Effectiveness of public health education programs in improving healthy living behaviors: a systematic review

Nofita Tudang Rombeallo; Nasri  Nasri; Evi  Damayanti

doi:10.61099/junedik.v3i2.111

Authors

Nofita Tudang Rombeallo STIKES Lakipadada, South Sulawesi, Indonesia
Nasri Nasri Poltekkes Kemenkes Aceh, Indonesia
Evi Damayanti Politeknik Sandi Karsa, South Sulawesi, Indonesia

DOI:

https://doi.org/10.61099/junedik.v3i2.111

Keywords:

Community Intervention, Health Education, Health Promotion, Healthy Living Behaviors

Abstract

Introduction: Public health education plays an important role in promoting healthy living behaviors and reducing the burden of preventable diseases. However, the effectiveness of various health education programs in consistently changing individual behavior is still a topic of scientific discussion. This study aims to assess the effectiveness of public health education programs in improving healthy living behaviors, such as increased physical activity, healthy diet, smoking cessation, and adherence to preventive health checks.

Research Methodology: This systematic review follows the PRISMA guidelines and includes a literature search from PubMed, Scopus, and Web of Science databases for studies published between 2010 and 2024. Included studies should evaluate public health education interventions aimed at improving one or more healthy living behaviors in the general population. Data were collected and analyzed qualitatively and quantitatively to assess the impact of the intervention.

Results: Of the 3,267 articles identified, 42 studies met the inclusion criteria. The majority of effective programs combine a community-based approach, digital media, and local stakeholder engagement. Overall, there was a significant improvement in healthy living behaviors in the intervention group compared to the control group, with the most pronounced effect on increased fruit and vegetable consumption and increased frequency of physical activity.

Conclusion: Public health education programs are generally effective in promoting healthy living behaviors, especially when designed in a participatory manner and based on local contexts. These results support the importance of health policy development that encourages educational interventions as part of a sustainable health promotion strategy

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References

Ang, Y. Q., Chew, L. W., & Samuelson, H. (2025). Healthy building design strategies: A cross-topic systematic review. Journal of Building Engineering, 105, 112421. https://doi.org/10.1016/j.jobe.2025.112421

Arena, R., & Hall, G. (2025). The culture of healthy living in communities. Progress in Cardiovascular Diseases. https://doi.org/10.1016/j.pcad.2025.03.015

Bajwa, F. A., Fu, J., Bajwa, I. A., Ahmad, S., & Mahmood, F. (2025). Factors influencing usage and loyalty for payment app customers in Saudi Arabia. Acta Psychologica, 255, 104961. https://doi.org/10.1016/j.actpsy.2025.104961

Baraneedharan, P., Kalaivani, S., Vaishnavi, S., & Somasundaram, K. (2025). Revolutionizing healthcare: A review on cutting-edge innovations in Raspberry Pi-powered health monitoring sensors. Computers in Biology and Medicine, 190, 110109. https://doi.org/10.1016/j.compbiomed.2025.110109

Chong, Y. Y., Chien, W. T., Mou, H., Ip, C. K., & Bressington, D. (2025). Acceptance and Commitment Therapy-based Lifestyle Counselling Program for people with early psychosis on physical activity: A pilot randomized controlled trial. Schizophrenia Research, 275, 1–13. https://doi.org/10.1016/j.schres.2024.11.007

Dai, J., Huang, Y., Liu, J., Sun, Y., Fan, X., Tu, Y., Huang, Y., Lin, Y., Zhang, M., Bai, J., & Liu, Y. (2025). Effect of the thinking healthy programme-based internet intervention model for maternal perinatal depression: A pilot study. Journal of Affective Disorders, 374, 294–302. https://doi.org/10.1016/j.jad.2025.01.037

Garcia, C., Holbrook, A., Djiadeu, P., Alvarez, E., Matos Silva, J., & Mbuagbaw, L. (2024). Developing a reporting item checklist for studies of HIV drug resistance prevalence or incidence: a mixed methods study. BMJ Open, 14(3), e080014. https://doi.org/10.1136/bmjopen-2023-080014

Gomersall, S. R., Giguere, D. Y., Cotugno, J., Munro, J., Westbrook, W. J., Littlewood, R., Cairney, J., Winkler, E. A., van der Vliet, P. M., Goode, A. D., Alsop, T., & Healy, G. N. (2025). Development and Impact of a Community-Delivered, Multisectoral Lifestyle Management Service for People Living With Type 2 Diabetes (Logan Healthy Living): Protocol for a Pragmatic, Single-Arm Intervention Study. JMIR Research Protocols, 14, e69477. https://doi.org/10.2196/69477

Haga, C., Takei, Y., Okamoto, N., Oda, M., & Yoshikawa, E. (2025). Nurturing nurses with good ethics for a healthier future: A scoping review of public health ethics education. Nurse Education in Practice, 84, 104319. https://doi.org/10.1016/j.nepr.2025.104319

Hawkes, R. E., Benton, J. S., Cotterill, S., Sanders, C., & French, D. P. (2024). Service Users’ Experiences of a Nationwide Digital Type 2 Diabetes Self-Management Intervention (Healthy Living): Qualitative Interview Study. JMIR Diabetes, 9, e56276. https://doi.org/10.2196/56276

Hossain, A. T., Rahman, M. H., Manna, R. M., Akter, E., Islam, S. H., Hossain, M. A., Ara, T., Usmani, N. G., Chandra, P., Khan, M. A., Rahman, S. M., Ahmed, H. U., Mozumder, M. K., Juthi, J. M., Shahrin, F., Shams, S. A., Afroze, F., Banu, M. J., Ameen, S., … Rahman, A. E. (2025). Enhancing Access to Mental Health Services for Antepartum and Postpartum Women Through Telemental Health Services at Wellbeing Centers in Selected Health Facilities in Bangladesh: Implementation Research. JMIR Pediatrics and Parenting, 8, e65912. https://doi.org/10.2196/65912

Jiang, J., Lu, X., Luo, Y., Chen, D., Chen, X., Li, Y., & Hao, Z. (2025). Variations in seafood consumption and health risk associated with trace element exposure in the Zhoushan Fishing Ground, China: A questionnaire-based study. Marine Pollution Bulletin, 215, 117900. https://doi.org/10.1016/j.marpolbul.2025.117900

Joshi, A., Mohan, S. K., Pandya, A. K., Grover, A., Kaur, H., Gupta, M., Aurora, H., & Bhatt, A. (2025). Improving the Health and Well-Being of Individuals by Addressing Social, Economic, and Health Inequities (Healthy Eating Active Living): Protocol for a Cohort Study. JMIR Research Protocols, 14, e41169. https://doi.org/10.2196/41169

Khuzaiyah, S., Adnani, Q. E. S., Muthoharoh, A., Chabibah, N., Widyastuti, W., Susiatmi, S. A., Zuhana, N., Ersila, W., Barach, P., & Lee, K. Y. (2024). Indonesian COVID?19 lesson: A mixed?methods study on adolescent health status and health services during pandemic. Journal of Child and Adolescent Psychiatric Nursing, 37(2), e12457. https://doi.org/10.1111/jcap.12457

King, A. C. (2025). Enabling the promise of healthy longevity through regular physical activity: Navigating the challenges and unlocking the opportunities. The Journal of Nutrition, Health and Aging, 29(1), 100413. https://doi.org/10.1016/j.jnha.2024.100413

Maloney, J. E., Whitehead, J., Long, D., Kaufmann, J., Oberle, E., Schonert-Reichl, K. A., Cianfrone, M., Gist, A., & Samji, H. (2024). Supporting adolescent well-being at school: Integrating transformative social and emotional learning and trauma-informed education. Social and Emotional Learning: Research, Practice, and Policy, 4, 100044. https://doi.org/10.1016/j.sel.2024.100044

Melo, G. L. R., Santo, R. E., Mas Clavel, E., Bosque Prous, M., Koehler, K., Vidal-Alaball, J., van der Waerden, J., Gobi?a, I., López-Gil, J. F., Lima, R., & Agostinis-Sobrinho, C. (2025). Digital dietary interventions for healthy adolescents: A systematic review of behavior change techniques, engagement strategies, and adherence. Clinical Nutrition, 45, 176–192. https://doi.org/10.1016/j.clnu.2025.01.012

Munir, M. M., & Ahmed, N. (2025). Using Social Media Platforms to Raise Health Awareness and Increase Health Education in Pakistan: Structural Equation Modeling Analysis and Questionnaire Study. JMIR Human Factors, 12, e65745–e65745. https://doi.org/10.2196/65745

Ng, C. M., Teoh, K. W., Chong, C. W., Ng, Y. L., Bell, J. S., & Lee, S. W. H. (2025). A digital health-supported Prediabetes Intervention, Management and Evaluation (PRIME) Program improves Healthy Eating Index score: A cluster randomized controlled trial. Nutrition Research, 138, 151–161. https://doi.org/10.1016/j.nutres.2025.04.005

Razza, R., & Brann, L. (2025). Integrating Social Emotional Learning, mindfulness, and nutrition education into curricula to promote self-regulation and healthy eating behaviors among preschoolers. Social and Emotional Learning: Research, Practice, and Policy, 5, 100081. https://doi.org/10.1016/j.sel.2025.100081

?ahan, D., Akyüz, Y., Güneyi, F., & Co?ar, D. (2025). The Relationships between Healthy Lifestyle Behaviors, Hopelessness, and Illness Acceptance Levels Diagnosed with Peripheral Artery Disease and Related Factors. Annals of Vascular Surgery, 115, 117–128. https://doi.org/10.1016/j.avsg.2025.01.040

Sandri, E. (2025). Culinary habits, nutritional knowledge, and healthy eating practices: A sociodemographic analysis of the Spanish population. International Journal of Gastronomy and Food Science, 40, 101185. https://doi.org/10.1016/j.ijgfs.2025.101185

Sharma, S. V, Senn, M., Zieba, A., Tang, M., Chuang, R.-J., Byrd-Williams, C., Pomeroy, M., Gaminian, A., Cox, J., French, K., & Ranjit, N. (2024). Design, protocol and baseline data of Nurturing Healthy Teachers, a cluster non-randomized controlled trial to improve the health, well-being, and food security of preschool and elementary school teachers in Houston, Texas. Preventive Medicine Reports, 40, 102674. https://doi.org/10.1016/j.pmedr.2024.102674

Sorcaru, I. A., Muntean, M.-C., Manea, L.-D., & Nistor, R. (2024). From social norms to pro-environmental behavior: The role of destination social responsibility for families traveling with children. Technological Forecasting and Social Change, 209, 123830. https://doi.org/10.1016/j.techfore.2024.123830

Talens, C., da Quinta, N., Adebayo, F. A., Erkkola, M., Heikkilä, M., Bargiel-Matusiewicz, K., Zió?kowska, N., Rioja, P., ?y?, A. E., Santa Cruz, E., & Meinilä, J. (2025). Mobile- and Web-Based Interventions for Promoting Healthy Diets, Preventing Obesity, and Improving Health Behaviors in Children and Adolescents: Systematic Review of Randomized Controlled Trials. Journal of Medical Internet Research, 27, e60602. https://doi.org/10.2196/60602

Tang, J. Y. M., Luo, H., Tse, M., Kwan, J., Leung, A. Y. M., Tsien Wong, T. B., Lum, T. Y. S., & Wong, G. H. Y. (2025). Frailty, Fitness, and Quality of Life Outcomes of a Healthy and Productive Aging Program (GrandMove) for Older Adults With Frailty or Prefrailty: Cluster Randomized Controlled Trial. JMIR Aging, 8, e65636–e65636. https://doi.org/10.2196/65636

Varela, E. G., Shelnutt, K. P., Miller, D. M., Zeldman, J., & Mobley, A. R. (2024). Policy, Systems, and Environmental Strategies to Support Healthy Eating Behaviors in Early Childhood: A Scoping Review of Existing Evaluation Tools. Journal of the Academy of Nutrition and Dietetics, 124(12), 1614-1645.e23. https://doi.org/10.1016/j.jand.2024.07.160

Wijayanti, E., Bachtiar, A., Achadi, A., Rachmawati, U. A., Sjaaf, A. C., Eryando, T., Besral, Trihono, Siregar, K. N., & Vidiawati, D. (2022). Mobile application development for improving medication safety in tuberculosis patients: A quasi-experimental study protocol. PLOS ONE, 17(9), e0272616. https://doi.org/10.1371/journal.pone.0272616