine the impact of an education program (remedial information) on the school backpack carrying habits of adolescent students. The study sample consisted of 138 adolescent students aged 12 to 16 from 4 schools who were randomly assigned to either the experimental (N = 69) or control (N = 69) groups. The experimental group was subjected to a 6-week education program consisting of 6 sessions, whereas the control group received no educational intervention. During the pre-test and 3 months after the intervention, participants completed a questionnaire. The results (healthy items) were as follows: (1) carry as little as possible, (2) carry a school backpack on both shoulders, and (3) use lockers or something similar. After a 3-month follow-up, healthy items in the experimental group improved, but no significant changes were observed in the control group. When compared to the baseline, the experimental group’s healthy backpack usage habits improved significantly at the post-test (P = .001). The current study’s findings show that school-based education interventions on backpack behaviors improve the school-bag carrying habits of adolescent students.

Family and school-based educational intervention on fruits and vegetable consumption of female students: Application of social cognitive theory.

BACKGROUND:Fruits and vegetable (F.V) consumption is the most pivotal strategy of preventing cardiovascular diseases, obesity, diabetes, and cancers. The present study aims to evaluate the effect of educational intervention based on social cognitive theory (SCT) on consumption of F.Vs among female high schools’ students in Rafsanjan (South of Iran).SUBJECTS AND METHODS:This quasi-experimental study was carried out among 272 students (intervention = 134 and control group = 138) using a multistage sampling method. The instrument used in this study included demographic characteristics, the students’ F.V consumption during the past 7 days and its determinants based on the theory. Educational interventions were made in three sessions for students and two sessions for parents, teachers, and school officials. The data were analyzed by SPSS version 18 using the statistical tests of Chi-square, independent samples t-test, paired-samples t-test, and univariate model at a significant level of 0.05.RESULTS:Three months after the educational program, mean scores and standard deviation of F.V consumption and constructs in the intervention group increased significantly (P < 0.001). Respectively, 22.2% and 36.1% of the changes in the average unit of F.V consumption were the result of the present educational intervention.CONCLUSION:The intervention based on SCT with an emphasis on the interaction between student, family, and school has had an effect on F.V consumption behavior. Therefore, in forming behavior, attention is paid to the interaction of individual and interpersonal factors.

‘Healthy Children, Healthy Planet’: A pilot school-based educational intervention

Objectives: Healthy and sustainable eating should be encouraged in children. This study aimed to create, apply and evaluate the effectiveness of a specially designed, school-based educational programme to promote healthy and sustainable eating in children. Design: Pilot, school-based educational intervention, aimed at promoting health and sustainable eating patterns in children. Setting: Four schools (two primary schools and two kindergartens) in Attica, Greece. Method: The 3-month, pilot intervention consisted of a teacher training session, an educational package (11 teaching sessions, 1 session/per week), 3 separate parents and teachers’ educational sessions, and 2 teacher feedback meetings. In total, 290 children (intervention group n = 230, control group n = 60) aged 5–11 years old from four schools in Attica, Greece, participated in the study. Parents completed a specially designed questionnaire before and after the intervention, assessing children’s anthropometric characteristics, children’s adherence to a Mediterranean Diet (MD) and physical activity levels, together with usual eating and food waste behaviours in the household. Results: Children’s adherence to a MD was not significantly affected by the educational intervention. However, there was a significant increase in children’s fruit consumption, with 48% of the children eating at least two portions of fruit per day after the intervention. With respect to the food sustainability behaviours of the household, the intervention group threw away less food and, in particular, fewer fresh fruit and less bread, following the intervention. Conclusion: There is evidence that the educational programme can positively affect certain healthy eating behaviours in participating children.