Volume 11, Issue 4 (Winter 2026)
J Health Res Commun 2026, 11(4): 132-147 |
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Chaleshgar Kordasiabi M, Naghibi S A, Pashaparast T, Khazaee-Pool M. Educational Interventions Based on the Theory of Planned Behavior to Improve Breakfast Consumption and Related Dietary Habits in Children and Adolescents: A Systematic Review. J Health Res Commun 2026; 11 (4) :132-147
URL: http://jhc.mazums.ac.ir/article-1-1194-en.html
URL: http://jhc.mazums.ac.ir/article-1-1194-en.html
Mosharafeh Chaleshgar Kordasiabi 
, Seyed Abolhassan Naghibi * , Taleb Pashaparast , Maryam Khazaee-Pool
, Seyed Abolhassan Naghibi * , Taleb Pashaparast , Maryam Khazaee-Pool
Department of Health Education and Promotion, School of Health, Mazandaran University of Medical Sciences, Sari, Iran.
Abstract: (58 Views)
Introduction and Purpose: introduction and purpose: Breakfast is a vital meal for growth and academic performance; however, skipping it is common among children and adolescents. Education based on the theory of planned behavior (TPB) is an effective approach to improving dietary behaviors. This systematic review aimed to examine the effects of TPB-based educational interventions on breakfast consumption behaviors.
Methods: A structured search was conducted in PubMed, Scopus, Web of Science, Google Scholar, SID, and Magiran for English and Persian articles published between 2000 and 2025. Inclusion criteria were intervention studies based on TPB that aimed to improve breakfast consumption in children and adolescents and had full-text access. After removing duplicates, titles and abstracts were screened, full texts were reviewed, and relevant data were extracted.
Results: Of 532 identified articles, 12 studies were included (9 in Iran and 3 in the USA, Australia, and Nepal). The educational interventions were multifaceted, including group sessions, video presentations, group discussions, booklets, special sessions for parents and teachers, and decision-making strategies. Ten studies reported significant improvements in attitudes and perceived behavioral control, and seven studies reported improvements in subjective norms. Behavioral intentions increased in eleven studies, and actual breakfast consumption improved in ten studies.
Conclusion: TPB-based educational interventions are effective in improving breakfast consumption among children and adolescents. Positive attitudes, behavioral control, and family involvement are key factors for successful interventions. Multilevel programs involving the individual, family, and school are recommended for effective implementation.
Methods: A structured search was conducted in PubMed, Scopus, Web of Science, Google Scholar, SID, and Magiran for English and Persian articles published between 2000 and 2025. Inclusion criteria were intervention studies based on TPB that aimed to improve breakfast consumption in children and adolescents and had full-text access. After removing duplicates, titles and abstracts were screened, full texts were reviewed, and relevant data were extracted.
Results: Of 532 identified articles, 12 studies were included (9 in Iran and 3 in the USA, Australia, and Nepal). The educational interventions were multifaceted, including group sessions, video presentations, group discussions, booklets, special sessions for parents and teachers, and decision-making strategies. Ten studies reported significant improvements in attitudes and perceived behavioral control, and seven studies reported improvements in subjective norms. Behavioral intentions increased in eleven studies, and actual breakfast consumption improved in ten studies.
Conclusion: TPB-based educational interventions are effective in improving breakfast consumption among children and adolescents. Positive attitudes, behavioral control, and family involvement are key factors for successful interventions. Multilevel programs involving the individual, family, and school are recommended for effective implementation.
Keywords: Educational intervention, Theory of Planned Behavior (TPB), Breakfast consumption, Family education, Behavior change
Type of Study: Review |
Subject:
Health Education and Promotion
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