Volume 23, Issue 2 (9-2025)
sjsph 2025, 23(2): 117-132 |
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Houri A, Sadeghi R, Tol A, Yaseri M, Tedadi Y. Comparison of the Effect of Direct Education and Peer-Led Education on Health-Promoting Behaviors among Female Students. sjsph 2025; 23 (2) :117-132
URL: http://sjsph.tums.ac.ir/article-1-6420-en.html
URL: http://sjsph.tums.ac.ir/article-1-6420-en.html
1- MSc. Department of Health Education and Health Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran, MSc. Department of Health Education and Health Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
2- Ph.D. Professor, Department of Health Education and Health Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran, Ph.D. Professor, Department of Health Education and Health Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3- Ph.D. Department of Health Education and Health Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran, Ph.D. Department of Health Education and Health Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
4- Ph.D. Professor, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran, Ph.D. Professor, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
5- Ph.D. Assistant Professor, Department of Health Education and Health Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran, Ph.D. Assistant Professor, Department of Health Education and Health Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
2- Ph.D. Professor, Department of Health Education and Health Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran, Ph.D. Professor, Department of Health Education and Health Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3- Ph.D. Department of Health Education and Health Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran, Ph.D. Department of Health Education and Health Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
4- Ph.D. Professor, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran, Ph.D. Professor, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
5- Ph.D. Assistant Professor, Department of Health Education and Health Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran, Ph.D. Assistant Professor, Department of Health Education and Health Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Abstract: (205 Views)
Background and Aim: Adolescence is a critical period for educational investment, which can enhance individual quality of life and reduce the future burden of disease and healthcare costs. This study aimed to compare the effectiveness of direct education and peer education on health-promoting behaviors among first-grade middle school students in Shush, Khuzestan, in 2024.
Materials and Methods: This quasi-experimental study with pre-test, post-test, and three-month follow-up was conducted on 448 female first-grade middle school students in Shush using multistage cluster sampling. In the peer education group, selected students served as peer educators after receiving training and passing written and practical evaluations. Data were collected using the Walker Health-Promoting Lifestyle Profile (HPLP-II). The intervention was delivered in eight 60–90-minute sessions. Data was analyzed using descriptive and inferential statistics in SPSS software version 27, with a significance level of 0.05.
Results: Both direct and peer education significantly improved health-promoting behaviors (p< 0.05). Direct education had greater effects on overall scores and the dimensions of health responsibility, physical activity, and stress management, which persisted up to three months. Peer education had the strongest impact on interpersonal relationships and spiritual growth.
Conclusion: Both direct and peer education are effective in promoting health behaviors; however, direct education provides more durable effects on core health dimensions, while peer education primarily enhances interpersonal and motivational aspects. A combination of these methods may yield better outcomes in promoting student health.
Materials and Methods: This quasi-experimental study with pre-test, post-test, and three-month follow-up was conducted on 448 female first-grade middle school students in Shush using multistage cluster sampling. In the peer education group, selected students served as peer educators after receiving training and passing written and practical evaluations. Data were collected using the Walker Health-Promoting Lifestyle Profile (HPLP-II). The intervention was delivered in eight 60–90-minute sessions. Data was analyzed using descriptive and inferential statistics in SPSS software version 27, with a significance level of 0.05.
Results: Both direct and peer education significantly improved health-promoting behaviors (p< 0.05). Direct education had greater effects on overall scores and the dimensions of health responsibility, physical activity, and stress management, which persisted up to three months. Peer education had the strongest impact on interpersonal relationships and spiritual growth.
Conclusion: Both direct and peer education are effective in promoting health behaviors; however, direct education provides more durable effects on core health dimensions, while peer education primarily enhances interpersonal and motivational aspects. A combination of these methods may yield better outcomes in promoting student health.
Keywords: Health-Promoting Behaviors, Direct Education, Peer Education, Female Students, Middle School
Type of Study: Research |
Subject:
Public Health
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