Evaluation of a Puppet Video on Physical Activity as a Diabetic Education Material for Older Children
Idelia G. Glorioso*, Zenaida V. Narciso, Jerlyn D. Avilla, and Mario V. Capanzana
Food and Nutrition Research Institute, Department and Science Technology,
Gen. Santos Ave., Bicutan 1631 Taguig City, Philippines
A puppet video on physical activity was developed based on the No. 10 Message of the 2000 Nutritional Guidelines for Filipinos, with emphasis on the prevention of diabetes through regular physical activity. Puppets and videos are among creative educational tools to promote health and nutrition concepts. The study aimed to evaluate a puppet video on physical activity based on improvement of nutrition knowledge of schoolchildren after exposure to the video. It also examined the determinants that contributed to the improvement of nutrition knowledge scores of these children. The video was evaluated among 1857 selected Grade 6, first, second, third, and fourth year high school students from public schools in Sep 2015 at six study sites in the Philippines. Study participants aged 10–17 years old and above were distributed among age brackets of 10–12 years old, 13–14 years old, 15–16 years old, and 17 years old and above. The average age of study participants was 13.5 years old. The test-retest technique was conducted to gather data from the participants who answered knowledge test questionnaire before and after watching puppet video. Findings indicated that the puppet video was effective in improving knowledge scores before and after video showing based on significant T-test results. Analysis of variance revealed gender, age, grade/year level, and geographical location as significant determinants of the improvement of knowledge scores of the children. Item analysis showed significant increases in mean scores of 4 out of 5 questions/concepts before and after exposure to the video. The four concepts included: (a) diabetes as a result of lack of exercise, (b) lifestyle diseases other than diabetes resulting from lack of exercise, (c) avoiding overweight as a means to prevent diabetes, and (d) duration and frequency of exercise. The study recommended the following: (a) starting diabetic education among older children considering the increasing prevalence of obesity and diabetes among them; (b) integration of the use of this video in class sessions of the children; and (c) using the video in other venues such as pediatric clinics, play areas, malls, and other places where children congregate.
Diabetes mellitus ranked fifth in the top causes of mortality in the Philippines (PSA 2013). Diabetes is a serious metabolic and costly disease in which the body is unable to produce insulin, a hormone needed to convert sugar into energy. This leads to an increase in the sugar level in the blood.
In the Philippines, statistics indicate that diabetes prevalence among Filipino adults appears to have increased in 2008 – from less than 4.0% in 1998 and in 2003 to about 5.0% in 2008. In 2008 alone, it was estimated that more than 3 million Filipinos had type-2 diabetes (FNRI 2010). The prevalence of diabetes continues to escalate from 3.4%in 2003 to 5.6%in 2013 (FNRI 2015). . . . . read more
ANAND D, ANURADHA RK. 2016. Nutrition Education: A potent tool in health promotion and disease prevention among adolescent girls. EPRA International Journal of Research and Development 1(5): 12.
Bannon K, Schwartz MB. 2006. Impact of nutrition messages on children's food choice: Pilot study. Appetite 46(2): 124–129.
Carballo B. 7 Mar 2012. Batibot & little kids in need of a boost. The Philippine Star. Retrieved 13 Mar 2018.
Case P, Hino J. 2010. A powerful teaching tool: Self-produced videos. Journal of Extension 48(1): n1.
Durkin S, Brennan E, Wakefield M. 2012. Mass media campaigns to promote smoking cessation among adults: an integrative review. Tobacco Control 21(2): 127–138.
Dyson PA, Beatty S, Matthews DR. 2010. An assessment of lifestyle video education for people newly diagnosed with type 2 diabetes. Journal of Human Nutrition and Dietetics 23(4): 353–359.
EPSTEIN I, STEVENS B, MCKEEVER P, BARUCHEL S, JONES H. 2008. Using puppetry to elicit children's talk for research. Nursing Inquiry 15(1): 49–56.
Ferguson LA. 2012. Implementing a video education program to improve health literacy. The Journal for Nurse Practitioners 8(8): e17–e22.
[FNRI] Food and Nutrition Research Institute – Department of Science and Technology. 2010. Philippine Nutrition Facts and Figures 2008.
[FNRI] Food and Nutrition Research Institute – Department of Science and Technology. 2015. Philippine Nutrition Facts and Figures 2013. 8th National Nutrition Survey, Clinical and Health Survey.
JANSSEN I, KATZMARZYK PT, BOYCE WF, VEREECKEN C. 2005. Comparison of overweight and obesity prevalence in school-aged youth from 34 countries and their relationships with physical activity and dietary patterns. Obesity Reviews 6(2): 123–132.
Janssen I, LeBlanc AG. 2010. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. International Journal of Behavioral Nutrition and Physical Activity 7(1): 40.
Katigbak JTV. 20 Apr 2012. Batibot directors speak on educational TV production. College of Development Communication, University of the Philippines Los Baños. Retrieved 13 Mar 2018.
LOBSTEIN TB, UAUY R. 2004. Obesity in children and young people: A crisis in public health. Obesity Reviews 5(s1): 4–85.
Masats D, Dooly M. 2011. Rethinking the use of video in teacher education: A holistic approach. Teaching and Teacher Education 27(7): 1151–62.
NAUGLE D, HORNIK R. 2014. Systematic Review of the Effectiveness of Mass Media Interventions for Child Survival in Low- and Middle-Income Countries. Journal of Health Communication 19(sup1): 190–215.
Naylor S, Keogh B, Downing B, Maloney J, Simon S. 2007. The PUPPETS Project: Using puppets to promote engagement and talk in science. In: Contributions from Science Education Research. p. 289–296. Springer, Dordrecht.
Nicklas T, Lopez S, Liu Y, Saab R, Reiher R. 2017. Motivational theater to increase consumption of vegetable dishes by preschool children. International Journal of Behavioral Nutrition and Physical Activity 14(1): 16.
Pélicand J, Gagnayre R, Sandrin-Berthon B, Aujoulat I. 2006. A therapeutic education programme for diabetic children: recreational, creative methods, and use of puppets. Patient Education and Counseling 60(2): 152–163.
[PSA] Philippine Statistics Authority. 2013. Retrieved from https://psa.gov.ph/content/top-ten-causes-death-2011-2013 on Oct 2017.
[PIA] Philippine Information Agency. 2018. NNC–NCR, Metro Manila LGUs to intensify 2018 nutrition campaign.
Pitre N, Stewart S, Adams S, Bedard T, Landry S. 2007. The use of puppets with elementary school children in reducing stigmatizing attitudes towards mental illness. Journal of Mental Health 16(3): 415–429.
Remer R, Tzuriel D. 2015. I Teach Better with the Puppet-Use of Puppet as a Mediating Tool in Kindergarten Education: An Evaluation. American Journal of Educational Research 3(3): 356–365.
SHARMA S, GUPTA Y. 2017. Mass Media for Health Education (A Study in the State of Rajasthan). Global Research Academy, London, UK’s Multidisciplinary International Journal 1(1): 26–39.
SNYDER LB. 2007. Health communication campaigns and their impact on behavior. Journal of Nutrition Education and Behavior 39(2): S32–S40.
Sothern MS, Loftin M, Suskind RM, Udall JN, Blecker U. 1999. The health benefits of physical activity in children and adolescents: Implications for chronic disease prevention. European Journal of Pediatrics 158(4): 271–274.
Sposito AMP, Montigny F, Sparapani VDC, Lima RAGD, Silva‐Rodrigues FM, Pfeifer LI, Nascimento, LC. 2016. Puppets as a strategy for communication with Brazilian children with cancer. Nursing & health sciences, 18(1): 30–37.
Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, Rowland T. 2005. Evidence based physical activity for school-age youth. The Journal of Pediatrics 146(6): 732–737.
Tuong W, Larsen ER, Armstrong AW. 2014. Videos to influence: A systematic review of effectiveness of video-based education in modifying health behaviors. Journal of Behavioral Medicine 37(2): 218–233.
WAKEFIELD MA, LOKEN B, HORNIK RC. 2010. Use of mass media campaigns to change health behaviour. The Lancet 376(9748): 1261–71.
[WHO] World Health Organization. 2002. WHO Technical Report Series no. 916. WHO: Geneva; Report of a Joint WHO/FAO Expert Consultation. Diet Nutrition and the Prevention of Chronic Diseases.
WRIGHT ND, SOROUDI N, WYLIE-ROSETT J, LUKOSCHECK P, MOADEL AB. 2007. The School Yard Kids: A puppet show to promote a healthy lifestyle. Journal of Nutrition Education and Behavior 39(5): 290.