Browse > Article

Intervention Effect on Health Efficacy and Knowledge in Cardiovascular Health Promotion Behaviors in Children  

Tak, Young-Ran (Department of Nursing, College of Medicine, Hanyang University)
Yun, E-Hwa (Cancer risk appraisal & prevention brach, National Cancer Control Institute, National Cancer Center)
Publication Information
Abstract
Objectives: This study was conducted to identify the intervention effects on health efficacy and health knowledge related to health behaviors for improving cardiovascular health in elementary school children. Methods: A repeated measure, pre-post-test design was used to identify the intervention effect on health efficacy and health knowledge among 5th grade school children. Intervention consisted of a curriculum classroom intervention and parent intervention. Health efficacy, health knowledge, and perceived parental monitoring were measured for testing intervention effect. A sample of 219 participants completed a baseline pre-test and two tests during intervention and after intervention from March to July 2004. Results: Mental health efficacy improved significantly from baseline test to the test after intervention (F = 32.88, p < 0.0001). Physical health efficacy also significantly increased during intervention (F = 50.51, p < 0.0001), but did not significantly change after parent intervention. Health knowledge increased significantly from baseline test to the test after education (F =10.23, p < 0.0001), but decreased after parent intervention. Perceived parental monitoring had a significant impact on mental health efficacy and physical health efficacy. Conclusion: The findings support school-based cardiovascular health promotion intervention as effective in improving health efficacy and health knowledge. Parental influence should also be considered to maintain improved health efficacy and health knowledge by thinking process in the intervention for elementary school children.
Keywords
Health knowledge; Health promotion; School children; Health efficacy; Parents; Cardiovascular disease;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Bandura, A. 1997. Self-efficacy - The exercise of control. W.H. Freeman and Company NY: USA
2 Berenson, G. 2002. Childhood risk factors predict adult risk associated with subclinical cardiovascular disease: The Bogalusa Heart Study. American Journal of Cardiology 90(supp):3L-7L   DOI   ScienceOn
3 Edmunson, E., Parcel, G., Feldman, H., Elder, J.,Perry, C., Johnson, C., Williston, B., Stone, E., Yang, M., Lytle, L., Webber, L. The effects of the child and adolescent trial for cardiovascular health upon psychosocial determinants of diet and physical activity behavior. Preventive Medicine 1996;25:442-454   DOI   ScienceOn
4 Harrell, J., McMurray, R., Baggett, C., Pennell, M.,Pearce, P. & Bangdiwala, S. 2005. Energy costs of physical activities in children and adolescents. Medicine & Science in Sports and Exercise 37:329-336   DOI   ScienceOn
5 Harrell, J., McMurray, R., Gansky, S., Bangdiwala, S. & Bradley, C. 1999. A public health vs. a risk-based intervention to improve cardiovascular health in elementary school children: The Cardiovascular Health in Children study. American Journal of Public Health 89(10): 1529-1535   DOI   ScienceOn
6 Hayman, L., Williams, L., Daniels, S., Steinberger, J.,Pridon, S., Dennison, B. & McCrindle, B. 2004. Cardiovascular Health Promotion in the Schools: A Statement for Health and Education Professionals and Child Health Advocates From the Committee on Atherosclerosis, Hypertension, and Obesity in Youth (AHOY) of the Council on Cardiovascular Disease in the Young. American Heart Association. Circulation 110: 2266-2275
7 Klein-Hessling, J., Lohaus, A. & Ball, J. 2005. Psychological predictors of health-related behavior in children. Psychology, Health & Medicine 10(1):31-43   DOI   ScienceOn
8 Korean National Statistical Office. 2006. Annual Report on the Cause of Death Statistics 2006. Retrieved from: URL: http://www.nso.go.kr/nso2006/
9 Labarthe, D. 1998. Epidemiology and prevention of cardiovascular disease: A global challenge. Aspen publishers, Maryland: USA
10 Leupker, R., Perry, C., Osganian, V., Nader, P., Parcel, G., Stone, E., Webber, L. 1998. The child and adolescent trial for cardiovascular health (CATCH). Journal of Nutrition and Biochemistry 9:525-534   DOI   ScienceOn
11 Li, X., Feiglman, S. & Stanton, B. 2000. Perceived parental monitoring and health risk behaviors among urban low-income African-American children and adolescents. Journal of Adolescent Health 27:43-48   DOI   ScienceOn
12 Melnyk, B., Small, L., Morrison-Beedy, D., Strasser, A., Spath, L., Kreipe, R, Crean, H., Jacobson, D., Kelly, S. & O'Haver, J. 2007. The COPE healthy lifestyles TEEN program: Feasibility, preliminary efficacy, & lessons learned from an after school group intervention with overweight adolescents. Journal of Pediatric Health Care 21(5):315-322   DOI   ScienceOn
13 Rimal, R. 2001. Longitudinal influences of knowledge and self-efficacy on exercise behavior: Tests of a mutual reinforcement model. Journal of Health Psychology 6(1):31-46   DOI   ScienceOn
14 Winters, E., Petosa, R. & Charlton, T. 2003. Using social cognitive theory to explain discretionary, 'leisure-time' physical exercise among High school students. Journal of Adolescent Health 32:436-442   DOI   ScienceOn
15 Vieno, A., Santinello, M., Pastore, M. & Perkins, D. 2007. Social support, sense of community in school, and self-efficacy as resources during early adolescence: an integrative model. American Journal of Community Psychology 39:177-190   DOI   ScienceOn
16 Luepker, R.V. 1994. Primer in Preventive Cardiology. American Heart Association, Texas: USA
17 Harrell, J., Gansky, S., McMurray, R., Bangdiwala, S., Frauman, A. & Bradley, C. 1998. Schoolbased interventions improve heart health in children with multiple cardiovascular disease risk factors. Pediatrics 102(2):371-380   DOI   ScienceOn
18 World Health Organization. 2002. The world health report: Reducing risks, Promoting healthy life. WHO, Geneva: Switzerland
19 Bronfenbrenner, U. 1979. The ecology of human development: experiment by nature and design. Cambridge: Harvard University Press
20 Glowinska, B., Urban, M. & Koput, A. 2002. Cardiovascular risk factors in children with obesity, hypertension and diabetes: lipoprotein (a) levels and body mass index correlate with family history of cardiovascular disease. European Journal of Pediatrics 161:511-518   DOI   ScienceOn
21 Wu, T. & Jwo, J. 2005. A prospective study on changes of cognitions, interpersonal influences, and physical activity in Taiwanese youth. Research Quarterly for Exercise and Sport 76:1-12   PUBMED
22 Flynn, M., McNeil, D., Maloff, B., Mutasingwa, D., Wu, M., Ford, C. & Tough, S. 2006. Reducing obesity and related chronic disease risk in children and youth: A synthesis of evidence with ‘best practice’ recommendations. Obesity Review 7(Suppl. 1):7-66   DOI   ScienceOn
23 Berenson, G., Srinivasan, S., Bao, W., Newman, W., Tracy, R. & Wattigney W. 1998. Association between multiple cardiovascular risk factors and atherosclerosis in children and young adults. The New England Journal of Medicine 338(23):1650-1656   DOI   ScienceOn
24 Golan, M., Weizman, A. & Fainaru, M. 1999. Impact of treatment for childhood obesity on parental risk factors for cardiovascular disease. Preventive Medicine 29:519-526   DOI   ScienceOn
25 Twisk, J. 2003. Applied longitudinal data analysis for epidemiology. Cambridge University Press, Cambridge: UK
26 Dishman, R., Motl, R., Felton, G., Ward, D., Dowda, M. & Pate, R. 2004. Self-efficacy partially mediates the effect of a school-based physicalactivity intervention among adolescent girls. Preventive Medicine 38:628-636   DOI   ScienceOn
27 Bandura, A. 2004. Health promotion by social cognitive means. Health Education & Behavior 31(2):143-164   DOI   ScienceOn
28 Froman, R. & Owen, S. 1999. American and Korean adolescent's physical and mental health selfefficacy. Journal of Pediatric Nursing 14(1):51-58   DOI   ScienceOn
29 Ma, G., Shive, S., Tan, Y., Toubbeh, J., Fang, C. & Edwards, R. 2005. Tobacco use, secondhand smoke exposure and their related knowledge, attitudes and behaviors among Asian Americans. Addictive Behaviors 30:725-740   DOI   ScienceOn
30 Norton, D., Forelicher, E., Waters, C. & Carrieri-Kohlman, V. 2003. Parental influence on models of primary prevention of cardiovascular disease in children. European Journal of Cardiovascular Nursing 2:311-322   DOI   ScienceOn
31 Rinderknecht, K. & Smith, C. 2004. Social cognitive theory in an after-school nutrition intervention for urban Native American Youth. Journal of Nutrition Education and Behavior 36:298-304   DOI   ScienceOn
32 Milligan R., Burke V., Beilin L., Richard D., Dunbar D., Spencer M., Balde E. & Gracey M. 1997. Health-related behaviors and psycho-social characteristics of 18 year-old Australians. Social Science & Medicine 45(10):1549-1562   DOI   ScienceOn
33 Norman, P., Abraham, C. & Conner, M. 2000. Understanding and changing health behavior -from health beliefs to self-regulation. Harwood academic publishers, UK
34 Zebracki, K. & Drotar, D. 2004. Outcome expectancy and self-efficacy in adolescent asthma self-management. Children's Health Care 33(2):133-149   DOI   ScienceOn
35 Zhou, B., Wu, Y., Yang, J., Li, Y., Zhang, H. & Zhao, L. 2002. Overweight is an independent risk factor for cardiovascular disease in Chinese populations. Obesity Review 3(3):147-156   DOI   ScienceOn
36 Nash, S., McQueen, A. & Bray, J. 2005. Pathways to adolescent alcohol use; family environment, peer influence, and parental expectations. Journal of Adolescent Health 37:19-28   DOI   ScienceOn
37 Jones, E., Renger, R. & Kang, Y. 2007. Self- efficacy for health-related behaviors among deaf adults. Research in Nursing & Health 30: 185-102   DOI   ScienceOn
38 Frenn, M., Malin, S. & Bansal, N. 2003. Stage- based intervention for low-fat diet with middle school students. Journal of Pediatric Nursing 18(1): 36-45   DOI   ScienceOn
39 Macaulay, A., Griffin, K., Gronewold, E., Williams, C. & Botvin, G. 2005. Parenting practices and adolescent drug-related knowledge, attitude, norms and behavior. Journal of Alcohol & Drug Education 49(2):67-83
40 DiClemente, R., Wingood, G., Crosby, R., Sionean, C., Cobb, B., Harrington, K., Davis, S., Hook, E. III & Oh M. 2001. Parental monitoring: Association with adolescents' risk behaviors. Pediatrics 107(6):1363-1368   DOI   ScienceOn
41 Rutter, D. & Quine, L. 2002. Changing health behavior: Intervention and research with social cognitive theory. Derek R. Rutter and Lyn Quine (Eds.). Open University Press, PA: USA
42 Strong, J., Malcom, G., McMahan, C., Tracy, R., Newman III, W., Herderick, E. & Cornhill, J. 1999. Prevalence and extent of atherosclerosis in adolescents and young adults. The journal of the American Medical Association 281(8):727-735   DOI   ScienceOn
43 Harrell, J., Pearce, P., Markland, E., Wilson, K., Bradley, C. & McMurray, R. 2003. Assessing physical activity in adolescents: Common activities of children in 6th-8th grades. Journal of the American Academy of Nurse Practitioners 15:170-178   DOI   ScienceOn
44 Nader, P.R., Stone, E.J., Lytle, L.A., Perry, C.L., Osganian, S.K. & Kelder, S., et al. 1999. Three-year maintenance of improved diet and physical activity. Archieves of Pediatrics & Adolescent Medicine 153(7):695-704   DOI
45 Froman, R. & Owen, S. 1991. High school student's perceived self-efficacy in physical and mental health. Journal of Adolescent Research 6: 181-196   DOI
46 Harrell, J., McMurray, R., Bangdiwala, S., Frauman, A., Gansky, S. & Bradley, C. 1996. Effects of a school-based intervention to reduce cardiovascular disease risk factors in elementaryschool children: The Cardiovascular Health in Children (CHIC) Study. Journal of Pediatrics 128(6):797-805   DOI   ScienceOn
47 Rizzo, N., Ruiz, J., Hurtig-Wennof, A., Ortega, F. & Sjostrom, M. 2007. Relationship of physical activity, fitness, and fatness with clustered metabolic risk in children and adolescents: The European youth heart study. Journal of Pediatrics 150:388-394   DOI   ScienceOn
48 Small, S. & Kerns, D. 1993. Unwanted sexual activity among peers during early and middle adolescence: incidence and risk factors. Journal of Marriage and the Family 55(4):941-952   DOI   ScienceOn