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Hunleth JM, Spray JS, Meehan C, Lang CW, Njelesani J. What is the state of children's participation in qualitative research on health interventions?: a scoping study. BMC Pediatr 2022; 22:328. [PMID: 35659206 PMCID: PMC9166159 DOI: 10.1186/s12887-022-03391-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Accepted: 05/30/2022] [Indexed: 12/21/2022] Open
Abstract
Background Children are the focus of numerous health interventions throughout the world, yet the extent of children’s meaningful participation in research that informs the adaptation, implementation, and evaluation of health interventions is not known. We examine the type, extent, and meaningfulness of children’s participation in research in qualitative health intervention research. Method A scoping study was conducted of qualitative published research with children (ages 6–11 years) carried out as part of health intervention research. Following Arksey and O’Malley’s scoping study methodology and aligned with the PRISMA-ScR guidelines on the reporting of scoping reviews, the authors searched, charted, collated, and summarized the data, and used descriptive and content analysis techniques. Ovid MEDLINE was searched from 1 January 2007 to 2 July 2018 using the keywords children, health intervention, participation, and qualitative research. Study selection and data extraction were carried out by two reviewers independently. Results Of 14,799 articles screened, 114 met inclusion criteria and were included. The study identified trends in when children were engaged in research (e.g., post-implementation rather than pre-implementation), in topical (e.g., focus on lifestyle interventions to prevent adult disease) and geographical (e.g., high-income countries) focuses, and in qualitative methods used (e.g., focus group). While 78 studies demonstrated meaningful engagement of children according to our criteria, there were substantial reporting gaps and there was an emphasis on older age (rather than experience) as a marker of capability and expertise. Conclusions Despite evidence of children’s meaningful participation, topical, geographical, and methodological gaps were identified, as was the need to strengthen researchers’ skills in interpreting and representing children’s perspectives and experiences. Based on these findings, the authors present a summary reflective guide to support researchers toward more meaningful child participation in intervention research. Supplementary Information The online version contains supplementary material available at 10.1186/s12887-022-03391-2.
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Affiliation(s)
- Jean M Hunleth
- Division of Public Health Sciences, Washington University in St. Louis School of Medicine, 660 S. Euclid Avenue, St. Louis, MO, 63110, USA.
| | - Julie S Spray
- Division of Public Health Sciences, Washington University in St. Louis School of Medicine, 660 S. Euclid Avenue, St. Louis, MO, 63110, USA.,National University of Ireland, Galway, Ireland
| | - Corey Meehan
- Division of Public Health Sciences, Washington University in St. Louis School of Medicine, 660 S. Euclid Avenue, St. Louis, MO, 63110, USA.,University of Colorado School of Medicine, Denver, CO, USA
| | - Colleen Walsh Lang
- Division of Public Health Sciences, Washington University in St. Louis School of Medicine, 660 S. Euclid Avenue, St. Louis, MO, 63110, USA.,Department of Anthropology, Washington University in St. Louis, St. Louis, MO, USA.,Loma Linda University Health, Loma Linda, CA, USA
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Participatory Approaches to Understand Dietary Behaviours of Adolescents in the Secondary School Setting. Nutrients 2020; 12:nu12123761. [PMID: 33297505 PMCID: PMC7762346 DOI: 10.3390/nu12123761] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Revised: 12/02/2020] [Accepted: 12/02/2020] [Indexed: 11/25/2022] Open
Abstract
Acknowledgement of wider socio-ecological factors that influence dietary behaviours needs greater consideration in nutrition research with young people. Additionally, children and adolescents have a right to have their voices heard in research that concerns them. The aim of this methods paper is to describe and evaluate participatory methodologies undertaken as part of a dietary behaviour study with adolescents in the school setting in Ireland. Photovoice and peer-led focus groups were the key participatory methodologies, undertaken alongside food diaries and anthropometry. These methodologies were evaluated through discussion with peer researchers, qualitative surveys and in the context of the wider study process and outcomes. Peer researchers reported learning new skills including research, facilitation, listening and social skills and many felt they gained confidence, as well as an awareness about healthy and unhealthy practices at school. The findings were found to be authentic according to students, except for two limitations. Students believed body image was not adequately represented in the findings, and alternative focus group compositions could have influenced discussion content. Youth participants were afforded genuine opportunities to have their voices heard as part of a diet and nutrition research and the methodologies were acceptable and enjoyable. They demonstrated agency in valuable contributions at project design, data collection, analysis and interpretation stages of the research process. Furthermore, the participatory methodologies complemented quantitative data by providing environmental, behavioural, and socio-cultural insights into food choice in the school setting.
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Barr ML, Colby SE, Riggsbee K, Leischner K, Mathews AE, Vilaro MJ, Kattelmann KK, Olfert MD. Health Behaviors of Student Community Research Partners When Designing and Implementing a Healthy Lifestyle Intervention on College Campuses. Behav Sci (Basel) 2018; 8:bs8110099. [PMID: 30373108 PMCID: PMC6262385 DOI: 10.3390/bs8110099] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2018] [Revised: 10/19/2018] [Accepted: 10/24/2018] [Indexed: 11/16/2022] Open
Abstract
Few studies work with college students as equal partners in all aspects of Community-Based Participatory Research (CBPR) and even less evaluate behaviors of those college partners. The current study aimed to examine health behaviors of students by designing and implementing a peer-led, social marketing campaign (Get Fruved) to promote healthier lifestyles on their campuses. Enrolled students (n = 376) were trained to either design and implement a health promotion intervention (Social Marketing and Environmental Interventionists; SMEI, n = 78), be peer mentors (PM; n = 205), or serve as control participants (n = 93). Students' behaviors (dietary, activity, and stress) and anthropometrics were assessed at baseline, 6 months, and 12 months. The population was predominately Caucasian, female, and between 19 and 20 years old. On average, fruit and vegetable consumption slightly decreased across all time points for each group with control at a larger decline. Students International Physical Activity Questionnaire (IPAQ) scores showed students met recommended amounts of activity throughout the intervention, with males reporting higher activity levels. Cohen's Perceived Stress Scale (PSS) analyses indicated 19 year olds had higher stress along with females had higher than males. Students involved in a CBPR approach to be trained, design, and implement a lifestyle intervention can achieve maintenance of health behaviors throughout a college year when compared to control students.
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Affiliation(s)
- Makenzie L Barr
- Division of Animal and Nutritional Sciences, School of Agriculture, Davis College of Agriculture, Natural Resources and Design, West Virginia University, 1194 Evansdale Drive, G25 Agriculture Sciences Building, Morgantown, WV 26506, USA.
| | - Sarah E Colby
- Department of Nutrition, The University of Tennessee, 1215 W. Cumberland Avenue, 229 Jessie Harris Building, Knoxville, TN 37996-1920, USA.
| | - Kristin Riggsbee
- Department of Nutrition, The University of Tennessee, 1215 W. Cumberland Avenue, 229 Jessie Harris Building, Knoxville, TN 37996-1920, USA.
| | - Krista Leischner
- Department of Health and Nutritional Sciences, South Dakota State University, HNS Department, Rotunda Lane, Wagner 425, Box 2203, Brookings, SD 57007, USA.
| | - Anne E Mathews
- Food Science and Human Nutrition Department, University of Florida, 572 Newell Dr., 359 FSHN Building, P.O. Box 110370, Gainesville, FL 32611-0370, USA.
| | - Melissa J Vilaro
- Food Science and Human Nutrition Department, University of Florida, 572 Newell Dr., 359 FSHN Building, P.O. Box 110370, Gainesville, FL 32611-0370, USA.
| | - Kendra K Kattelmann
- Department of Health and Nutritional Sciences, South Dakota State University, HNS Department, Rotunda Lane, Wagner 425, Box 2203, Brookings, SD 57007, USA.
| | - Melissa D Olfert
- Division of Animal and Nutritional Sciences, School of Agriculture, Davis College of Agriculture, Natural Resources and Design, West Virginia University, 1194 Evansdale Drive, G25 Agriculture Sciences Building, Morgantown, WV 26506, USA.
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A Community Based Participatory Approach to Training Young Adults to Design and Implement a Social Marketing Framed Lifestyle Intervention on Their College Campus. EDUCATION SCIENCES 2018. [DOI: 10.3390/educsci8030150] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background: Using a Community-Based Participatory Research (CBPR) approach may increase the likelihood of relevance and acceptability of the designed intervention, especially on a college campus. Furthermore, recruiting and training college students to design a social marketing framed healthy lifestyle intervention for their peers will allow the intervention to be tailored to the needs of the campus. Objectives: To describe the process of online-course training college students to develop a campus-based, social marketing health promotion intervention. Methods: Four universities recruited current college students (18+ y.o.) to develop a social marketing and environmental intervention (SMEI), which was completed during a 16-week, online/in-person hybrid semester course. Researchers and Extension professionals trained students to design 24 weeks of intervention events that would be implemented the upcoming year. Results: Seventy-eight students enrolled in the study and social marketing and environmental intervention course among the four intervention states (Florida = 30, South Dakota = 8, Tennessee = 13, West Virginia = 27); students were predominately Caucasian (65.8%), females (84.0%), and sophomore status in college (64.9%). Throughout the semester, students assessed their campus environments, set priorities, and developed weekly events and resources needed to implement the intervention on their campuses. By the end of the semester, with researcher support, students had designed 24 weeks of intervention events (marketing, recruiting, and implementation) focusing on nutrition/food/diet, physical activity, stress management, sleep, and time management. These events and resources were catalogued into a digital toolkit of instructions and activities for each week of intervention events. Conclusion: Using a Community-Based Participatory Research approach with college students interested in health allows for the development of an intervention that stems from grass roots efforts and is tailored to the acceptability and needs of their peers.
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Liu CH, Chang FC, Liao LL, Niu YZ, Cheng CC, Shih SF, Chang TC, Chou HP. Expanding school-district/university partnerships to advance health promoting schools implementation and efficacy in Taiwan. HEALTH EDUCATION RESEARCH 2015; 30:638-646. [PMID: 26187911 DOI: 10.1093/her/cyv028] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
In 2011, the Taiwan government expanded its support of school-district/university partnership programs that promote the implementation of the evidenced-based Health Promoting Schools (HPS) program. This study examined whether expanding the support for this initiative was effective in advancing HPS implementation, perceived HPS impact and perceived HPS efficacy in Taiwan. In 2011 and 2013, a total of 647 and 1195 schools, respectively, complemented the questionnaire. Univariate analysis results indicated that the HPS implementation levels for six components were significantly increased from 2011 to 2013. These components included school health policies, physical environment, social environment, teaching activities and school-community relationships. Participant teachers also reported significantly greater levels of perceived HPS impact and HPS efficacy after the expansion of support for school-district/university partnership programs. Multivariate analysis results indicated that after controlling for school level, HPS funding and HPS action research approach variables, the expansion had a positive impact on increasing the levels of HPS implementation, perceived HPS impact and perceived HPS efficacy.
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Affiliation(s)
- Chieh-Hsing Liu
- Department of Health Promotion and Health Education, National Taiwan Normal University, 162, Ho-Ping E. Rd., Section 1, Taipei 10610, Taiwan
| | - Fong-Ching Chang
- Department of Health Promotion and Health Education, National Taiwan Normal University, 162, Ho-Ping E. Rd., Section 1, Taipei 10610, Taiwan,
| | - Li-Ling Liao
- Department of Health Management, I-Shou University, Kaohsiung City, Taiwan
| | - Yu-Zhen Niu
- Division of Health Services, Office of Student Affairs, National Chiao Tung University, Hsinchu City, Taiwan
| | - Chi-Chia Cheng
- Department of Public Health, Fu Jen Catholic University, New Taipei City, Taiwan, and
| | - Shu-Fang Shih
- Department of Health Promotion and Health Education, National Taiwan Normal University, 162, Ho-Ping E. Rd., Section 1, Taipei 10610, Taiwan
| | - Tzu-Chau Chang
- Graduate Institute of Environmental Education, National Taiwan Normal University, Taipei, Taiwan
| | - Hsin-Pei Chou
- Department of Health Promotion and Health Education, National Taiwan Normal University, 162, Ho-Ping E. Rd., Section 1, Taipei 10610, Taiwan
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Jacquez F, Vaughn LM, Wagner E. Youth as partners, participants or passive recipients: a review of children and adolescents in community-based participatory research (CBPR). AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY 2013; 51:176-89. [PMID: 22718087 DOI: 10.1007/s10464-012-9533-7] [Citation(s) in RCA: 192] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
Community-based participatory research (CBPR) is an orientation to research that places value on equitable collaborations between community members and academic partners, reflecting shared decision making throughout the research process. Although CBPR has become increasingly popular for research with adults, youth are less likely to be included as partners. In our review of the literature, we identified 399 articles described by author or MeSH keyword as CBPR related to youth. We analyzed each study to determine youth engagement. Not including misclassified articles, 27 % of percent of studies were community-placed but lacked a community partnership and/or participatory component. Only 56 (15 %) partnered with youth in some phase of the research process. Although youth were most commonly involved in identifying research questions/priorities and in designing/conducting research, most youth-partnered projects included children or adolescents in several phases of the research process. We outline content, methodology, phases of youth partnership, and age of participating youth in each CBPR with youth project, provide exemplars of CBPR with youth, and discuss the state of the youth-partnered research literature.
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Affiliation(s)
- Farrah Jacquez
- Department of Psychology, University of Cincinnati, 4150H Edwards Building One, PO Box 2120376, Cincinnati, OH 45221-0376, USA.
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