Effects of the Rango Cards game intervention on food consumption, nutritional knowledge and self-efficacy in the adoption of healthy eating practices of high school students: a cluster randomised controlled trial.

Abstract:

OBJECTIVE:The study aimed to assess the impact of a game-based nutritional intervention on food consumption, nutritional knowledge and self-efficacy in the adoption of healthy eating practices. DESIGN:This cluster randomised controlled trial included both male and female high school students from private schools in the Federal District, Brazil. Four schools were randomly selected for each group. Investigated variables were age, sex, monthly family income, maternal education level, dietary perceptions and practices, nutritional knowledge and self-efficacy in the adoption of healthy eating practices. SETTING:Intervention group participants were instructed to play Rango Cards, a digital game developed for the study, on their own, for a period of 7-17 d, while the control group was not provided with any game or material during the study. PARTICIPANTS:The study included 319 adolescents (mean age = 15·8 (sd 0·7) years). RESULTS:Significant reductions were observed in the intervention group compared with the control group for the following variables: habit of eating while watching TV or studying and having meals at fast food restaurants. The intervention group showed increased knowledge of the effects of fruit and vegetable consumption as well as improved self-efficacy in the adoption of healthy eating practices such as reducing Na intake and preparing healthy meals. CONCLUSIONS:The design of Rango Cards is potentially capable of effecting positive changes. Therefore, the digital game promotes autonomy and self-care among adolescents with regard to healthy eating.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Chagas CMDS,Melo GR,Botelho RBA,Toral N

doi

10.1017/S1368980020000531

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

2424-2433

issue

13

eissn

1368-9800

issn

1475-2727

pii

S1368980020000531

journal_volume

23

pub_type

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