Effect of Health Literacy Promotion on Alcohol Drinking Behavior by Gamification Activities in Ethnic Adolescents
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Abstract
This research aims to investigate the effectiveness of gamification on health knowledge regarding alcohol consumption behavior among ethnic adolescents. This research was a multiphase design study. It is divided into two phases: 1st Phase is a cross-sectional study with the samples of 230 individuals, selected using stratified random sampling and proportionally calculated and 2nd phase involves dividing the samples into an experimental group of 27 individuals and a control group of 27 individuals, selected using block-stratified random sampling. Data collection tools include a questionnaire divided into three parts: personal information, health knowledge assessment, and alcohol consumption problem assessment. The research intervention tool is a gamification activity focusing on health knowledge regarding alcohol consumption behavior. Data analysis employs statistical methods such as paired t-tests and odds ratios. The research findings revealed that the majority of samples have health knowledge levels ranging from fair to poor, from 60.87% to 30.87%, respectively. Furthermore, the majority of samples engaged in low-risk drinking behavior (93.48%), with a small percentage engaging in risky or dangerous drinking (6.52%). After a 6-week period of gamified learning activities, the experimental group showed significantly lower rates of low-risk drinking compared to the control group, at 2.42 times higher (OR: 2.42). In conclusion, promoting alcohol knowledge through gamified learning effectively reduces moderate to high-risk drinking behaviors.
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References
Thamrangsri T, Waliwong O, Centre for Alcohol Studies. Academic documents on alcohol and the brain; 2016. (In Thai)
Office of the Surgeon General. The Surgeon General's Call to Action To Prevent an Reduce Underage Drinking. Rockville: U.S. Department of Health and Human Services; 2007.
Zeigler DW, Wang CC, Yoast RA, Dickinson BD, McCaffree MA, Robinowitz CB, et al. The neurocognitive effects of alcohol on adolescents and college students. Preventive Medicine Reports. 2005; 40: 23-32.
Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. Alcohol Use Identification Test: Guidelines for primary care clinics. Bangkok: The Integrated Management for Alcohol Intervention Program in Health Service System; 2001.
Khambunchu C. Summary of the situation of children and teenagers in the northern region in 2007: Thai Health Promotion Foundation; 2007. (In Thai)
Office of the Narcotics Control Board. Project: Development of a system for monitoring drug problems in educational institutions. Office of the Narcotics Control Board; 2010.
Usaha J, Vijitkunakorn P, Sai-ngam D, Phruphetkaew N, Saengow U, Thaikla K, et al. Facts and Figures: Spirits in Thailand. Bangkok: Thai Health Promotion Foundation; 2016. (In Thai)
World Health Organization. Global status report on alcohol and health 2018. Switzerland: World Health Organization; 2018.
The National Center on Addiction and Substance Abuse at Columbia University. Adolescent Substance Use: America’s #1. Public Health Problem; 2011.
Khampisut J. Health Literacy and Health Promotion Behaviors of Students in Naresuan University. Journal of Educational Measurement, Mahasarakham University. 2018; 24(1): 67-78. (In Thai)
Sasha A F, Patrece J, Jessica E P. Adolescent health literacy and health behaviors: A systematic review. Journal of Adolescence. 2018; 62: 112-127.
Deena J C, Jennifer A M, Kelly J K, Michael PM. Health literacy, alcohol expectancies, and alcohol use behaviors in teens. Patient Education Counseling Journal. 2014; 97(2): 291–296.
König C, Skriver MV, Iburg KM, Rowlands G. Understanding Educational and Psychosocial Factors Associated with Alcohol Use among Adolescents in Denmark; Implications for Health Literacy Interventions. International Journal of Environmental Research and Public Health. 2018; 15(8): 1671.
Kaewdamkeng K, Tripetchsriurai N. The Health Literacy. 1, editor. Bangkok: Sam Charoen Phanit; 2011. (In Thai)
Nutbeam D. The evolving concept of health literacy. Social Science & Medicine 2008;67: 2072–2078.
Park A, Eckert TL, Zaso M, Scott-Sheldon LAJ, Vanable PA, Carey KB, et al. Associations Between Health Literacy and Health Behaviors Among Urban High School Students. Journal of School Health. 2017; 87: 885-893.
Mahathamnuchock S. Health Promotion Behaviors of Sgaw Karens in Risk of Non-Communicable Disease (NCD). Nursing Journal 2015; 42: 118-125.
Apidechkul T, Kaewtep S, Suttana W, Chansareewittaya K. Factors supporting young Ethnic Minority male's engaging in commercial sex and accessing health care in Chiang Mai, Thailand. Journal of Public Health. 2018; 48(2): 147-160. (In Thai)
Saikhamfu P, Phaowawatana A, Lakampan S, Kaewpan W. Alcohol consumption prevention with family participation program in elderly adolescents. Journal of Public Health Nursing. 2014; 28. (In Thai)
Ratsrimuang A, Saranrittichai K. The Effects of Health Literacy and Motivation Application Program on Alcohol Drinking Behavioral Reduction of Male Adolescents. Journal of Nursing and Health Care. 2020; 38. (In Thai)
González CS, Gómez N, Navarro V, Cairós M, Quirce C, Toledo P, et al. Learning healthy lifestyles through active videogames, motor games and the gamification of educational activities. Computers in Human Behavior. 2016; 55: 529-51.
Boendermaker WJ, Prins PJM, Wiers RW. Cognitive Bias Modification for adolescents with substance use problems – Can serious games help? Journal of Behavior Therapy and Experimental Psychiatry. 2015; 49: 13-20.
Johnson D, Deterding S, Kuhn K-A, Staneva A, Stoyanov S, Hides L. Gamification for health and wellbeing: A systematic review of the literature. Internet Interventions. 2016; 6: 89-106.
Norwood SL. Research strategies for advanced practice nurse. Upper Saddle River, New Jersy: Prentice-Hall; 2000.
Burns N, Grove S. The Practice of Nursing Research: appraisal, synthesis, and generation of evidence. 6 ed. St. Louis: W. B. Saunders; 2009.
Inthakahaeng A. Creating and developing health literacy tools for Thai people. Bangkok: Division of Health Education, Department of Health Service Support Ministry of Public Health; 2017. (In Thai)
Brandt L, Schultes MT, Yanagida T, Maier G, Kollmayer M, Spiel C. Differential associations of health literacy with Austrian adolescents’ tobacco and alcohol use. Public Health. 2019; 174: 74-82.
Yun TL, Yu HH, Fang JT, Hui CL, Fang JS, Ya JT, et al. Prevalence and psychosocial risk factors associated with current cigarette smoking and hazardous alcohol drinking among adolescents in Taiwan. Journal of the Formosan Medical Association. 2021; 120(1, Part 1): 265-74.
Zhang X, Huang R, Ho SY, Lo WS, Lam TH, Wang MP. Alcohol drinking, especially light drinking, and depressive symptoms in adolescents. Drug and alcohol dependence. 2021; 227: 108932.
Adewole KO, Ogunfowokan AA, Olodu M. Influence of health literacy on health promoting behaviour of adolescents with and without obesity. International Journal of Africa Nursing Sciences. 2021;15:100342.
Chang FC, Miao NF, Lee CM, Chen PH, Chiu CH, Lee SC. The association of media exposure and media literacy with adolescent alcohol and tobacco use. J Health Psychol. 2016; 21(4):513-25.