Improving the Effectiveness of Noncommunicable Disease Prevention Training Based on Health and Education Experts’ Opinions

Zohre Hamedani, Roya Kelishadi, Fariba Haghani


Background: The first need of any society is to have a healthy life that can be achieved through preventive education. Despite providing training in the prevention of risk factors for noncommunicable diseases in the country’s educational programs, we are witnessing an increase in the incidence of these diseases. We aimed to summarize the views of experts in the field of health and education on improving the effectiveness of these trainings.

Methods: This study was conducted with a qualitative approach and conventional content analysis method. Participants were 12 experts in the field of health and 19 employees in education who were selected by purposive and available sampling method with maximum diversity. The data collection method was semistructured interview with note‑taking.

Results: A total of 32 subcategories and 9 main categories were extracted: “Macro health policies,” “Strategic health system,” “The role of education system in health promotion,” “Schools and Lifestyle modification,” “Informal learning,” “Preventive strategies in promoting health,” “ Lifestyle, multifactorial phenomena,” “The impact of stress on health,” and “Factors affecting preventive education.”

Conclusions: Providing preventive education to students is one of the ways to prevent noncommunicable diseases. If these trainings have the necessary attractiveness and support by the authorities (and especially the health system), then it will not only raise students’ awareness, but also change their attitude and improve their performance.


Health system; lifestyle; noncommunicable diseases; preventive

Full Text:



Wagner KH, Brath H. A global view on the development of non

communicable diseases. Prev Med 2012;54:S38‑41

Srivalli D. To assess the effectiveness of structured teaching

programme knowledge and practice of postnatal mothers

regarding essential newborn care. Int J Multidicip Educ Res

(ijmer) 2019;4:66‑73.

Polit DF, Beck CT. Essentials of Nursing Research: Appraising

Evidence for Nursing Practice. United States, Philadelphia:

Wolters Kluwer/Lippincott/Williams & Wilkins Health; 2014.

Elo S, Kääriäinen M, Kanste O, Pölkki T, Utriainen K, Kyngäs

H. Qualitative Content Analysis: A Focus on Trustworthiness.

SAGA J 2014;4.

Konttinen H, Sarlio‑Lähteenkorva S, Silventoinen K, Männistö S,

Haukkala A. Socioeconomic disparities in the consumption of

vegetables, fruit and energy dense foods: The role of motive

priorities. Public Health Nutr 2013;16:873‑82.

Mahumud RA, Alam K, Keramat SA, Renzaho A, Hossain G,

Haque R, et al. Weaith stratified inequalities in service utilisation of

breast cancer screening across the geographical regions: A pooled

decomposition analysis. Arch Public Health 2020;78:32‑43.

Yuan LL. Reflections on Quality of Life Studies. National

University of Singapore; 2000. p. 1.

Kasper DL, Braunwald E, Fauci AS, Hauser SL, Longo DL,

Jameson JL. Harrison’s Principles of Internal Medicine. 16th ed.

New York: McGraw‑Hill; 2005.

All Ansari SS, Khafagy MA. A proposed role for physicians in

school health. Ann Saudi Med 2003;22:5‑97.

Tran H. Personnel vs. strategic human resource management in

public education. SAGA J 2015;29.

Demir IB, Ugurluoglu O. Evaluation of the use of strategic

management tools by hospital executives in Turkey. J Health

Manag 2019;21. doi: 10.1177/0972063418822216.

Keley MA. Culturally appropriate breast health educational

intervention program for African‑American Women. J Nati Black

Nurses Assoc 2004;15:36‑47.

Glanz K, Saraiya M, Wechsler H. Guidelines for school programs

to prevent skin cancer. MMWR. Recomm Rep 2002;51:1‑58.

Velasco HF, Cabral CZ, Pinheiro PP, Azambuja RdC, Vitola LS,

Costa MRd, et al. Use of digital media for the education of

health professionals in the treatment of childhood asthma.

J Pediatr 2015;91:183‑8.

Michael P, Janni K, Jennifer T, Wendelin S. Evaluation of a

school‑based multicomponent nutrition education program to

improve young children’s fruitand vegetable consumption. J Nutr

Educ Behav 2012;44:308‑10.

Mazloomy Mahmoodabad SS, Noorbala MT, Rahaee Z,

Mohammadi M. Knowledge, attitude and performance study of

secondary school teachers of Yazd city regarding skin cancer.

JEADV 2010;24:424‑8.

Olien CN, Donohue GA, Tichenor PJ. Structure, communication,

and social-power: Evolution of the knowledge gap hypothesis.

Beverly Hills, 1983. pp:455-462.

Tabacchi G, Battaglia G, Alesi M, Paoli A, Palma A,

Bellafiore M. Food literacy predictors and associations with

physical and emergent literacy in pre‑schoolers: Results

from the training‑to‑health project. Public Health Nutr


Lindqvist A, Qstern TP, Pastorek Gripson M. Dance teaching in

preschool. Proceedings of the 29th Conference European Early

Childhood Research Association. Thessaloniki, Greece 2019;20-23.

Story M, Kaphingst KM, French S. The role of schools in

obesity prevention. Spring 2006;16:109‑42.

Blanchard CM, Fisher J, Sparling PB, Shanks TH, Nehl E,

Rhodes RE, et al. Understanding adherence to 5 servings of

fruits and vegetables per day: A theory of planned behavior

perspective. J Nutr Educ Behav 2009;41:3‑10.

Gulliksson M, Burell G, Vessby B, Lundin L, Toss H,

Svärdsudd K. Randomized controlled trial of cognitive behavioral

therapy vs standard treatment to prevent recurrent cardiovascular

events in patients with coronary heart disease: Secondary

Prevention in Uppsala Primary Health Care project (SUPRIM).

Arch Intern Med 2011;171:134‑40.

Borradaile KE, Sherman S, Vander Veur SS, McCoy T,

Sandoval B, Nachmani J. Snacking in children: The role of

urban corner stores. Pediatrics 2009;124:1293‑98.

Cancer. World Health Organization Media centre [document on

the Internet]. Geneva; 2012. Available from:

mediacentre/factsheets/fs297/en/index.html. [Last cited on 2012

Nov 13].

Avci Ü, Kalelioğlu F. Students’ perceptions of education and

teaching quality in a teacher training programme. J High Educ

Sci 2019;9:52‑64.

Stathakos D, Pratsinis H, Zachos I, Vlahaki I, Gianakopoulou A,

Zianni D, et al. Greek centenarians: Assessment of functional health

status and life‑style characteristics. Exp Gerontol 2005;40:512‑8.

Morrow JR, Krzewinski‑Malone JA, Jackson AW. American

adults’ knowledge of exercise recommendations. Res Q Exerc

Sport 2004;75:231‑7.

Yu S, Niemi H, Mason J. Shaping Future Schools with Digital

Technology. An International Handbook. Springer Publishing

Company 2019.

Rachman A, Purwanto MY, Nugroho H. Development of

educational games for the introduction of fruits and vitamins.

J Educ Sci Technol 2019;5:76‑81.

Kotob M, Bazzoun A. The effect of using science songs on

studentsʼ achievement. Int J Multidiscip Educ Res 2019;4:1‑21.