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

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.