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BMC Pediatrics
Published in: BMC Pediatrics 1/2021

Open Access 01-12-2021 | Polycystic Ovary Syndrome | Research article

Assessing the impact of an educational intervention program based on the theory of planned behavior on the nutritional behaviors of adolescents and young adults with PCOS in Iran: a field trial study

Authors: Leila Hajivandi, Mahnaz Noroozi, Firoozeh Mostafavi, Maryam Ekramzadeh

Published in: BMC Pediatrics | Issue 1/2021

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Abstract

Background

Polycystic ovary syndrome is the most common endocrine disorder among adolescents and adults. Given the importance of healthy nutritional behaviors in management of this disease, the present study was conducted to determine the impact of an educational intervention program based on the theory of planned behavior on the nutritional behaviors of adolescents and young adults with polycystic ovary syndrome.

Methods

In this field trial study, 72 participants aged between 15 and 21 years old from four gynecology clinics in Shiraz, Iran, were assigned into the intervention and control groups. Educational intervention program was implemented based on the theory of planned behavior over 4 sessions during two weeks. The data collection tools were researcher-made questionnaires of demographic information, knowledge assessment, and assessment of theory of planned behavior constructs, as well as a questionnaire for assessing consumption of food groups, fast food, and snacks. The data were collected at two stages (once at baseline and once three months after the intervention), and then the changes in knowledge, attitude, subjective norms, the perceived behavioral control, behavioral intention, and nutritional behavior were analyzed using descriptive and inferential statistical methods (t-test, Chi-square, Mann- Whitney U, and Wilcoxon tests; as well as one- way ANOVA, repeated measures ANOVA, and ANCOVA, respectively).

Results

Statistically significant increases were observed in the mean scores of knowledge, attitude, subjective norms, the perceived behavioral control, behavioral intention, and nutritional behavior in the intervention group by passing three months from the intervention compared to the scores before the intervention (P < 0.001). However, these differences were not statistically significant in the control group (P > 0.05). Moreover, the mean scores of knowledge, attitude, subjective norms, perceived behavioral control, behavioral intention, and nutritional behavior had no statistically significant difference before the intervention between the two groups; however, this was statistically significant by passing three months from the intervention (P < 0.001).

Conclusion

Considering the effect of an educational intervention program based on the theory of planned behavior on creating healthy nutritional behaviors in adolescents and young adults with polycystic ovary syndrome, it is recommended to use it in order to improve the nutritional health of them.
Trial registration: IRCT, IRCT20160224026756N6. Registered 18 Aug 2018, https://​en.​irct.​ir/​user/​trial/​32693/​view
Literature
1.
Fritz MA, Speroff L. Clinical gynecologic, endocrinology and infertility. 8th ed. Philadelphia: Lippincott Williams and Wilkins; 2011.
2.
Berek JS. Berek and Novak’s Gynecology. 16th ed. Philadelphia: Lippincott Williams and Wilkins; 2019.
3.
Skiba MA, Islam R, Bell RJ, Davis SR. Understanding variation in prevalence estimates of polycystic ovary syndrome: a systematic review and meta-analysis. Hum Reprod. 2018;24(6):694–709.
4.
Dabbaghmanesh MH, Naderi T, Akbarzadeh M, Tabatabaee H. Metabolic syndrome in Iranian adolescents with polycystic ovary syndrome. Int J Adolesc Med Health. 2017;31(4):1–8.CrossRef
5.
Butts SF, Seifer DB, Koelper N, Senapati S, Sammel MD, Hoofnagle AN, et al. Vitamin D deficiency is associated with poor ovarian stimulation outcome in pcos but not unexplained infertility. J Clin Endocrinol Metab. 2019;104(2):369–78.CrossRef
6.
Elizondo-Montemayor L, Hernández-Escobar C, Lara-Torre E, Nieblas B, Gómez-Carmona M. Gynecologic and obstetric consequences of obesity in adolescent girls. J Pediatr Adolesc Gynecol. 2017;30(2):156–68.CrossRef
7.
Patel SS, Truong U, King M, Ferland A, Moreau KL, Dorosz J, et al. Obese adolescents with polycystic ovarian syndrome have elevated cardiovascular disease risk markers. Vasc Med. 2017;22(2):85–95.CrossRef
8.
- Carolo AL, Mendes MC, Rosa E Silva ACJS, Vieira CS, Silva MF de Sá, Ferriani RA, Reis RMD. Nutritional counseling promotes changes in the dietary habits of overweight and obese adolescents with polycystic ovary syndrome. Rev Bras Ginecol Obstet. 2017; 39(12):692–696.
9.
Mirghafourvand M, Alizadeh Charandabi S, Behroozi Lak T, Aliasghari F. Assessment of health promoting lifestyle status and its socio-demographic predictors in women with polycystic ovarian syndrome. HAYAT. 2017;22(4):394–407.
10.
Tucunduva Philippi S, Guerra PH, Barco Leme AC. Health behavioral theories used to explain dietary behaviors in adolescents: a systematic review. Nutrire. 2016;5(41):22.CrossRef
11.
Abdel Azim Mohamed H. Effect of educational program on the level of knowledge regarding polycystic ovarian syndrome among adolescent girls. J Nurs Educ Pract. 2016;6(10):81–7.
12.
Abdolahian S, Ramezani Tehrani F, Amiri M, Ghodsi D, Bidhendi Yarandi R, Jafari M, et al. Effect of lifestyle modifications on anthropometric, clinical, and biochemical parameters in adolescent girls with polycystic ovary syndrome: a systematic review and meta-analysis. BMC Endocr Disord. 2020;20:71.CrossRef
13.
Peyman N, Samiee RK. The effect of education based on the theory of planned behavior on caries prevention of permanent teeth in fifth grade students in Khaf city. J Mash Dent Sch. 2015;39(2):123–36 (In Persian).
14.
Balantekin KN, Birch LL, Savage JS. Family, friend, and media factors are associated with patterns of weight-control behavior among adolescent girls. Eat Weight Disord. 2018;23(2):215–23.CrossRef
15.
Mazloomy-Mahmoodabad S, Navabi ZS, Ahmadi A, Askarishahi M. The effect of educational intervention on weight loss in adolescents with overweight and obesity: application of the theory of planned behavior. ARYA Atheroscler. 2017;13(4):176–83.PubMedPubMedCentral
16.
Bhutta ZA, Makrides M, Prentice AM. Health and nutrition in adolescents and young women: preparing for the next generation. Switzerland: Nestlé Nutrition Institute; 2013.
17.
Hajivandi L, Noroozi M, Mostafavi F, Ekramzadeh M. A comprehensive interventional program for promoting eating behaviors in adolescent girls with polycystic ovarian syndrome (PCOS): protocol for a mixed methods study. Reprod Health. 2018;15:197.CrossRef
18.
Peyman N, Charoghchian Khorasani E, Moghzi M. The impact of education on the basis of the theory of planned behavior on junk food consumption in high school in Chenaran. RJMS. 2016;23(149):62–72 (In Persian).
19.
Mahan LK, Raymond J. Krause’s Food & the Nutrition Care Process. 14th ed. Philadelphia: Saunders; 2017.
20.
Micucci J. The adolescent in family therapy: harnessing the power of relationships. 2nd ed. New York: Guilford Co; 2009.
21.
Fila SA, Smith C. Applying the theory of planned behavior to healthy eating behaviors in urban Native American youth. Int J Behav Nutr Phys Act. 2006;3(1):11.CrossRef
22.
Gheysvandi E, Eftekhar Ardebili H, Azam K, Vafa MR, Azadbakht M, Babazadeh T. Effect of an educational intervention based on the theory of planned behavior on milk and dairy products consumption by girl-pupils. Sci J Schl Public Health Res Pract. 2015;13(2):45–54 (In Persian).
23.
Keshani P, Hossein Kaveh M, Faghih S, Salehi M. Improving diet quality among adolescents, using health belief model in a collaborative learning context: a randomized field trial study. Health Educ Res. 2019;34(3):279–88.CrossRef
24.
Chen MY, James K, Wang EK. Comparison of health-promoting behavior between Taiwanese and American adolescents: a cross-sectional questionnaire survey. Int J Nurs Stud. 2007;44(1):59–69.CrossRef
25.
Grønhøj A, Bech-Larsen T, Chan K, Tsang L. Using theory of planned behavior to predict healthy eating among Danish adolescents. Health Educ. 2013;113(1):4–17.CrossRef
26.
Anderson AS, Porteous LE, Foster E, Higgins C, Stead M, Hetherington M, et al. The impact of a school-based nutrition education intervention on dietary intake and cognitive and attitudinal variables relating to fruits and vegetables. Public Health Nutr. 2005;8(6):650–6.CrossRef
27.
Davis R, Campbell R, Hildon Z, Hobbs L, Michie S. Theories of behavior and behavior change across the social and behavioral sciences: a scoping review. Health Psychol Rev. 2015;9(3):323–44.CrossRef
28.
Martens MK, van Assema P, Brug J. Why do adolescents eat what they eat? Personal and social environmental predictors of fruit, snack and breakfast consumption among 12–14-year-old Dutch students. Public Health Nutr. 2005;8(8):1258–65.CrossRef
29.
Brouwer AM, Mosack KE. Expanding the theory of planned behavior to predict healthy eating behaviors: exploring a healthy eater identity. Nutr Food Sci. 2015;45(1):39–53.CrossRef
30.
McDermott MS, Oliver M, Svenson A, Simnadis T, Beck EJ, Coltman T, et al. The theory of planned behaviour and discrete food choices: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2015;12:162.CrossRef
31.
Kothe EJ, Mullan B, Butow P. Promoting fruit and vegetable consumption. Testing an intervention based on the theory of planned behaviour. Appetite J. 2012;58(3):997–1004.CrossRef
32.
Bashirian S, Hidarnia A, Allahverdi Pour H, Hajizadeh E. Application of theory of planned behavior in predicting factors of substance abuse in adolescents. J Fasa Univ Med Sci. 2012;2(3):156–62.
33.
Mohammadi Zeidi I, Pakpour Hajiaghaye A, Mohammadi ZB. Investigating the effect of education based on the theory of planned behavior on employee safety behaviors. Knowledge Health J. 2013;8(3):105–11 (In Persian).
Metadata
Title
Assessing the impact of an educational intervention program based on the theory of planned behavior on the nutritional behaviors of adolescents and young adults with PCOS in Iran: a field trial study
Authors
Leila Hajivandi
Mahnaz Noroozi
Firoozeh Mostafavi
Maryam Ekramzadeh
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2021
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-021-02784-z

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