Impact of an Information, Education, and Communication Package on Knowledge, Attitude and Quality of Life Regarding Obesity Among College Students in Kerala: A Mixed-Methods Study
DOI:
https://doi.org/10.71164/socialmedicine.v19i1.2026.2123Keywords:
IEC package, students, knowledge, attitude, quality of life, obesity, related lifestyle diseasesAbstract
Background. Obesity during early life increases the risk of developing physical and psychosocial health problems later on. Information, Education, and Communication (IEC) initiatives can be effective in improving knowledge and promoting positive behavioral changes to prevent excess weight gain among students. Objective. To evaluate the effectiveness of an IEC package on students’ knowledge and attitudes regarding obesity and related lifestyle factors, and to explore their psychosocial quality of life. Methods. A mixed-method sequential explanatory design was employed among 400 college students in selected colleges in Thrissur, Kerala, India. Quantitative data were collected using a structured knowledge questionnaire and an attitude scale, while qualitative insights were obtained through focus group discussions. Results. The IEC package significantly improved knowledge (t = 48.92, p < 0.001) and attitudes (t = 70.65, p < 0.001) among students. Qualitative findings provided deeper insight into the emotional and social dimensions of obesity, underscoring the need for ongoing support to address body image concerns, social exclusion, and emotional well-being. Conclusion. The combined quantitative and qualitative findings reveal substantial gaps in knowledge and attitudes toward obesity, as well as the significant psychosocial challenges faced by obese students.
References
World Health Organization: WHO. Obesity and overweight [Internet]. 2025. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Sarwer DB, Polonsky HM. The psychosocial burden of obesity. Endocrinology and Metabolism Clinics of North America [Internet]. 2016 Aug 9;45(3):677–88. Available from: https://doi.org/10.1016/j.ecl.2016.04.016
International Institute for Population Sciences (IIPS), ICF. National Family Health Survey (NFHS-5), 2019–21: India [Internet]. Mumbai: IIPS; 2021. Available from: https://dhsprogram.com/pubs/pdf/FR375/FR375.pdf
Overweight & Obesity Statistics [Internet]. National Institute of Diabetes and Digestive and Kidney Diseases. 2025. Available from: https://www.niddk.nih.gov/health-information/health-statistics/overweight-obesity
Segal Y, Gunturu S. Psychological issues associated with obesity [Internet]. StatPearls - NCBI Bookshelf. 2024. Available from: https://www.ncbi.nlm.nih.gov/books/NBK603747/
Viswambharan JK, Abraham R. A cross sectional study on the prevalence of overweight and obesity in affluent school children of central Kerala. International Journal of Community Medicine and Public Health [Internet]. 2021 Aug 8;8(9):4284. Available from: https://doi.org/10.18203/2394-6040.ijcmph20213187
Prevalence of obesity and overweight in urban school children in Kerala, India [Internet]. Available from: https://www.indianpediatrics.net/june2012/june-475-477.htm?utm_source=chatgpt.com
Obesity and Mental Health: Impact, Risks and Solutions [Internet]. Max Healthcare; [cited 2025 Dec 30]. Available from: https://www.maxhealthcare.in/blogs/%E2%80%8Bimpact-of-obesity-and-mental-health.
K IJ, Asharaf H, Thimothy G, George S, Jose J, Paily R, et al. Psychological impact of obesity: A comprehensive analysis of health-related quality of life and weight-related symptoms. Obesity Medicine [Internet]. 2023 Dec 13;45:100530. Available from: https://doi.org/10.1016/j.obmed.2023.100530
Dakanalis A, Mentzelou M, Papadopoulou SK, Papandreou D, Spanoudaki M, Vasios GK, et al. The Association of Emotional Eating with Overweight/Obesity, Depression, Anxiety/Stress, and Dietary Patterns: A Review of the Current Clinical Evidence. Nutrients [Internet]. 2023 Feb 26;15(5):1173. Available from: https://doi.org/10.3390/nu15051173
Waghmare VS, Pathak S, Das S, Mendhe HG, Kesh SB. Assessment of knowledge, attitude, practice on obesity and associated disorders among young adults. Int J Physiol. 2019;7(1):108–111. doi:10.5958/2320-608X.2019.00023.4.
Alotaibi S, Alharthi A, Altowairqi H, Alswat A, Altowairqi M, Ghwoidi B, et al. Knowledge And Attitude Towards Obesity Among Male Secondary School Students In Taif, Saudi Arabia. International Journal of Advanced Research [Internet]. 2016 Dec 31;4(12):263–72. Available from: https://doi.org/10.21474/ijar01/2390
Huo Y, Monma T, Kataoka C, Takeda F. Dietary knowledge, attitudes, and behaviors related to obesity and highly underweight among urban Chinese High School students: A Cross-Sectional Study. International Journal of Public Health [Internet]. 2024 Aug 9;69:1606840. Available from: https://doi.org/10.3389/ijph.2024.1606840
Wang L, Zhuang J, Zhang H, Lu W. Association between dietary knowledge and overweight/obesity in Chinese children and adolescents aged 8–18 years: a cross-sectional study. BMC Pediatrics [Internet]. 2022 Sep 23;22(1):558. Available from: https://doi.org/10.1186/s12887-022-03618-2
Kacar Z, Cayir Y, Cubukcu M, Tanriverdi EC. The effect of exercise-oriented training on physical activity level and exercise awareness in overweight and obese women: A randomized-controlled trial. Heliyon [Internet]. 2024 Apr 24;10(9):e29569. Available from: https://doi.org/10.1016/j.heliyon.2024.e29569
J ES, Kumar DAV. An experimental study to childhood obesity information education and communication (IEC) among parents of obese children. J Popl Ther Clin Pharmacol. 2022 Aug 3;29(03):312–317. doi:10.53555/jptcp.v29i03.3226.
Yadav S, Khokhar A. Effect of information, education, and communication activity on health literacy of obesity and physical activity among school-going adolescents in Delhi. Indian Journal of Community and Family Medicine [Internet]. 2020 Jan 1;6(1):22. Available from: https://doi.org/10.4103/ijcfm.ijcfm_21_19
Chaudhari A, Rami K, Thakor N. Assessment of knowledge regarding noncommunicable diseases and their risk factors among students of higher secondary school: an interventional study. International Journal of Medical Science and Public Health [Internet]. 2015 Aug 22;5(1):115. Available from: https://doi.org/10.5455/ijmsph.2016.0108201540
Ata RN, Thompson JK. Weight Bias in the Media: A review of Recent research. Obesity Facts [Internet]. 2010 Jan 1;3(1):41–6. Available from: https://doi.org/10.1159/000276547
Buttitta M, Iliescu C, Rousseau A, Guerrien A. Quality of life in overweight and obese children and adolescents: a literature review. Quality of Life Research [Internet]. 2013 Nov 18;23(4):1117–39. Available from: https://doi.org/10.1007/s11136-013-0568-5
Rand K, Vallis M, Aston M, Price S, Piccinini-Vallis H, Rehman L, et al. “It is not the diet; it is the mental part we need help with.” A multilevel analysis of psychological, emotional, and social well-being in obesity. International Journal of Qualitative Studies on Health and Well-Being [Internet]. 2017 Jan 1;12(1):1306421. Available from: https://doi.org/10.1080/17482631.2017.1306421
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