Topical Area: Global Nutrition
Objectives : Persons with hearing impairment are particularly disadvantaged in most studies related to Fruits and Vegetables(FV) consumption due to the hidden nature of their disability. This study was designed to assess the effect of Health Promotion Intervention on Self-Efficacy(SE) and practices related to consumption of FV among in-school adolescents with hearing impairment(HI) in Southwest, Nigeria.
Methods : The quasi-experimental study was carried out among students with HI attending special schools in Oyo and Lagos States. 320 students (156 in Experimental group-EG and 164 in control group-CG) were taken at baseline(BL) and 290 (153-EG and 137-CG) at post-intervention(PI). Semi-structured interviewer-administered questionnaire adapted from Behavioural Risk Factor Surveillance System(FV intake module) and Self–Rated Abilities Scale for Health Practices was used to collect data. Total score was 22 and cut-off point was 12; daily FV consumption ≥2x was considered adequate. Twelve-weeks intervention including training and on-site FV provision was implemented followed by a PI assessment. Descriptive statistics, Chi-Square, t-test, and logistic regression were used to analyse the data at α0.05 significance level.
Results : Age of respondents was 17.7±2.8, awareness of FV consumption among EG and CG were 57.1% and 82.9% respectively. Consumption of FV among EG increased from 76.3% at BL to 100% at PI; reported FV consumption was adequate in 14.5%(EG) and 21.1%(CG) respondents at BL and 20.9%(EG) and 10.6%(CG) at PI. More of the EG (87.6%) would like FV served in their schools compared with 73.7% at BL. Age(p=0.000), Ethnicity(p=0.000), healthy eating awareness (p=0.000), FV availability(p=0.004) and SE(p=0.001) were significantly associated with FV consumption among EG at PI. Self-efficacy significantly increased at PI(x̅ =14.55) compared to BL(x̅ =11.65) among EG and decreased at PI (x̅ =12.59) compared to BL(x̅=13.52) among CG. Predictors of FV consumption among the EG included ethnicity (OR=0.054; CI=0.010-0.098), awareness of concept of FV consumption (OR=0.079; CI=0.022-0.135) and having pocket money (OR=0.119; CI=0.003-0.151).
The intervention increased self-efficacy for fruits and vegetable consumption among the target population. Factors contributing to fruits and vegetable consumption included age, ethnicity, awareness of healthy eating, availability and access to fruits and vegetables. Health promotion programming for persons living with disabilities is advocated.
Funding Sources : None - personally funded