Factors Predicting Physical Activity Behaviors Among Grade 4-6 Students in Nongkula Sub-district, Bang Rakam District, Phitsanulok Provinc
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Abstract
The purpose of this predictive descriptive research study were to describe the level of physical activity and to determine the predicting factors regarding predisposition, enablement, and reinforcement factors for physical activity behavior among grade 4-6 students in Nongkula Sub-district, Bang Rakam District, Phitsanulok Province. The sample consisted of 350 students from grade 4 to 6. They were selected by proportional stratified random sampling and simple random sampling. Data were collected by questionnaires. The content validity was examined by the Item-Content Validity Index (I-CVI) and yielded a value of .80–1.00. The reliability of the knowledge questionnaire was assessed by KR-20 and obtained a value of .70. The reliability of attitude, self-efficacy towards physical activity, enabling factors, reinforcing factors and physical activity behavior were assessed by Cronbach’s alpha, and achieved values of .70, .70, .71, .71 and .72 respectively. Data were analyzed using descriptive statistics and stepwise multiple regression with the significance level of .05.
The results showed that the samples had positive physical activity behavior ( =3.70, SD=.673). In addition, stepwise multiple regression analysis revealed that reinforcing factors (β=.41, b=.48, p<.001), gender (β=.22, b=2.70, p<.001), and nutritional status (β=-0.12, b=-2.69, p=.011) accounted for 21.6% of predicting physical activity behaviors among students.
The study suggested that the public health personnel should recommend parents and teachers support continuous physical activity for their children, including the provision of appropriate advice regarding physical activity for children of different gender and nutritional status, designing programs to increase knowledge regarding the benefits of physical activity and continually monitoring nutritional status among students. These activities will lead to improved health of students.
Article Details
บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
References
World Health Organization. Obesity situation and trends [internet]. 2016 [cited 2016 Oct 5].Available from: http://www.who.int/gho/ncd/risk_factors/obesity_text/en/
Suthatworawut U. Obesity in children [internet]. 2015 [cited 2015 Mar 27]. Available from: https://www.thairath.co.th/content/489298 (in Thai).
Institute for Population and Social Research, Mahidol University (IPSR Mahidol). Thai Health 2014: Local communities manage themselves to reform the country from foundations. 1th ed. Bangkok: Amarin Printing and Publishing Public Company; 2014. (in Thai).
Wichai E, Immonobilogy. The survey of the Thai public health by the 5th physical examination 2014. Nonthaburi: Aksorn graphic and design publishing; 2014. 134-141 pages. (in Thai).
Topothai T. NCDs silent: Get up and move on to being a bright citizen. 4th ed. Bangkok: Division of physical activity and health; 2015. 4-5 pages. (in Thai).
Family network foundation. School development [internet]. 2009 [cited 2017 Mar 26]. Available from: http://www.familynetwork.or.th/content/พัฒนาการวัยเรียน
Crosby R, Noar SM. What is a planning model? An introduction to PRECEDE-PROCEED. Journal of Public Health Dentistry. 2011; 71:7-15.
Pipatkasira K. The comparison of physical activity in urban and rural Thai school children using validated Thai physical activity questionnaire [Master thesis]. Bangkok: Mahidol University. 2008. (in Thai).
Patcharoen O, Wimonwatwatee T, Virutsetazin K. Predictor factors of behaviors on diet and physical activity of overweight and obese students at secondary level of schools in Bangkok. Journal of Faculty of Physical Education 2011;14(2): 168-180. (in Thai).
Xuan Hanh TT, Chaimongkol N, Pongjaturawit Y. Eating habits, physical activity and their associated factors among Vietnamese school children. [Master thesis]. Chon Buri: Burapha University. 2012.
Siangsai C, Sukonthasab S. Factors related physical activities of higher education institutes students in Bangkok metropolis. Journal of Sports Science and Health. 2015;16(3):63-75. (in Thai).
Wattanasit P. Determinants of physical activity in Thai adolescents: Testing the youth physical activity promotion model [Master thesis]. Songkla: Prince of Songkla University. 2009. (in Thai).
Figaji T, Phillips J. Factors influencing physical activity participation among school going children. Johnson Central High School. 2010; 5(1): 34-40.
Feehan K, O’Neil ME, Abdalla D, Fragala-Pinkham M, Kondrad M, Berhane Z, Turchi R. Factors influencing physical activity in children and youth with special health care needs: a pilot study. International Journal of Pediatrics. 2012; Article ID 583249: 11 pages. doi:10.1155/2012/583249.
Patnode CD, Lytle LA, Erickson DJ, Sirard JR, Barr-Anderson D, Story M. The relative influence of demographic, individual, social, and environmental factors on physical activity among boys and girls. International Journal of Behavioral Nutrition and Physical Activity. 2010;7(79). doi: 10.1186/1479-5868-7-79
Maturo CC, Cunningham SA. Influence of friends on children’s physical activity: a review. American Journal of Public Health. 2013;103(7): 23–38.
Thai Health Promotion Foundation. Open survey project Thai Kids Activities [internet]. 2016 [cited 2018 Jul 13]. Available from: http://www.thaihealth.or.th/Content/31192-สานพลังขับเคลื่อน+“กิจกรรมทางกาย”+เสริมสุขภาวะประชากรโลก.html
Bang Rakam District Health Office. Report on growth in school children in academic year 2016. Phitsanulok: Bang Rakam District Health Office; 2016. (in Thai).
Green LW, Kreuter MW. Health promotion planning: an educational and ecological approach. California: Mayfield Publishing Company; 1999. 621.
Daniel WW, Cross CL. Biostatistics: A foundation of analysis in the health sciences. 6th ed. New York: John Wiley and Sons; 1995.177-178.
Watthanakul S. Factors predicting health promotion behaviors among high school students [Master thesis]. Phitsanulok: Naresuan University. 2008. (in Thai).
Bloom SB. Human characteristics and school learning. New York: McGraw-Hill Companies; 1976.
Best JW. Research in education. 2nd ed. Englewood Cliffs, New Jersey: Prentice – Hell; 1997.
Singchangchai P. Principies and using multivariate statistics analysis for nursing research. 3th ed. Songkhla: Chanmueang Press; 2006. (in Thai).
Wanga L, Tanga Y, Lu J. School and community physical activity characteristics and moderate-tovigorous physical activity among Chinese school-aged children: A multilevel path model analysis. Journal of Sport and Health Science. 2017;6:416-422.
Keawvilai S. The predictive factors on exercise behaviors of undergraduate students were also explored [Master thesis]. Bangkok: Rajamangala University of Technology Phra Nakhon. 2009. (in Thai).
Higgins JF, Gaul C, Gibbons S, Van Gyn G. Factors influencing physical activity levels among Canadian youth. Canadian Journal of Public Health. 2003; 94(1):45-51.