A Health Promotion Program on Having Quality Breakfast for 30 Middle School Students.
Adolescence is the second peak of life development, more calories and nutrients are needed in order to supply for the development and activities (李清亞、張琳, 2005). In my memory, it was quite common that students didn’t eat breakfast because of timeless and on diet, sporadically, some students collapsed caused by hypoglycaemia. According to a recent survey, nearly half of the high school students in Macau have no habit of eating breakfast which holds a higher proportion than primary school students (李大拔、何敏、薑美雲、王國強, 2009).
The consequences of not eating a healthy breakfast don't just affect you during the morning hours; it is proven that they have an impact on work performance and ability to focus all day long (Gajre, Fernandez, Balakrishna & Vazir, 2008; Lien, 2007).Furthermore, studies generally demonstrate that eating breakfast has a positive effect on children's physical development (徐斌、李永進、馬洪波、宋春梅, 2002; 張淵等, 2003; Chitra & Reddy, 2007).
Therefore, the promotion of enhance the motivation and consciousness of eating breakfast is extremely important.
According to 熊光練(2005), High school is the important stage in the formation of diet, nurse as health educator has to grasp this supreme period. The decided of this promotion is based on the theory of planned behavior which is about the link between beliefs and behavior (Ajzen, 1991; Armitage & Conner, 2001; Corcoran, 2007/2008). Regarding to Ajzen (1991), attitude toward behavior, subjective norms, and perceived behavioral control, together shape an individual's behavioral intentions and behaviors (Fig. 2). Furthermore, “Behaviors Intention” is the possibility of individual decided to
engage in performing the behavior, thus, two of the main factors affect the behaviors intention are “Attitude” and “Subjective Norm”. “Attitude” is the sense that the person’s positive or negative evaluation about performing the behavior while “Subjective Norm” is the perception of social pressure to the preferment. Moreover, “Attitude” is estimated by “Beliefs” and “Evaluations” as “Subjective Norm” is evaluated by “Normative Beliefs” and “Motivation to copy”.
The aims of this activity are to develop students’ habit of having quality breakfast and taking it before the first class at least 6 times per week during this 8-week health promotion program.
The total percentage of achieving the aim is 80% of above expectedly. The percentage of 30 students who had breakfast 6 to 7 days per week increased from 66.6% to 90%, and the percentage of breakfast taken before the first class rose from 65.3% to 90.7%. Total percentage of students who took quality breakfast rose from 0% to 82.5% (reached nutritional standard) and from 50% to 81.4% (attained the standard of calorie).