TY  - JOUR
AU  - Jamil, Nor Aini
AU  - Dhanaseelan, Jashwiny
AU  - Buhari, Nurin Athirah
PY  - 2024
DA  - 2024/8/26
TI  - Effectiveness of an e-Book on Bone Health as Educational Material for Adolescents: Single-Group Experimental Study
JO  - JMIR Pediatr Parent
SP  - e56611
VL  - 7
KW  - osteoporosis
KW  - bone health
KW  - adolescent
KW  - knowledge
KW  - calcium
KW  - physical activity
KW  - e-book
KW  - effectiveness
KW  - educational
KW  - teens
KW  - youth
KW  - bone fragility
KW  - bone
KW  - Malaysia
KW  - online questionnaire
KW  - sociodemographic
KW  - calcium intake
KW  - diet
KW  - behavior change
AB  - Background: Improved bone health during adolescence can have lifelong implications, reducing the risk of bone fragility. Objective: This study aims to evaluate the effectiveness of an e-book in increasing knowledge about and promoting healthy practices related to bone health among Malay adolescents in Kuala Lumpur, Malaysia. Methods: A total of 72 adolescents (female: n=51, 71%; age: mean 15, SD 0.74 y) were recruited from selected secondary schools. The participants answered a pretest web-based questionnaire on sociodemographic data, knowledge about osteoporosis, and physical activity. A video call was conducted to assess dietary calcium intake. Participants were provided with a link to an e-book on bone health and instructed to read it within 2 weeks. Postintervention assessments included those for knowledge, physical activity, dietary calcium intake, and acceptance of the e-book. Results: There was a significant increase in the median knowledge score, which was 40.6% (IQR 31.3%-46.9%) during the pretest and 71.9% (IQR 53.9%-81.3%) during the posttest (P<.001). However, no changes were observed in dietary calcium intake or physical activity levels. Most participants did not meet the recommended calcium requirements (61/62, 98%) and exhibited sedentary behavior (pretest: 51/62, 82%; posttest: 48/62, 77%). The e-book, however, was well accepted, with the majority reporting that they understood the contents (70/72, 97%), liked the graphics (71/72, 99%), and approved of the layout (60/72, 83%) and font size (66/72, 92%) used. Conclusions: The developed e-book effectively increases knowledge levels related to bone health and is well accepted among participants. However, this educational material did not improve bone health practices. Additional strategies are necessary to bridge the gap between knowledge and behavior change. 
SN  - 2561-6722
UR  - https://pediatrics.jmir.org/2024/1/e56611
UR  - https://doi.org/10.2196/56611
DO  - 10.2196/56611
ID  - info:doi/10.2196/56611
ER  -