Development of Health Literate Organizational Model about Overweight of Undergraduate Students in Upper Northern RAJABHAT Universities


  • Wittaya Tanaree Western University
  • Pornsuk Hunnirun western University



Health Literate organization, Overweight


    This research were conducted to study organizational costs and needs for the overweight management, development, implementation and evaluation of Health Literate Organizational Model about Overweight of Undergraduate Students in Upper Northern Rajabhat Universities. The research were divided into three phases. First phase: Data organizational costs were collected by in-depth interview with executives, network partners and parents. University administration and management data were collected by questionnaires from 262 subjects. Needs of overweight management and health behavior data of undergraduate students were collected by questionnaires from 343 subjects. Quantitative data were analyzed by descriptive statistics and qualitative data were analyzed by content analysis. Second phase: Development of Health Literate Organizational Model about Overweight. Third phase: Implementation and Evaluation of Health Literate Organizational Model about Overweight, sample group of 30 personnel and 30 undergraduate students were selected. Data were analyzed by comparing knowledge and understanding the health literate organization about overweight and comparing weight of undergraduate students by using Repeated measures ANOVA. The findings revealed that (1) The university had the costs of Health Literate Organizational development as follows: 1.1) Leadership costs and organizational structure: the executives had open minded and vision of university development for health literate organizational model, having flexible organizational structure, easy to change at a great level. 1.2) Management costs: communication and communication channels were at good level. 1.3) Personnel costs: personnel strived to have self-development, having the ability to perform achievement tasks and ready for change at very good level. 1.4) Individual costs: undergraduate students had the needs for overweight management at high level, there were health behavior at moderate level; (2) The developed model consisted of three patterns as follows: 2.1) Personnel Activities Pattern, 2.2) Policy Activities Pattern, 2.3) Undergraduate students Activities Pattern; (3) After implementing the model, Results found that: 3.1) Personnel and undergraduate students had increased knowledge of Health Literate Organizational Model about overweight with statistically significant at .05. 3.2) Undergraduate students had lost weights with statistically significant at .05. 3.3) Personnel and undergraduate students were satisfied with the Health Literate Organizational Model about overweight at moderate level. The results of this study can apply for development of Health Literate Organizational Model in universities. Universities provide and support personnel and undergraduate students to become good quality of human resources in order to help the local area and country development.


Aaby, A., Palner, S., & Maindal, H.T. (2020). Fit for diversity : A staff-driven organizational development process based on the Organizational Health Literacy responsiveness framework. Health Literacy Research Practice, 4(1), 79 - 83.

Bonaccorsi, G., Romiti, A., Lerardi, F., Innocenti, m., Riccio, M. d., Frandi, S., Bachini, L., Zanobini, P., Gemmi, F., & Lorini, C. (2020). Health Literate Healthcare Organizations and quality of care in hospitals: A Cross-sectional study conducted in Tuscany. International JournalEnvironment Research Public Health, 17(7), 1-16. DOI:

Brach, C., Keller, D., Hernandes, L. M., Baur, C., Parker, R., Dreyer, B., Schyve, P., Lemerise, A. J., Schillinger D., (2012).Ten Attributes of Health Literate Health Care Organizations. Washington, DC.: National Academy of Sciences: Institute of Medicine.

Brega, A. G., Hamer, M. K., Albright, K., Brach, C., Saliba, D., Abbey, D., & Gritz, R. M. (2019). Organizational health literacy: Quality improvement measures with expert consensus. Health literacy Research and Practice, 3(2), 127-146. DOI:

Budhathoki, S. S., Pokharel, P. K., Jha, N., Moselen, E., Dixon, R., Bhattachan, M., & Osborne, R.H. (2019). Health literacy of future healthcare professionals: a cross-sectional study among health sciences students in Nepal. International Health, 11(1), 15-23. DOI:

Bureau of Non-communicable Diseases. (2015). Survey of risk behaviors, NCDs and Injury in 2015. Retrieved from (In Thai)

Bureau of Policy and Strategy, Ministry of Public Health. (2016). Public Health Statistics in 2016. Office of the Permanent Secretary. Bangkok : Ministry of Public Health. (In Thai)

Daniel, W.W. (1995). Biostatistics : A foundation for analysis in the health sciences. (6thed.). New York: John Wiley & Sons.

Department of Health. (2018). Health Literacy Issues. Retrieved from (In Thai)

Hayran, O., & Ozer, O. (2018). Organizational health literacy as a determinant of patient satisfaction. Public Health, 16(3), 20-26. DOI: 10.1016/j.puhe.2018.06.011

Hunnirun, P. (2019). Underweight, overweight and obesity in adolescents and adults around the world. 15th National Academic Conference and Research Presentation. Pathum Thani : Western University. (In Thai)

Khomin, S. (2018). Guidelines for managing metabolic problems and complications. Health Systems Research Institute. Nonthaburi : Health Systems Research Institute. (In Thai)

Khuneepong, A. (2017). Predicting factors of overweight prevention behaviors among graduate students. Journal of Safety and Health, 10(37), 58-66. (In Thai)

Lekuthai, W., Ingsrisawang, L., Suksomboon, N., & Teerawattananon, Y. (2011). Factors affecting obesity among undergraduate students in Chiang Mai Province. Journal of Health Systems Research, 5(3), 299-306. (In Thai)

Liang, L., & Brach C. (2017). Health literacy universal precautions are still a distant dream: Analysis of U.S. data on health literate practices. Health Literacy Research and Practice, 1(4), 216-230. DOI:

Meggetto, E., Kent, F., Ward, B., & Keleher, H. (2020). Factors influencing implementation of organizational health literacy: a realist review. Journal of Health Organization and Management, 34(4), 385-407. DOI:

National Reform Steering Assembly. (2016). Reform of health literacy and communication. The Secretariat of The House Representatives. Bangkok. (In Thai)

Nazar, M., Khan, S.A., & Kumar, R. (2019). Effectiveness of health literacy intervention on cardiovascular diseases among university students of Pakistan. BMC Health Services Research, 19(1), 504-508. DOI:10.1186/s12913-019-4348-y

Peltzer, K., Pengpid, S., Samuels, T.A., Ozcan, N.K., Mantilla, C., Rahamefy, O.H.,Wong,M.L. & Gasparishvili, A. (2014). Prevalence of overweight/obesity and its associated factors among university students from 22 countries. International Journal of Environmental Research and Public Health, 11(7), 7425-7441. DOI: 10.3390/ijerph110707425

Prince, L.Y., Schmidtke, C., Beck, J.K., & Hadden, K.B. (2018). An assessment of organizational health literacy practices at an Academic Health Center. Quality Management in Health Care, 27(2), 93-97. DOI:10.1097/QMH.0000000000000162

Rattana-umpa, N., Sala, J., Phattha, P., Phummek, C., Chantarima, N., Boonkhun, P., & Hornprom, V. (2017). The study of health behavior for overweight prevention of nursing students in Nursing Faculty, College of Asian Scholar. KKU Research Journal (Graduate Studies), 17(2), 1–8. (In Thai)

Sukys, S., Cesnaitiene, V.J., & Ossowsky, Z.M. (2017). Is health education at university associated with students’ health literacy? Evidence from Cross-Sectional Study Applying HLS-EU-Q. BioMed Research International, 11(1), 15-23. DOI:

World Health Organization. (2020). Obesity and overweight. Retrieved from




How to Cite

Tanaree, W., & Hunnirun, P. . (2021). Development of Health Literate Organizational Model about Overweight of Undergraduate Students in Upper Northern RAJABHAT Universities. Community and Social Development Journal, 22(3), 52–73.



บทความวิจัย (RESEARCH ARTICLE)