Board-Game based Nutrition Education enhanced Breakfast Habit of In-School Adolescents in Ile-Ife, Nigeria
Click to view full paper (PDF)

Keywords

Nutrition education
adolescents
breakfast consumption
participatory approach
board game

How to Cite

Ariyo, O., Leshi, O. O. ., Adedipe, E. O., & Aleru, O. O. (2022). Board-Game based Nutrition Education enhanced Breakfast Habit of In-School Adolescents in Ile-Ife, Nigeria. African Journal of Biomedical Research, 25(1), 45–52. Retrieved from https://ojshostng.com/index.php/ajbr/article/view/1749

Abstract

This study was designed to assess the effect of board game-based nutrition education on breakfast knowledge, attitude and habit of in-school adolescents in Ile-Ife, Nigeria. The quasi-experimental study involved 360 in-school adolescents assigned into Participatory Experimental (PEG), Experimental (EG) and Control groups (CG) of 120 each. An interviewer-administered questionnaire was used to collect information on respondents’ basic characteristics as well as knowledge, attitude and practices on breakfast consumption. A ‘Breakfast Master’ board game, developed with PEG was used for a 3-week intervention period among the experimental groups. Knowledge was assessed using 11-point scale, categorized as good (≥9) or poor (<9). Attitude was assessed using 50-point scale, categorized as positive (≥34) or negative (<34). Data were analyzed using descriptive statistics and ANOVA at p=0.05.  Age of adolescents (CG:13.3±2.2years, PEG:13.9±2.4years, EG: 13.0±2.4years) was similar. Females constituted 55% in CG, 50.9% in PEG and 54.2% in EG, respectively. Change in adolescents with good knowledge (60.8-61.7%, 80.0-94.2%, and 85.8-92.5%) and attitudes (-10.9%, 11.7% and 5.8%) was significant in CG, PEG and EG, respectively. Regular breakfast intake increased from 45.0-42.5%, 70.0-74.1%, and 56.7-70.0%, in CG, PEG, and EG, respectively. Consumption of staple foods during breakfast and proper timing of breakfast meals increased in interventions groups;. Board-game based nutrition education enhanced breakfast habit among in-school adolescents and the use of participatory approach in development of intervention tool heightened knowledge, attitude and practice change.

Click to view full paper (PDF)

References

Adesola, O. A., Ayodeji, R. A. M., Akorede, Q. J., & Oluranti, O. (2014). Breakfast habit and nutritional status of undergraduates in Ekiti State, Nigeria. Science Journal of Public Health, 2(4), 252.

Ajayi I.O, Oladepo O., Falade C.O, Bamgboye E.A and Kale O. (2009). The development of a treatment guideline for childhood malaria in rural southwest Nigeria using participatory approach. Pat. Educ. Counsel. J.; 75(2), 227-237

Ajayi K.; Taiwo O.M.; Badanga, S.E. (2015). Association of Breakfast Consumption Habits and Snacking Behaviors with Body Mass Index among Undergraduates of Afe Babalola University Ado–Ekiti, Nigeria. Nig. J. Nutr Sci. 2015, [https://www.researchgate.net/profile/Ajayi_Kayode/publications], Accessed on 14 May, 2020.

Alabi, T. O.; Aniah, T. (2014). A Game Based Learning Approach to Improving Students Learning Achievements in Education. J Educ Res Behv Sci. 2014, 3(5), 122-125.

Alphonsus N Onyiriuka1, Amarabia N Ibeawuchi1, Rita C Onyiriuka 2013 Assessment of eating habits among adolescent Nigerian urban secondary school girls. Sri Lanka Journal of Child Health,; 42(1): 20-26.

Arora, M.; Nazar, G.P.; Gupta, V.K.; Perry, C.L.; Reddy, K.S.; Stigler, M.H. Association of breakfast intake with obesity, dietary and physical activity behavior among urban school-aged adolescents in Delhi, India: Results of a cross-sectional study. BMC Pub Health; 2012, 12(1), 881

Bakare, K. O., & Olumakaiye, M. F. (2016). Fast food consumption pattern and body weight status among students of Obafemi Awolowo University, Ile-Ife, Nigeria. African Journal of Food, Agriculture, Nutrition and Development, 16(4), 11185-11198.

Branca, F.; Piwoz, E.; Schultink, W.; Sullivan, L. M. (2015) Nutrition and health in women, children, and adolescent girls. Br. Med. J. 2015, 351, h4173.

Canavan, C. R., & Fawzi, W. W. (2019). Addressing knowledge gaps in adolescent nutrition: toward advancing public health and sustainable development. Current developments in nutrition, 3(7), nzz062.

Charles Shapu, R., Ismail, S., Ahmad, N., Ying, L. P., & Abubakar Njodi, I. (2020). Knowledge, Attitude, and Practice of Adolescent Girls Towards Reducing Malnutrition in Maiduguri Metropolitan Council, Borno State, Nigeria: Cross-Sectional Study. Nutrients, 12(6), 1681.

DeSmet,, A.; Van Ryckeghem, D.; Compernolle, S.; Baranowski, T.; Thompson, D.; Crombez, G.; Poels, K.; Van Lippevelde W.; Bastiaensens, S.; Van Cleemput, K.; Vandebosh, H.; De Bourdeaudhuij, .I. A meta-analysis of serious digital games for healthy lifestyle promotion. J. Am. Diet. Assoc. 2014, 105, 743–60; DOI: 10.1016/j.ypmed.

Food and Agriculture Organization of the United Nations (FAO). Guidelines for Participatory Nutrition Projects (1995).

Fraticelli F.; Marchetti D.; Polcini F.; Mohn A.A.; Chiarelli F.; Fulcheri M.; Vitacolonna E. (2016). Technology-based intervention for healthy lifestyle promotion in Italian adolescents. Ann Ist Super Sanità. 52(1), 123-127; DOI: 10.4415/ANN_16_01_20

Kordaki, M.; Gousiou, A. Educational computer card games: results from empirical studies during the last decade. Proceedings from 8th European conference on game based learning (ECGBL, 2014): 296-302

Lateef, O. J., Njogu, E., Kiplamai, F., Haruna, U. S., & Lawal, R. A. (2016). Breakfast, food consumption pattern and nutritional status of students in public secondary schools in Kwara State, Nigeria. Pakistan Journal of Nutrition, 15(2), 140.

Laverack, G.; Esi Sakyi, B.; Hubley J. (1997). Participatory learning materials for health promotion in Ghana. Heath Prom. Int. J., 12(1), 21-26

Leach, G. J., & Sugarman, T. S. (2005). Play to win! Using games in library instruction to enhance student learning. Research strategies, 20(3), 191-203.

Liu, E.Z.F. and Chen, P.K. (2013). The Effect of Game-Based Learning on Students’ Learning Performance in Science Learning–A Case of "Conveyance Go." J. Soc. Behv. Sc. 103, 1044–1051

Nour, M., Yeung, S. H., Partridge, S., & Allman-Farinelli, M. (2017). A narrative review of social media and game-based nutrition interventions targeted at young adults. Journal of the Academy of Nutrition and Dietetics, 117(5), 735-752.

Obbagy, J.E; Patricia, C.M.; Eve, V.E. (2011). Breakfast Consumption, Body Weight, and Nutrient Intake: A Review of the Evidence. Insight 45, 2011. U.S Department of Agriculture. Center for Nutrition Policy and Promotion Nutrition.

Ogunkunle, M.O.; Oludele, A.S. (2013). Food intake and Meal pattern of adolescents in school in Ila-Orangun, south-west Nigeria. South-Afr J Clin Nutr. 26(4), 188-193

Ogunsile, S. E., and Ogundele, B. O. (2016). Effect of game-enhanced nutrition education on knowledge, attitude and practice of healthy eating among adolescents in Ibadan, Nigeria. International Journal of Health Promotion and Education, 54(5), 207-216.

Oladapo, A.A.; Roland-Ayodele, M.A.; Quadri, J.A.; Omogbenigun. O. (2014). Breakfast habit and nutritional status of undergraduates in Ekiti state, Nigeria. Sci. J. Pub Health, 2(4), 252-256.

Olumakaiye, M. F. (2013). Adolescent girls with low dietary diversity score are predisposed to iron deficiency in southwestern Nigeria. ICAN: Infant, Child, & Adolescent Nutrition, 5(2), 85-91.

Olumakaiye, M.F.; Ogbimi, G.E.; Ogunba, B.O.; Soyebo, K.O. (2010). Snacking as a contributor to overweight among Nigerian undergraduate students. Nig. J Nutr. Sci. 31(2), 76-86

Otuneye, A. T., Ahmed, P. A., Abdulkarim, A. A., Aluko, O. O., & Shatima, D. R. (2017). Relationship between dietary habits and nutritional status among adolescents in Abuja municipal area council of Nigeria. Nigerian Journal of Paediatrics, 44(3), 128-135.

Randel JM, Morris BA, Wetzel CD, Whitehill BV. (1992). The effectiveness of games for educational purposes: a review of recent research. Simulation and Gaming. 23: 261–276. doi:10.1177/1046878192233001.

Rathore V. and Garima, U. (2016). Role of game based nutrition education in improving the nutritional knowledge of students of upper primary classes (6th to 8th standard) in state government schools of district Sitapur. Int J Hm Sci, 2(3), 131-135

Roszanadia, R. and Norazmir, M.N. (2011). Knowledge, Attitude and Practices on Healthy Eating among Special Needs Boarding School Students. Int J Dairy Sci; 1-9.

Samuel, F. O., Adetunmbi A. J., & Ariyo O. (2015). Dietary diversity and anthropometric charactersitics of in-school adolescents in the university of ibadan community. West African Journal of Food and Nutrition, 13(1), 56-65.

Sun, J.; Yi, H.; Liu, Z.; Wu, Y.; Bian, J.; Eshita, Y.; Li, G.; Zhang, Q.; Yang, Y. (2013). Factors associated with skipping breakfast among Inner Mongolia Medical students in China. BMC Public Health; 13:42. http://www.biomedcentral.com/1471-2458/13/42

Tapper K.; Murphy S.; Lynch R.; Clark R.; Moore G.F.; Moore L. (2008). Development of a scale to measure 9-11years olds’ attitudes towards breakfast. Eur. J. Nutr., 62(4), 511-518.

UNFPA (2017). United Nations Population Fund State of the World’s Population.

Viggiano, A., Viggiano, E., Di Costanzo, A., Viggiano, A., Andreozzi, E., Romano, V., ... & Amaro, S. (2015). Kaledo, a board game for nutrition education of children and adolescents at school: cluster randomized controlled trial of healthy lifestyle promotion. European journal of pediatrics, 174(2), 217-228.

World Health Organization (2004). Adolescent Pregnancy: Issues in Adolescent Health and Development; World Health Organization: Geneva, Switzerland, pp. 1–92.

World Health Organization (2005). Nutrition in Adolescence—Issues and Challenges for the Health Sector; World Health Organization: Geneva, Switzerland, pp. 1–123.

World Health Organization. Regional Office for South-East Asia. (‎2006)‎. Adolescent nutrition: a review of the situation in selected South-East Asian Countries. WHO Regional Office for South-East Asia. https://apps.who.int/iris/handle/10665/204764 (accessed on 29 December 2020).

Yien, J.M.; Hung, C.M.; Hwang, G.J.; Lin, Y.C. A. Game-Based Learning Approach to Improving Students’ Learning Achievements in a Nutrition Course. The Turkish Online J Educ Tech 2011, 10(2), 1-10

Yoshida-Montezuma, Y., Ahmed, M., & Ezezika, O. (2020). Does gamification improve fruit and vegetable intake in adolescents? a systematic review. Nutrition and Health, 26(4), 347-366.

Yun, R.W.; Jiang, Y.Y.; Li, X. The summaries of studies of application effectiveness of computer games in primary and secondary education. Dist Educ J 2010, 28(2), 86-92.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2022 African Journal of Biomedical Research