Efficacy of Intervention Program to Reduce Junk Food Consumption: A Quasi Experimental Study
DOI:
https://doi.org/10.52053/jpap.v3i2.73Keywords:
Adolescents, Junk Food, Obesity, Pakistan, Protection Motivation, SedentaryAbstract
The objective of the study was to assess the efficacy of educational intervention program based on principles of Protection Motivation Theory (PMT) to reduce junk food consumption in high school students in Pakistan. With quasi experimental design, educational intervention was planned and conducted. Fifty students of ages between 13 and 19 years were selected. The Risk Behavior Diagnostic Scale was adapted to measure perceived susceptibility and severity of various disease; response and self-efficacy along with intentions to leave junk food consumption. Junk Food Frequency Checklist was constructed to gauge junk food consumption behavior. Assessments were made before, after and at follow up level. Results from repeated measures ANOVA and post hoc test revealed significant increase in perceived susceptibility and severity of threat to health from pre intervention to post intervention and after one month follow up in adolescents. Significant increase was also noted in response and self-efficacy as well as in intentions to reduce junk food consumption from pre to post and follow up level. Further, significant decline in junk food eating behavior was also reported from pre intervention to follow up and from post to follow up level. Findings provide some evidence that PMT based intervention is effective for reducing junk food consumption in adolescents. Such interventions may also be considered to modify other health-hazardous behaviors.
References
Azadbakht, L., & Esmaeilzadeh, A. (2008). Fast foods and risk of chronic diseases (Editorial). Journal of Research in Medical Sciences (IRMS), 13(1), 1-2. https://www.sid.ir/en/journal/ViewPaper.aspx?id=102786
Bai, Y., Liu, Q., Chen, X., Gao, Y., Gong, H., Tan, X., Zhang, M., Tuo, J., Zhang, Y., Xiang, Q., Deng, F., & Liu, G. (2018). Protection motivation theory in predicting intention to receive cervical cancer screening in rural Chinese women. Psychooncology, 27(2), 442-449. https://doi.org/10.1002/pon.4510 DOI: https://doi.org/10.1002/pon.4510
Baig, A. K., & Saeed, M. (2012). Review of trends in fast food consumption. European Journal of Economics, Finance and Administrative Sciences, 48, 77-85.
Bandura, A. (1997). Self-efficacy: The Exercise of Control. Freeman.
Bhaskar, R., & Monika, O. (2012). Junk food: Impact on health. Journal of Drug Delivery and Therapeutics, 2(3).67-73. DOI: https://doi.org/10.22270/jddt.v2i3.132
Bohara, S. S., Thapa, K., Bhatt, L. D., Dhami, S. S., & Wagle, S. (2021). Determinants of junk food consumption among adolescents in Pokhara Valley, Nepal. Frontiers in Nutrition, 8. https://doi.org/10.3389/fnut.20 21.644650 DOI: https://doi.org/10.3389/fnut.2021.644650
Chaudhary, A., Sudzina, F., & Mikkelsen, B. E. (2020). Promoting healthy eating among young people—A review of the evidence of the impact of school-based interventions. Nutrients, 12(9), https://doi.org/10.3390/nu1209 2894 DOI: https://doi.org/10.3390/nu12092894
Dehdari, T., Dehdari, L., & Jazayeri, S. (2016). Diet-related stomach cancer behavior among Iranian college students: A text messaging intervention. Asian Pacific Journal of Cancer Prevention: APJCP, 17(12), 5165.
Flodmark, C. E., Lissau, I., Moreno, L. A., Pietrobelli, A., & Widhalm, K. (2004). New insights into the field of children and adolescents’ obesity: The European perspective. International Journal of Obesity, 28(10), 1189-1196. DOI: https://doi.org/10.1038/sj.ijo.0802787
Maddux, J. E., & Rogers, R. W. (1983). Protection motivation and self-efficacy: A revised theory of fear appeals and attitude change. Journal of Experimental Social Psychology, 19(5), 469–479. https://doi.org/10.1016/0022-1031(83)90023-9 DOI: https://doi.org/10.1016/0022-1031(83)90023-9
Meszaros, L., (2020, March 25). Processed and junk foods: Bad news for pretty much every system in the body. MD Linx. https://www. mdlinx.com/ internal-medicine/article/2868
Milne, S., Sheeran, P., & Orbell, S. (2000). Prediction and intervention in health-related behavior: A meta-analytic review of protection motivation theory. Journal of Applied Social Psychology, 30, 106-143. http://dx.doi.org/10.1111/j.1559-1816.2000.tb02308.x DOI: https://doi.org/10.1111/j.1559-1816.2000.tb02308.x
Pereira, M. A., Kartashov, A. I., & Ebbeling, C. B. (2008). Fast-food habits, weight gain, and insulin resistance (the CARDIA study): 15-year prospective analysis (vol 365, pg 36, 2005). Lancet, 365(9464), 1030-1030. doi: 10.1016/S0140-6736(04)17663-0 DOI: https://doi.org/10.1016/S0140-6736(04)17663-0
Ranaei, V., Yarmohammadi, S., Alizadeh, L., Dadipoor, S., Pilevar, Z., & Aghamolaei, T. (2021). The effectiveness of interventions based on the protection motivation theory on healthy eating behaviors: A systematic review study. Food and Health, 4(2), 21-27.
Rogers, R. W. (1983). Cognitive and psychological processes in fear appeals and attitude change: A revised theory of protection motivation. In: Social Psychophysiology: A Sourcebook, Edited by: Cacioppo, B. L. and Petty, L. (Eds.) 153–176. New York: Guilford.
Sapp, S. G. (1991). Impact of nutritional knowledge within an expanded rational expectations model of beef consumption. Journal of Nutrition Education, 23(5), 214-222. DOI: https://doi.org/10.1016/S0022-3182(12)81250-7
Soliman, G. A. (2018). Dietary cholesterol and the lack of evidence in cardiovascular disease. Nutrients, 10(6), 780. DOI: https://doi.org/10.3390/nu10060780
The Nation (2018). Pakistan ranked 9th in obesity, 8th in diabetes (2018, May 6). The Nation, p. 4. https://nation.com.pk/06-May-2018/pakistan-ranked-9th-in-obesity-8th-in-diabetes
Witte, K. (1992). Putting the fear back into fear appeals: The extended parallel process model. Communications Monographs, 59(4), 329-349. doi: https://doi.org/10.1080/ 09709274.2012.11906514 DOI: https://doi.org/10.1080/03637759209376276
Wong, T. S., Gaston, A., DeJesus, S., & Prapavessis, H. (2016). The utility of a protection motivation theory framework for understanding sedentary behavior. Health Psychology and Behavioral Medicine, 4(1), 29-48. doi: https://doi.org /10.1080/21642850.2015 .1128333 DOI: https://doi.org/10.1080/21642850.2015.1128333
World Health Organization (2010). Nutrition: Malnutrition. http://www.emro.who.int/health-topics/obesity/
World Health Organization (2012). Obesity and Overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
World Health Organization (2014a). Adolescence: psychological and social changes. https://apps.who.int/adolescent/second-decade/section2 /page5/ adolescence-psychological-and-social-changes.html
World Health Organization (2014b). Protecting children from the harmful effects of food and drink marketing. https://www.who.int/features/2014/uk-food-drink-marketing/en/
World Health Organization. (2018). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Xu, Y., & Chen, X. (2016). Protection motivation theory and cigarette smoking among vocational high school students in China: A cusp catastrophe modeling analysis. Global Health Research and Policy, 1(1), 1-9. doi: 10.1186/s41256-016-0004-9 DOI: https://doi.org/10.1186/s41256-016-0004-9
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2022 Ayesha Abdul Khaliq, Dr Iram Fatima , Dr Christopher Alan Lewis
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) License: This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International License (https://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-Commercial use, reproduction
and distribution of the work without further permission provided the original work is attributed as specified on the Journal website at (https://iprpk.com/ojs/index.php/jpap)