J Korean Acad Nurs.  2010 Apr;40(2):264-276. 10.4040/jkan.2010.40.2.264.

A Predictive Model of Health Promotion Behavior in Obese School-Age Children

Affiliations
  • 1Gosan Elementary School, Wanju, Korea. ymdje@hanmail.net
  • 2College of Nursing, Research Institute of Nursing Science, Chonbuk National University, Jeonju, Korea.

Abstract

PURPOSE
The purpose of this study was to propose and to test a predictive model that could explain and predict the health promotion behavior of obese school-age children in Korea.
METHODS
Participants for this study were 365 students from 13 elementary schools located in Jeonbuk Province, Korea. The data were analyzed using SPSS 15.0 program and Amos 7.0 program.
RESULTS
The results verified the factors that influence health promotion behavior of the participants. Important direct factors were prior health-related behavior, perceived self-efficacy, and commitment to a plan of action and indirect factors were perceived barrier and activity-related effect. These factors explained 75.3% of variance in the participants' health promotion behavior. The proposed model was concise and extensive in predicting health promotion behavior of the participants.
CONCLUSION
Findings may provide useful assistance in developing effective nursing interventions for maintaining and promoting health promotion behavior in obese school-age children.

Keyword

Child; Obesity; Health promotion

MeSH Terms

Attitude to Health
Child
Child Behavior
Female
*Health Promotion
Humans
Male
*Models, Statistical
Obesity/*prevention &control/psychology
Questionnaires
Self Efficacy
Social Support

Figure

  • Figure 1 Hypothetical model. x1-x2=Previous health behavior; x3-x4=Self-esteem; y1-y2=Perceived benefit; y3-y4=Perceived barrier; y5-y6=Perceived self-efficacy; y7-y8=Activity-related affect; y9-y11=Social support; y12-y13=Commitment to a plan of action; y14-y19=Health promotion behavior.

  • Figure 2 Modified model with parameter estimates. x1-x2=Previous health behavior; x3-x4=Self-esteem; y1-y2=Perceived benefit; y3-y4=Perceived barrier; y5-y6=Perceived self-efficacy; y7-y8=Activity-related affect; y9-y11=Social support; y12-y13=Commitment to a plan of action; y14-y19=Health promotion behavior.


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