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Ezike C, Da Silva K. Technology-Based Interventions to Reduce Sugar-Sweetened Beverages among Adolescents: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:7101. [PMID: 38063531 PMCID: PMC10706072 DOI: 10.3390/ijerph20237101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Revised: 11/16/2023] [Accepted: 11/21/2023] [Indexed: 12/18/2023]
Abstract
This scoping review investigates the effectiveness of technology-based interventions in reducing sugar-sweetened beverage (SSB) consumption among adolescents. The rise in SSB consumption among young individuals has become a global public health concern due to its association with obesity, diabetes, and various other health problems. The purpose of this scoping review is to map out and examine the various technology-based interventions used in reducing sugar-sweetened beverages among children and adolescents. A systematic search of three databases using the PRISMA guideline was followed, and 474 articles were retrieved. Seven articles met the inclusion criteria and the critical appraisal using the critical appraisal skill program (CASP). The seven articles underwent both descriptive and thematic analysis. Four technology-based interventions were identified from the selected articles, which include smartphone apps, online or web-based tools, text messages, and social marketing strategies. Our findings suggest that these interventions hold promise in improving adolescents' eating patterns and health outcomes associated with SSB intake, highlighting their potential as useful strategies in resolving this urgent public health concern.
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Affiliation(s)
- Chidinma Ezike
- School of Public Health, University of Saskatchewan, Saskatoon, SK S7N 5E5, Canada
| | - Keith Da Silva
- College of Dentistry, University of Saskatchewan, Saskatoon, SK S7N 5E5, Canada;
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Aceves-Martins M, Llauradó E, Tarro L, Papell-Garcia I, Prades-Tena J, Kettner-Høeberg H, Puiggròs F, Arola L, Davies A, Giralt M, Solà R. " Som la Pera," a School-Based, Peer-Led Social Marketing Intervention to Engage Spanish Adolescents in a Healthy Lifestyle: A Parallel-Cluster Randomized Controlled Study. Child Obes 2022; 18:556-571. [PMID: 35255220 DOI: 10.1089/chi.2021.0207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Background: Encouraging adolescents to adopt healthy lifestyles can be challenging. The aim of the "Som la Pera" study was to engage adolescents by applying new strategies to increase both their fruit and vegetable consumption and their physical activity (PA), while reducing their sedentary behavior (screen time per day). Methods: In disadvantaged neighborhoods of Reus (Spain), two high schools were randomly assigned to the intervention (n = 169 adolescents, 13- to 16-year old) and two were assigned to the control group (n = 223 adolescents, 13- to 16-year old). The intervention, which lasted 12 months and spanned two academic years (2013-2015), used social marketing (SM) to improve healthy choices. The peer-led strategy involved 5 adolescents, who designed and implemented 10 activities as challenges for their 169 school-aged peers. The control group received no intervention. To assess self-reported lifestyles in both groups, the Health Behavior in School-aged Children survey was used at baseline and end of study. Results: After 12 months, the weekly PA improved in the intervention group vs. the control one (p = 0.047). When male and female groups were examined separately, the improvement in PA remained with a borderline significance only in the male group (p = 0.050). Conclusions: A school-based, peer-led SM intervention designed and implemented by adolescents attending high schools in low-income neighborhoods promoted an increase in PA, particularly in male adolescents 13 to 16 years of age. No effect on fruit or vegetable consumption or screen time was observed. Clinical Trial Registration number: NCT02157402.
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Affiliation(s)
- Magaly Aceves-Martins
- Functional Nutrition, Oxidation and Cardiovascular Disease Research Group (NFOC), The Medicine and Surgery Department, Universitat Rovira i Virgili, Reus, Spain
| | - Elisabet Llauradó
- Functional Nutrition, Oxidation and Cardiovascular Disease Research Group (NFOC), The Medicine and Surgery Department, Universitat Rovira i Virgili, Reus, Spain
| | - Lucia Tarro
- Functional Nutrition, Oxidation and Cardiovascular Disease Research Group (NFOC), The Medicine and Surgery Department, Universitat Rovira i Virgili, Reus, Spain
| | - Ignasi Papell-Garcia
- Technological Center of Nutrition and Health (CTNS)-TECNIO-URV-CEICS, Reus, Spain
| | - Jordi Prades-Tena
- Departament d'Estudis de Comunicació, Universitat Rovira i Virgili, Tarragona, Spain
| | - Helle Kettner-Høeberg
- Departament d'Estudis de Comunicació, Universitat Rovira i Virgili, Tarragona, Spain
| | - Francesc Puiggròs
- Technological Center of Nutrition and Health (CTNS)-TECNIO-URV-CEICS, Reus, Spain
| | - Lluís Arola
- Technological Center of Nutrition and Health (CTNS)-TECNIO-URV-CEICS, Reus, Spain.,Departament de Bioquímica I Biotecnologia, Nutrigenomics Research Group, Universitat Rovira i Virgili, Tarragona, Spain
| | - Amy Davies
- Health and Social Care, National Children's Bureau, London, United Kingdom
| | - Montse Giralt
- Functional Nutrition, Oxidation and Cardiovascular Disease Research Group (NFOC), The Medicine and Surgery Department, Universitat Rovira i Virgili, Reus, Spain
| | - Rosa Solà
- Functional Nutrition, Oxidation and Cardiovascular Disease Research Group (NFOC), The Medicine and Surgery Department, Universitat Rovira i Virgili, Reus, Spain.,Technological Center of Nutrition and Health (CTNS)-TECNIO-URV-CEICS, Reus, Spain.,Unit of Lipids and Arteriosclerosis Research, CIBERDEM, Hospital Universitari Sant Joan, IISPV, Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili, Reus, Spain
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Mandoh M, Redfern J, Mihrshahi S, Cheng HL, Phongsavan P, Partridge SR. Shifting From Tokenism to Meaningful Adolescent Participation in Research for Obesity Prevention: A Systematic Scoping Review. Front Public Health 2022; 9:789535. [PMID: 35004591 PMCID: PMC8734426 DOI: 10.3389/fpubh.2021.789535] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Accepted: 11/30/2021] [Indexed: 12/21/2022] Open
Abstract
Background: Traditionally, adolescent participation in research has been tokenistic. Adolescents are rarely afforded the opportunity to influence decision-making in research designed to prevent obesity. Engaging adolescents in meaningful decision-making may enhance research translation. This review aimed to analyze the current modes and nature of adolescent participation in obesity prevention research decision-making. Methods: A systematic scoping review was conducted using Arksey and O'Malley's six-stage framework. Six major databases were searched for peer-reviewed primary research studies with adolescent participation related to obesity, physical activity, and diet. Modes of adolescent participation were categorized based on the Lansdown-UNICEF conceptual framework for measuring outcomes of adolescent participation. The framework outlines three modes of meaningful participation: (i) consultative, which involves taking opinions and needs into consideration; (ii) collaborative, where adolescents are partners in the decision-making process; and (iii) adolescent-led participation where adolescents have the capacity to influence the process and outcomes. The degree of involvement in research cycles was classified based on the National Health and Medical Research Council consumer engagement framework. Five stages of the research cycle were determined: identify, design and develop, conduct, analyze and disseminate. Results: In total, 126 papers describing 71 unique studies were identified. Of these, 69% (49/71) took place in the USA, and 85% (52/61) were conducted in minority or underserved communities, while males were more likely to be under-represented. In 49% (35/71) of studies, participation was consultative and 9% (6/71) of studies involved an adolescent-led approach. Furthermore, 87% (62/71) of studies incorporated adolescent participation in one or more of the research cycle's formative phases, which involve eliciting views, opinions and idea generation. Only 11% of studies engaged adolescents in all five stages of the research cycle where adolescents could have more influence over the research process. Conclusion: Meaningful adolescent participation in the obesity prevention research cycle is limited. Empowering and mobilizing equal partnership with adolescents should be at the forefront of all adolescent-related obesity prevention research.
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Affiliation(s)
- Mariam Mandoh
- School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia
| | - Julie Redfern
- School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.,The George Institute for Global Health, The University of New South Wales, Camperdown, NSW, Australia
| | - Seema Mihrshahi
- Department of Health Systems and Populations, Macquarie University, Sydney, NSW, Australia.,Prevention Research Collaboration, Charles Perkins Centre, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
| | - Hoi Lun Cheng
- Sydney Medical School, Faculty of Medicine and Health, Discipline of Child and Adolescent Health, The University of Sydney, Sydney, NSW, Australia.,The Children's Hospital at Westmead, Academic Department of Adolescent Medicine, Sydney, NSW, Australia
| | - Philayrath Phongsavan
- Prevention Research Collaboration, Charles Perkins Centre, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
| | - Stephanie R Partridge
- School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.,Prevention Research Collaboration, Charles Perkins Centre, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia
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Llauradó E, Aceves-Martins M, Prades-Tena J, Besora-Moreno M, Papell-Garcia I, Giralt M, Davies A, Tarro L, Solà R. Adolescents encouraging healthy lifestyles through a peer-led social marketing intervention: Training and key competencies learned by peer leaders. Health Expect 2021; 25:455-465. [PMID: 34936175 PMCID: PMC8849247 DOI: 10.1111/hex.13406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2021] [Revised: 10/20/2021] [Accepted: 11/16/2021] [Indexed: 11/30/2022] Open
Abstract
Background Adolescents who participate as peer leaders can benefit and acquire competencies from their peer leadership experience. Objectives To identify the competencies gained by adolescents who participated as peer leaders in a healthy lifestyle study and to determine whether the training characteristics were related to improvement in competencies. Design The present study was part of the European Youth Tackling Obesity (EYTO) project, a multicentre social marketing intervention involving four European countries. Setting and Participants Eighteen peer leaders (aged 13–15 years, three or five leaders per country) from disadvantaged neighbourhoods received training in designing and implementing activities for their peers. Measures The peer leaders' confidence, experience and interest in 11 tasks related to lifelong learning competencies were assessed with questions rated on a colour scale at baseline and at the end of the study. Results The peer leaders demonstrated improvements in experience, confidence and interest in different tasks, such as research, website or logo design, oral presentations, social media use and collaboration with people from other countries. They increased their confidence in management tasks (p = 0.03) and their confidence and experience in communication tasks (p = 0.01). The peer leaders from Spain and Portugal had greater improvements than those from the other countries. Conclusion The peer leaders improved their confidence in management tasks and their confidence and experience in communication tasks. Slight differences were detected in improvement in competencies by country, likely due to the differences in the peer training applied. Recommendations for peer leader training are proposed, although these results should be verified with larger sample size. Patient or Public Contribution The peer leaders contributed to the design and implementation of the training and intervention.
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Affiliation(s)
- Elisabet Llauradó
- Facultat de Medicina i Ciències de la Salut, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group (NFOC-Salut), Universitat Rovira i Virgili, Reus, Spain.,Institut d'Investigació Sanitària Pere Virgili, Reus, Spain
| | - Magaly Aceves-Martins
- Facultat de Medicina i Ciències de la Salut, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group (NFOC-Salut), Universitat Rovira i Virgili, Reus, Spain
| | - Jordi Prades-Tena
- Departament d'Estudis de Comunicació, Universitat Rovira i Virgili, Tarragona, Spain
| | - Maria Besora-Moreno
- Facultat de Medicina i Ciències de la Salut, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group (NFOC-Salut), Universitat Rovira i Virgili, Reus, Spain
| | - Ignasi Papell-Garcia
- Unitat de Nutrició i Salut, Eurecat, Centre Tecnològic de Catalunya, Reus, Spain
| | - Montse Giralt
- Facultat de Medicina i Ciències de la Salut, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group (NFOC-Salut), Universitat Rovira i Virgili, Reus, Spain
| | - Amy Davies
- Health & Social Care, National Children's Bureau, London, UK
| | - Lucia Tarro
- Facultat de Medicina i Ciències de la Salut, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group (NFOC-Salut), Universitat Rovira i Virgili, Reus, Spain.,Institut d'Investigació Sanitària Pere Virgili, Reus, Spain
| | - Rosa Solà
- Facultat de Medicina i Ciències de la Salut, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group (NFOC-Salut), Universitat Rovira i Virgili, Reus, Spain.,Institut d'Investigació Sanitària Pere Virgili, Reus, Spain.,Hospital Universitari Sant Joan de Reus, Reus, Spain
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Musoke D, Ndejjo R, Lubega GB, Ekirapa-Kiracho E. Use of photovoice to explore the potential role of youth in contributing to maternal health in rural Wakiso district, Uganda. Sex Reprod Health Matters 2020; 28:1854152. [PMID: 33308091 PMCID: PMC7888067 DOI: 10.1080/26410397.2020.1854152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Despite youth constituting a large portion of the population in Uganda, their involvement in improving maternal health in their communities has been minimal. This paper explores the potential role of youth in contributing to maternal health in rural communities in Wakiso district, Uganda using photovoice. Photovoice was used as a community-based participatory research method among 10 youth (5 males and 5 females) over a period of 5 months. The photos taken by the youth were discussed in monthly meetings, and emerging data was analysed using thematic content analysis. Four themes emerged regarding how youth can contribute to improving maternal health in their communities. These themes were: community health education; advocacy for health improvement; community voluntary work; and being exemplary. The fifth and final theme provides the avenues, including drama and sports, that the youth suggested they could use for conveying messages to the community concerning maternal and general health. Health education on topics such as the importance of delivering at health facilities was emphasised. Regarding advocacy, the youth said they can be involved in reaching out to various stakeholders to raise concerns affecting maternal health. Voluntary work such as construction of energy stoves for pregnant women emerged. The youth also highlighted that they could be exemplary for instance by males accompanying their spouses during antenatal visits. With the need to continuously engage community actors in health initiatives, youth should be considered and supported as important stakeholders so they may engage in activities to improve health within their communities.
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Affiliation(s)
- David Musoke
- Lecturer, Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda
| | - Rawlance Ndejjo
- Research Associate, Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda
| | - Grace Biyinzika Lubega
- Research Assistant, Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda
| | - Elizabeth Ekirapa-Kiracho
- Senior Lecturer, Department of Health Policy, Planning and Management, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda
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6
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Firestone R, Matheson A, Firestone J, Schleser M, Yee E, Tuisano H, Kaholokula K, Ellison-Loschmann L. Developing principles of social change as a result of a Pasifika Youth Empowerment Program: A qualitative study. Health Promot J Austr 2020; 32 Suppl 2:197-205. [PMID: 32755045 PMCID: PMC8596690 DOI: 10.1002/hpja.395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2019] [Revised: 06/07/2020] [Accepted: 07/29/2020] [Indexed: 11/11/2022] Open
Abstract
ISSUE Empowerment is a concept over-used in health promotion, yet it is an important process that can used in developing the capacity and capability of young people for creating social change to improve healthier lives. METHODS The Youth Empowerment Program (YEP), a pilot study aimed at empowering 15 youth (18-24 years) to lead healthier lives. We present secondary outcomes of the original YEP study, using focus groups and mobile-mentary approaches to capture the impact of the YEP through the youths' understanding of the program. Thematic analyses to examine the pragmatic usefulness of the empowerment program. RESULTS We identified three major themes: (aa) Knowledge: education and awareness of healthy living and understanding of the wider social health issues, compound the health complexities of obesity; (b) Youth as catalysts for change: the youth viewed themselves as agents of social change; and (c) Transformation: the youth recognised themselves as catalysts for change that can positively transform communities into action. CONCLUSION This study contributes new insights and depth of understanding about how the empowerment program can strengthen the process of individual capacity in an effort to mobilise social change for the betterment of the whole community, particularly among indigenous Pasifika population groups. SO WHAT?: Developing empowerment principles will enable others to consider "how apply" empowerment more practically when working with young people and not use it flippantly with no real action-oriented outcome.
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Affiliation(s)
- Ridvan Firestone
- Centre for Public Health Research, Massey University, Wellington, New Zealand
| | - Anna Matheson
- School of Health, Faculty of Health, Victoria University of Wellington, Wellington, New Zealand
| | - Justice Firestone
- Centre for Public Health Research, Massey University, Wellington, New Zealand
| | - Max Schleser
- Department of Film and Animation, School of Arts, Social Sciences and Humanities, Faculty of Health, Arts and Design, Swinburne University of Technology, Melbourne, Australia
| | - Emily Yee
- Centre for Public Health Research, Massey University, Wellington, New Zealand
| | - Hana Tuisano
- Centre for Public Health Research, Massey University, Wellington, New Zealand
| | - Keawe'aimoku Kaholokula
- Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI, USA
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Murphy G, Corcoran C, Tatlow-Golden M, Boyland E, Rooney B. See, Like, Share, Remember: Adolescents' Responses to Unhealthy-, Healthy- and Non-Food Advertising in Social Media. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17072181. [PMID: 32218252 PMCID: PMC7177346 DOI: 10.3390/ijerph17072181] [Citation(s) in RCA: 63] [Impact Index Per Article: 15.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/29/2020] [Revised: 03/17/2020] [Accepted: 03/20/2020] [Indexed: 12/25/2022]
Abstract
Media-saturated digital environments seek to influence social media users’ behaviour, including through marketing. The World Health Organization has identified food marketing, including advertising for unhealthy items, as detrimental to health, and in many countries, regulation restricts such marketing and advertising to younger children. Yet regulation rarely addresses adolescents and few studies have examined their responses to social media advertising. In two studies, we examined adolescents’ attention, memory and social responses to advertising posts, including interactions between product types and source of posts. We hypothesized adolescents would respond more positively to unhealthy food advertising compared to healthy food or non-food advertising, and more positively to ads shared by peers or celebrities than to ads shared by a brand. Outcomes measured were (1a) social responses (likelihood to ‘share’, attitude to peer); (1b) brand memory (recall, recognition) and (2) attention (eye-tracking fixation duration and count). Participants were 151 adolescent social media users (Study 1: n = 72; 13–14 years; M = 13.56 years, SD = 0.5; Study 2: n = 79, 13–17 years, M = 15.37 years, SD = 1.351). They viewed 36 fictitious Facebook profile feeds created to show age-typical content. In a 3 × 3 factorial design, each contained an advertising post that varied by content (healthy/unhealthy/non-food) and source (peer/celebrity/company). Generalised linear mixed models showed that advertisements for unhealthy food evoked significantly more positive responses, compared to non-food and healthy food, on 5 of 6 measures: adolescents were more likely to wish to ‘share’ unhealthy posts; rated peers more positively when they had unhealthy posts in their feeds; recalled and recognised a greater number of unhealthy food brands; and viewed unhealthy advertising posts for longer. Interactions with sources (peers, celebrities and companies) were more complex but also favoured unhealthy food advertising. Implications are that regulation of unhealthy food advertising should address adolescents and digital media.
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Affiliation(s)
- Gráinne Murphy
- Media and Entertainment Lab, School of Psychology, University College Dublin, Belfield, 4 Dublin, Ireland
| | - Ciara Corcoran
- Media and Entertainment Lab, School of Psychology, University College Dublin, Belfield, 4 Dublin, Ireland
| | - Mimi Tatlow-Golden
- Faculty of Wellbeing, Education and Language Studies, The Open University, Milton Keynes MK7 6AA, UK
- Correspondence: ; Tel.: +44-1908-652684
| | - Emma Boyland
- Institute of Psychology, Health and Society, University of Liverpool, Liverpool L69 7ZA, UK
| | - Brendan Rooney
- Media and Entertainment Lab, School of Psychology, University College Dublin, Belfield, 4 Dublin, Ireland
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Aceves-Martins M, Llauradó E, Tarro L, Moriña D, Papell-Garcia I, Prades-Tena J, Kettner-Høeberg H, Puiggròs F, Arola L, Davies A, Giralt M, Solà R. Response to: Comment About Statistical Analysis of a Cluster-Randomized Trial About Clustering and Nesting (DOI: 10.1089/chi.2019.0142). Child Obes 2020; 16:67-69. [PMID: 32078371 DOI: 10.1089/chi.2019.0265] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Magaly Aceves-Martins
- Universitat Rovira i Virgili, Facultat de Medicina i Ciències de la Salut, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group (NFOC-Salut), Health Education and Promotion, Reus, Spain.,Health Services Research Unit, Health Sciences Building, University of Aberdeen, Foresterhill, Aberdeen, United Kingdom
| | - Elisabet Llauradó
- Universitat Rovira i Virgili, Facultat de Medicina i Ciències de la Salut, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group (NFOC-Salut), Health Education and Promotion, Reus, Spain
| | - Lucia Tarro
- Universitat Rovira i Virgili, Facultat de Medicina i Ciències de la Salut, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group (NFOC-Salut), Health Education and Promotion, Reus, Spain.,Eurecat, Centre Tecnològic de Catalunya, Unitat de Nutrició i Salut, Reus, Spain
| | - David Moriña
- Barcelona Graduate School of Mathematics (BGSMath), Departament de Matemàtiques, Universitat Autònoma de Barcelona (UAB), Barcelona, Spain
| | - Ignasi Papell-Garcia
- Eurecat, Centre Tecnològic de Catalunya, Unitat de Nutrició i Salut, Reus, Spain
| | - Jordi Prades-Tena
- Departament d'Estudis de Comunicació, Universitat Rovira i Virgili, Tarragona, Spain
| | - Helle Kettner-Høeberg
- Departament d'Estudis de Comunicació, Universitat Rovira i Virgili, Tarragona, Spain
| | - Francesc Puiggròs
- Eurecat, Centre Tecnològic de Catalunya, Unitat de Nutrició i Salut, Reus, Spain
| | - Lluís Arola
- Eurecat, Centre Tecnològic de Catalunya, Unitat de Nutrició i Salut, Reus, Spain.,Nutrigenomics Research Group, Departament de Bioquímica I Biotecnologia, Universitat Rovira i Virgili, Tarragona, Spain
| | - Amy Davies
- Health and Social Care, National Children's Bureau, London, United Kingdom
| | - Montse Giralt
- Universitat Rovira i Virgili, Facultat de Medicina i Ciències de la Salut, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group (NFOC-Salut), Health Education and Promotion, Reus, Spain.,Unit of Pharmacology, Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili, Reus, Spain
| | - Rosa Solà
- Universitat Rovira i Virgili, Facultat de Medicina i Ciències de la Salut, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group (NFOC-Salut), Health Education and Promotion, Reus, Spain.,Eurecat, Centre Tecnològic de Catalunya, Unitat de Nutrició i Salut, Reus, Spain.,Department of Internal Medicine, Hospital Universitari Sant Joan, Reus, Spain
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Golzarri-Arroyo L, Oakes JM, Brown AW, Allison DB. Incorrect Analyses of Cluster-Randomized Trials that Do Not Take Clustering and Nesting into Account Likely Lead to p-Values that Are Too Small. Child Obes 2020; 16:65-66. [PMID: 32078372 PMCID: PMC7047086 DOI: 10.1089/chi.2019.0142] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
| | - J. Michael Oakes
- School of Public Health, University of Minnesota, Minneapolis, MN
| | - Andrew W. Brown
- School of Public Health, Indiana University—Bloomington, Bloomington, IN
| | - David B. Allison
- School of Public Health, Indiana University—Bloomington, Bloomington, IN.,Address correspondence to, David B. Allison, PhD, School of Public Health—Bloomington, Indiana University, 1025 E. 7th Street, Bloomington, IN 47405
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10
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Garrido-Fernández A, García-Padilla FM, Sánchez-Ramos JL, Gómez-Salgado J, Travé-González GH, Sosa-Cordobés E. Food Consumed by High School Students during the School Day. Nutrients 2020; 12:E485. [PMID: 32075022 PMCID: PMC7071212 DOI: 10.3390/nu12020485] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2019] [Revised: 02/05/2020] [Accepted: 02/10/2020] [Indexed: 01/17/2023] Open
Abstract
The development of healthy eating habits in adolescence is perceived as an effective strategy to avoid health problems in adulthood. The involvement of educational centres' governing boards, as well as the Educational State and Regional Administrations', may be necessary to create healthy food environments during the school day. The objective of this study is to identify the relationship between students' eating habits during the school day and sociodemographic, family and physical activity variables, as well as the existence of a school cafeteria. For this, a cross-sectional study in a stratified random sample of 8068 students of Public Secondary Education High Schools of Andalusia (Spain) has been carried out. The results show that students who are 14 years old or older are more likely to skip breakfast at home (odds ratio (OR): 1.81, 95% confidence interval (CI): 1.55-2.12) than those under this age. Students whose mothers do not have a university education are more likely to consume incomplete breakfasts (OR: 1.83, 95% CI: 1.26-2.65). Snacks with sweets (OR: 1.93, 95% CI: 1.67-2.23), candy in general (OR: 2.75, 95% CI: 2.38-3.19), and bagged crisps (OR: 3.06, 95% CI: 2.65-3.54) were more likely to be consumed in schools with a cafeteria. The factors that significantly influence the eating habits of secondary students in Andalusia include age, sex, parental level of education, physical activity and the existence of a cafeteria.
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Affiliation(s)
| | | | | | - Juan Gómez-Salgado
- Department of Sociology, Social Work and Public Health, University of Huelva, 21007 Huelva, Spain
- Safety and Health Postgraduate Programme, Universidad Espíritu Santo, 092301 Guayaquil, Ecuador
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Aceves-Martins M, Aleman-Diaz AY, Giralt M, Solà R. Involving young people in health promotion, research and policy-making: practical recommendations. Int J Qual Health Care 2019; 31:147-153. [PMID: 29788085 DOI: 10.1093/intqhc/mzy113] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2017] [Revised: 04/05/2018] [Accepted: 05/08/2018] [Indexed: 11/13/2022] Open
Abstract
Youth is a dynamic and complex transition period in life where many factors jeopardise its present and future health. Youth involvement enables young people to influence processes and decisions that affect them, leading to changes in themselves and their environment (e.g. peers, services, communities and policies); this strategy could be applied to improve health and prevent diseases. Nonetheless, scientific evidence of involving youth in health-related programmes is scarce. The aim of this paper is to describe youth involvement as a health promotion strategy and to compile practical recommendations for health promoters, researchers and policy-makers interested in successful involvement of young people in health-related programmes. These suggestions aim to encourage a positive working synergy between adults and youth during the development, implementation and evaluation of policies, research and/or health promotion efforts that target adolescents.
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Affiliation(s)
- Magaly Aceves-Martins
- WHO Collaborative Centre for International Child and Adolescent Health Policy, University of St Andrews, St Andrews, Fife, Scotland, UK.,Child and Adolescent Health Research Unit, School of Medicine, Medical and Biological Sciences Building, University of St Andrews, St Andrews, Fife, Scotland, UK.,Health Education and Promotion, Medicine and Surgery Department, Universitat Rovira i Virgili, Reus, Spain.,Functional Nutrition, Oxidation and Cardiovascular Disease Research Group, Medicine and Surgery Department, Universitat Rovira i Virgili, Reus, Spain
| | - Aixa Y Aleman-Diaz
- WHO Collaborative Centre for International Child and Adolescent Health Policy, University of St Andrews, St Andrews, Fife, Scotland, UK.,Child and Adolescent Health Research Unit, School of Medicine, Medical and Biological Sciences Building, University of St Andrews, St Andrews, Fife, Scotland, UK
| | - Montse Giralt
- Health Education and Promotion, Medicine and Surgery Department, Universitat Rovira i Virgili, Reus, Spain.,Functional Nutrition, Oxidation and Cardiovascular Disease Research Group, Medicine and Surgery Department, Universitat Rovira i Virgili, Reus, Spain
| | - Rosa Solà
- Health Education and Promotion, Medicine and Surgery Department, Universitat Rovira i Virgili, Reus, Spain.,Functional Nutrition, Oxidation and Cardiovascular Disease Research Group, Medicine and Surgery Department, Universitat Rovira i Virgili, Reus, Spain
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12
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Tarro L, Llauradó E, Aceves-Martins M, Moriña D, Papell-Garcia I, Arola L, Giralt M, Solà R. Impact of a youth-led social marketing intervention run by adolescents to encourage healthy lifestyles among younger school peers (EYTO-Kids project): a parallel-cluster randomised controlled pilot study. J Epidemiol Community Health 2019; 73:324-333. [PMID: 30683803 PMCID: PMC6581153 DOI: 10.1136/jech-2017-210163] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2017] [Revised: 11/20/2018] [Accepted: 12/13/2018] [Indexed: 11/05/2022]
Abstract
BACKGROUND Encouraging healthy lifestyles in children is a challenge. This project aimed to improve lifestyles of younger peers by engaging adolescent creators (ACs) to design and implement peer-led and social marketing (SM) health-promoting activities. METHODS A 10-month parallel-cluster randomised controlled school-based pilot study was performed in disadvantaged neighbourhoods in Reus (Spain) spanning two academic years (2015-2016/2016-2017). Eight primary schools (n=375 children) and four high schools (n=94ACs) were randomly placed in the intervention group. The 94 ACs (12-14 years) designed and implemented four SM activities for their younger peers (9-11 years). Eight primary schools (n=327 children) and three high schools (n=98 adolescents) served as the control group and received no intervention. Primary (physical activity and fruit consumption) and secondary outcomes (screen time, vegetables, soft drinks, sweets and fast food consumptions) were assessed with validated questionnaires at baseline and at the end of the study. RESULTS After 10 months, fruit consumption and physical activity were maintained in the children who consumed ≥1 fruit/day and spent ≥6 hours/week physical activity. However, compared with the controls, the intervention significantly increased the physical activity of girls to 15.6 min/week, whereas the percentage of girls who consumed sweets, soft drinks and fast food decreased significantly by 8.4%, 14.5% and 5.9%, respectively. Additionally, the percentage of ≥2 hour/weekday of screen time by boys decreased significantly by 8.2%. CONCLUSION The European Youth Tackling Obesity-Kids, SM and peer-led intervention, effectively increased physical activity hours/week in girls, but was not effective in improving the percentage of children who consumed the recommended fruit. Moreover, the percentages of girls who consumed sweets, soft drinks and fast food and boys screen time decreased. TRIAL REGISTRATION NUMBER NCT02702336; Pre-results.
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Affiliation(s)
- Lucia Tarro
- Medicine and Surgery and Basical Medical Sciences, Universitat Rovira i Virgili, Facultat de Medicina i Ciències de la Salut, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group (NFOC-Salut), Health Education and Promotion, C/ Sant Llorenç, 21, Reus (43201), Spain, Reus, Spain
- Health and Nutrition, Eurecat, Centre Tecnològic de Catalunya, Unitat de Nutrició i Salut, Avinguda Universitat 1, Reus, Catalonia, Spain
| | - Elisabet Llauradó
- Medicine and Surgery and Basical Medical Sciences, Universitat Rovira i Virgili, Facultat de Medicina i Ciències de la Salut, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group (NFOC-Salut), Health Education and Promotion, C/ Sant Llorenç, 21, Reus (43201), Spain, Reus, Spain
| | - Magaly Aceves-Martins
- Medicine and Surgery and Basical Medical Sciences, Universitat Rovira i Virgili, Facultat de Medicina i Ciències de la Salut, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group (NFOC-Salut), Health Education and Promotion, C/ Sant Llorenç, 21, Reus (43201), Spain, Reus, Spain
| | - David Moriña
- Infections and Cancer-Information and Interventions, Unit of Infections and Cancer-Information and Interventions (UNIC-I&I), Catalan Institute of Oncology (ICO)-IDIBELL, L’Hospitalet de Llobregat, Barcelona, Catalonia, Spain
| | - Ignasi Papell-Garcia
- Health and Nutrition, Eurecat, Centre Tecnològic de Catalunya, Unitat de Nutrició i Salut, Avinguda Universitat 1, Reus, Catalonia, Spain
| | - Lluis Arola
- Health and Nutrition, Eurecat, Centre Tecnològic de Catalunya, Unitat de Nutrició i Salut, Avinguda Universitat 1, Reus, Catalonia, Spain
- Bioquímica i Biotecnologia, Universitat Rovira i Virgili, Departament de Bioquímica i Biotecnologia, Nutrigenomics Research Group, Campus Sescelades C/ Marcel·lí Domingo, 1 43007 Tarragona, Tarragona, Catalonia, Spain
| | - Montse Giralt
- Medicine and Surgery and Basical Medical Sciences, Universitat Rovira i Virgili, Facultat de Medicina i Ciències de la Salut, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group (NFOC-Salut), Health Education and Promotion, C/ Sant Llorenç, 21, Reus (43201), Spain, Reus, Spain
- Pharmacology, Universitat Rovira i Virgili Facultat de Medicina I Ciences de la Salut, C/ Sant Llorenç, 21, Reus (43201), Spain, Reus, Catalonia, Spain
| | - Rosa Solà
- Medicine and Surgery and Basical Medical Sciences, Universitat Rovira i Virgili, Facultat de Medicina i Ciències de la Salut, Functional Nutrition, Oxidation, and Cardiovascular Diseases Group (NFOC-Salut), Health Education and Promotion, C/ Sant Llorenç, 21, Reus (43201), Spain, Reus, Spain
- Health and Nutrition, Eurecat, Centre Tecnològic de Catalunya, Unitat de Nutrició i Salut, Avinguda Universitat 1, Reus, Catalonia, Spain
- Internal Medicine, Hospital Universitari Sant Joan de Reus, Avinguda Bellissens, 2, 43204 Reus, Spain, Reus, Catalunya, Spain
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13
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Llauradó E, Aceves-Martins M, Tarro L, Papell-Garcia I, Puiggròs F, Prades-Tena J, Kettner H, Arola L, Giralt M, Solà R. The "Som la Pera" intervention: sustainability capacity evaluation of a peer-led social-marketing intervention to encourage healthy lifestyles among adolescents. Transl Behav Med 2019; 8:739-744. [PMID: 29444293 DOI: 10.1093/tbm/ibx065] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Sustainability capacity, always considered a challenge, is the ability to maintain effective long-term intervention in a community. The aim of the study was to improve the sustainability capacity of effective "Som la Pera," a school-based, peer-led, social-marketing intervention that encourages healthy diet and physical activity, in low socioeconomic adolescents from Spain. The sustainability capacity was analyzed by a "programme sustainability assessment tool (PSAT)" comprising eight domains: political support, funding stability, partnerships, organizational capacity, programme evaluation, programme adaptation, communications, and strategic planning. Each domain was evaluated from 1 (no or to a small extent) to 7 points (to a great extent). The final score for sustainability capacity was the mean of the eight domain scores. The PSAT was assessed by nine professionals (researchers, staff members, and stakeholders) at two periods during intervention implementation: end of the first year (January 2015) and end of the second year (September 2015). At the end of the first year, strategic planning (4.43 ± 1.98) and funding stability (4.38 ± 1) were considered deficient domains, and at the end of the second year, these domains had improved by 1.67 points (p =.043) and 0.59 points (p = .159), respectively. The funding stability increase was not significant because only one of the five specific items, "policies implemented to ensure sustained funding," improved by 1.08 points (p = .036). The sustainability capacity final score was 5.93 ± 1.13. The sustainability capacity assessment during the intervention allows its improvement before the programme expires, ensuring the long-term implementation of the "Som la Pera" intervention programme to encourage healthy lifestyles in adolescents.
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Affiliation(s)
- Elisabet Llauradó
- Health Education and Promotion, Facultat de Medicina i Ciències de la Salut, Funtional Nutrition, Oxidation and Cardiovascular Disease Research Group (NFOC-Salut), Universitat Rovira i Virgili, Reus, Spain
| | - Magaly Aceves-Martins
- Health Education and Promotion, Facultat de Medicina i Ciències de la Salut, Funtional Nutrition, Oxidation and Cardiovascular Disease Research Group (NFOC-Salut), Universitat Rovira i Virgili, Reus, Spain
| | - Lucia Tarro
- Health Education and Promotion, Facultat de Medicina i Ciències de la Salut, Funtional Nutrition, Oxidation and Cardiovascular Disease Research Group (NFOC-Salut), Universitat Rovira i Virgili, Reus, Spain
- Technological Unit of Nutrition and Health, EURECAT-Technology Centre of Catalonia, Avinguda Universitat 1, Reus, Spain
| | - Ignasi Papell-Garcia
- Technological Unit of Nutrition and Health, EURECAT-Technology Centre of Catalonia, Avinguda Universitat 1, Reus, Spain
| | - Francesc Puiggròs
- Technological Unit of Nutrition and Health, EURECAT-Technology Centre of Catalonia, Avinguda Universitat 1, Reus, Spain
| | - Jordi Prades-Tena
- Departamento de Estudios de Comunicación, Universitat Rovira i Virgili, Tarragona, Spain
| | - Helle Kettner
- Departamento de Estudios de Comunicación, Universitat Rovira i Virgili, Tarragona, Spain
| | - Lluis Arola
- Technological Unit of Nutrition and Health, EURECAT-Technology Centre of Catalonia, Avinguda Universitat 1, Reus, Spain
- Departament de Bioquímica i Biotecnologia, Nutrigenomics Research Group, Universitat Rovira i Virgili, Tarragona, Spain
| | - Montse Giralt
- Health Education and Promotion, Facultat de Medicina i Ciències de la Salut, Funtional Nutrition, Oxidation and Cardiovascular Disease Research Group (NFOC-Salut), Universitat Rovira i Virgili, Reus, Spain
- Unit of Farmacobiology, Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili, Reus, Spain
| | - Rosa Solà
- Health Education and Promotion, Facultat de Medicina i Ciències de la Salut, Funtional Nutrition, Oxidation and Cardiovascular Disease Research Group (NFOC-Salut), Universitat Rovira i Virgili, Reus, Spain
- Technological Unit of Nutrition and Health, EURECAT-Technology Centre of Catalonia, Avinguda Universitat 1, Reus, Spain
- Internal medicine department, Hospital Universitari Sant Joan de Reus, IISPV, Reus, Spain
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14
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Cassetti V, Paredes-Carbonell JJ, López Ruiz V, García AM, Salamanca Bautista P. [Evidence of community engagement in health in Spain: thoughts and proposals. SESPAS Report 2018]. GACETA SANITARIA 2018; 32 Suppl 1:41-47. [PMID: 30236496 DOI: 10.1016/j.gaceta.2018.07.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Revised: 07/02/2018] [Accepted: 07/12/2018] [Indexed: 11/25/2022]
Abstract
Community engagement has recently become key in the development of health promotion programmes at a local level. However, evidence-based tools are necessary to implement strategies and interventions with a participatory approach. The objective of this article is to reflect on the existing evidence in Spain about community engagement in health, drawing on the results of the AdaptA GPS Project (Adapt and Apply Health Promotion Guidelines), intended to adapt NICE guideline NG44 on community engagement to improve health and wellbeing, and to reduce inequalities. After describing the methodology for the adaptation process, we discuss some of the findings from the review of the evidence on community engagement in the Spanish context. We ask whether the limited evidence identified is due to the difficulties involved in evaluating these interventions, or to the lack of interest in these programmes and the limited resources and funding dedicated to them. Two recommendations are proposed: to promote more and better research, fostering training, research and evaluation towards the development of community engagement interventions in health, and to promote more and better interventions using evidence-based tools, supporting their long-term sustainability by taking into account the time needed for community engagement programmes to be properly developed. Generating more evidence on community engagement in health in Spain will allow us to learn from successful processes and encourage the transfer of good practice to different contexts.
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Affiliation(s)
- Viola Cassetti
- Grupo de Trabajo PACAP de la SVMFyC, Valencia, España; University of Sheffield, ScHARR, Sheffield, Reino Unido.
| | - Joan J Paredes-Carbonell
- Centre de Salut Pública d'Alzira, Conselleria de Sanitat Universal i Salut Pública, Alzira, Valencia, España; Fundació FISABIO de la Comunitat Valenciana, Valencia, España; Facultat d'Infermeria i Podologia, Universitat de València, Valencia, España
| | - Victoria López Ruiz
- Ayuntamiento de Córdoba, Córdoba, España; Escuela Andaluza de Salud Pública, Granada, España
| | - Ana M García
- Dirección General de Salud Pública, Consellería de Sanitat Universal i Salut Pública, Valencia, España
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15
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Bevelander KE, Smit CR, van Woudenberg TJ, Buijs L, Burk WJ, Buijzen M. Youth's social network structures and peer influences: study protocol MyMovez project - Phase I. BMC Public Health 2018; 18:504. [PMID: 29661223 PMCID: PMC5902932 DOI: 10.1186/s12889-018-5353-5] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2017] [Accepted: 03/21/2018] [Indexed: 11/24/2022] Open
Abstract
Background Youth are an important target group for social network interventions, because they are particularly susceptible to the adaptation of healthy and unhealthy habits and behaviors of others. They are surrounded by ‘social influence agents’ (i.e., role models such as family, friends and peers) that co-determine their dietary intake and physical activity. However, there is a lack of systematic and comprehensive research on the implementation of a social network approach in health campaigns. The MyMovez research project aims to fill this gap by developing a method for effective social network campaign implementation. This protocol paper describes the design and methods of Phase I of the MyMovez project, aiming to unravel youth’s social network structures in combination with individual, psychosocial, and environmental factors related to energy intake and expenditure. In addition, the Wearable Lab is developed to enable an attractive and state-of-the-art way of collecting data and online campaign implementation via social networks. Methods Phase I of the MyMovez project consists of a large-scale cross-sequential cohort study (N = 953; 8-12 and 12-15 y/o). In five waves during a 3-year period (2016-2018), data are collected about youth’s social network exposure, media consumption, socialization experiences, psychological determinants of behavior, physical environment, dietary intake (snacking and drinking behavior) and physical activity using the Wearable Lab. The Wearable Lab exists of a smartphone-based research application (app) connected to an activity tracking bracelet, that is developed throughout the duration of the project. It generates peer- and self-reported (e.g., sociometric data and surveys) and experience sampling data, social network beacon data, real-time physical activity data (i.e., steps and cycling), location information, photos and chat conversation data from the app’s social media platform Social Buzz. Discussion The MyMovez project - Phase I is an innovative cross-sequential research project that investigates how social influences co-determine youth’s energy intake and expenditure. This project utilizes advanced research technologies (Wearable Lab) that provide unique opportunities to better understand the underlying processes that impact youths’ health-related behaviors. The project is theoretically and methodologically pioneering and produces a unique and useful method for successfully implementing and improving health campaigns. Electronic supplementary material The online version of this article (10.1186/s12889-018-5353-5) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Kirsten E Bevelander
- Behavioural Science Institute, Radboud University, Communication Science, P.O. Box 9104, 6500 HE, Nijmegen, The Netherlands
| | - Crystal R Smit
- Behavioural Science Institute, Radboud University, Communication Science, P.O. Box 9104, 6500 HE, Nijmegen, The Netherlands
| | - Thabo J van Woudenberg
- Behavioural Science Institute, Radboud University, Communication Science, P.O. Box 9104, 6500 HE, Nijmegen, The Netherlands
| | - Laura Buijs
- Behavioural Science Institute, Radboud University, Communication Science, P.O. Box 9104, 6500 HE, Nijmegen, The Netherlands
| | - William J Burk
- Behavioural Science Institute, Radboud University, Communication Science, P.O. Box 9104, 6500 HE, Nijmegen, The Netherlands
| | - Moniek Buijzen
- Behavioural Science Institute, Radboud University, Communication Science, P.O. Box 9104, 6500 HE, Nijmegen, The Netherlands.
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Mumm J, Hearst MO, Shanafelt A, Wang Q, Leduc R, Nanney MS. Increasing Social Support for Breakfast: Project BreakFAST. Health Promot Pract 2017; 18:862-868. [PMID: 28580864 PMCID: PMC5812727 DOI: 10.1177/1524839917711123] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
High school students in the United States are known to be frequent skippers of breakfast. Social support is one key element needed to encourage adolescents to consume school breakfast. This article presents an analysis of the influence of a school policy and environment change intervention on the social support of adolescents to eat breakfast. METHOD The intervention included school policy changes in 16 schools randomized to intervention and delayed-intervention conditions, in order to allow quick and easy access to breakfast as well as to allow breakfast consumption in classrooms and hallways; a School Breakfast Program marketing campaign to address normative and attitudinal beliefs; and increasing social support and role modeling to encourage breakfast eating. The participants in the study completed an online survey at baseline and again postintervention. RESULTS The final analysis included only students who completed the relevant survey (n = 904) items on both the baseline and follow-up surveys. The students in the intervention group showed a higher level of social support post intervention than the control group with a significant adjusted p of .02. Most of the overall social support change was explained by a change in the "other kids at my school" and "other school staff" categories. CONCLUSIONS The BreakFAST study shows the benefits of school staff and kids other than friends supporting a behavior change to include breakfast consumption in adolescents.
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Affiliation(s)
- Julie Mumm
- St. Catherine University, St. Paul, MN, USA
| | | | - Amy Shanafelt
- University of Minnesota–Twin Cities, Minneapolis, MN, USA
| | - Qi Wang
- University of Minnesota–Twin Cities, Minneapolis, MN, USA
| | - Robert Leduc
- University of Minnesota–Twin Cities, Minneapolis, MN, USA
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17
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Tarro L, Aceves-Martins M, Papell-Garcia I, Arola L, Giralt M, Llauradó E, Solà R. A Youth-Led, Social Marketing Intervention Run by Adolescents to Encourage Healthy Lifestyles among Younger School Peers (EYTO-Kids Project): A Protocol for Pilot Cluster Randomized Controlled Trial (Spain). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14080923. [PMID: 32962313 PMCID: PMC5580625 DOI: 10.3390/ijerph14080923] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/03/2017] [Revised: 08/14/2017] [Accepted: 08/15/2017] [Indexed: 12/24/2022]
Abstract
Introduction: The EYTO-kids (European Youth Tackling Obesity in Adolescents and Children) study aims to increase fruit and/or vegetable consumption and physical activity, decrease sedentary lifestyles, and reduce the intake of sugary drinks and fast food using an innovative methodology based on social marketing and youth involvement. Methods: This study is a pilot school-based cluster randomized controlled 10-month intervention spanning two academic years (2015–2016 and 2016–2017), with eight primary schools and three high schools randomized into and designated the control group and eight primary schools and four high schools designated the intervention group in Reus, Spain. At least 301 younger school peers per group should be included. At the intervention high schools, the adolescent creators (ACs) receive an initial 16-h training session. In total, 26–32 high school ACs (12–14 years) from the four high schools will design and implement four health-promotion activities (1 h/each) for their younger (8–10 years), primary school peers. The control group will not receive any intervention. The outcomes (fruit, vegetable, fast food and sugary drink consumption; physical activity; and sedentary behaviors) of the control and intervention groups will be measured pre- and post-intervention. Conclusion: This study describes a protocol for pilot, peer-led, social marketing and youth-involved intervention, where adolescents design and implement activities for their younger peers to promote healthy lifestyles.
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Affiliation(s)
- Lucia Tarro
- Health Education and Promotion, Functional Nutrition, Oxidation and Cardiovascular Diseases Group (NFOC-Salut), Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili, C/Sant Llorenç 21, 43204 Reus, Spain; (L.T.); (M.A.-M.); (M.G.); (R.S.)
- Eurecat Reus: Technological Centre of Nutrition and Health (CTNS) -TECNIO-URV-CEICS, Av. Universitat 1, 43204 Reus, Spain; (I.P.-G.); (L.A.)
| | - Magaly Aceves-Martins
- Health Education and Promotion, Functional Nutrition, Oxidation and Cardiovascular Diseases Group (NFOC-Salut), Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili, C/Sant Llorenç 21, 43204 Reus, Spain; (L.T.); (M.A.-M.); (M.G.); (R.S.)
| | - Ignasi Papell-Garcia
- Eurecat Reus: Technological Centre of Nutrition and Health (CTNS) -TECNIO-URV-CEICS, Av. Universitat 1, 43204 Reus, Spain; (I.P.-G.); (L.A.)
| | - Lluís Arola
- Eurecat Reus: Technological Centre of Nutrition and Health (CTNS) -TECNIO-URV-CEICS, Av. Universitat 1, 43204 Reus, Spain; (I.P.-G.); (L.A.)
- Departament de Bioquímica i Biotecnologia, Nutrigenomics Research Group, Universitat Rovira i Virgili, C/Marcel·lí Domingo 1, 43007 Tarragona, Spain
| | - Montse Giralt
- Health Education and Promotion, Functional Nutrition, Oxidation and Cardiovascular Diseases Group (NFOC-Salut), Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili, C/Sant Llorenç 21, 43204 Reus, Spain; (L.T.); (M.A.-M.); (M.G.); (R.S.)
- Unit of Pharmacology, Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili, C/Sant Llorenç 21, 43204 Reus, Spain
| | - Elisabet Llauradó
- Health Education and Promotion, Functional Nutrition, Oxidation and Cardiovascular Diseases Group (NFOC-Salut), Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili, C/Sant Llorenç 21, 43204 Reus, Spain; (L.T.); (M.A.-M.); (M.G.); (R.S.)
- Correspondence: ; Tel.: +34-977-758-920; Fax: +34-977-759-322
| | - Rosa Solà
- Health Education and Promotion, Functional Nutrition, Oxidation and Cardiovascular Diseases Group (NFOC-Salut), Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili, C/Sant Llorenç 21, 43204 Reus, Spain; (L.T.); (M.A.-M.); (M.G.); (R.S.)
- CIBERDEM, Hospital Universitari Sant Joan, IISPV, Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili, C/Sant Llorenç 21, 43204 Reus, Spain
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18
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Aceves-Martins M, Llauradó E, Tarro L, Moriña D, Papell-Garcia I, Prades-Tena J, Kettner-Høeberg H, Puiggròs F, Arola L, Davies A, Giralt M, Solà R. A School-Based, Peer-Led, Social Marketing Intervention To Engage Spanish Adolescents in a Healthy Lifestyle ("We Are Cool"-Som la Pera Study): A Parallel-Cluster Randomized Controlled Study. Child Obes 2017; 13:300-313. [PMID: 28448174 DOI: 10.1089/chi.2016.0216] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Encouraging adolescents to adopt healthy lifestyles can be challenging. The aim of the "Som la Pera" study was to engage adolescents by applying new strategies to increase both their fruit and vegetable consumption and their physical activity (PA) while reducing their sedentary behavior. METHODS In disadvantaged neighborhoods of Reus (Spain), two high schools were randomly assigned to the intervention (n = 170 adolescents 13- to 16-year-olds) and two were assigned to the control group (n = 223 adolescents 13- to 16-year-olds). The intervention, which lasted 12 months and spanned 2 academic years (2013-2015), used social marketing (SM) to improve healthy choices. The peer-led strategy involved 5 adolescents who designed and implemented 10 activities as challenges for their 165 school-aged peers. The control group received no intervention. To assess self-reported lifestyles in both groups, the Health Behavior in School-Aged Children Survey was used at baseline and end of study. RESULTS After 12 months, intervention adolescents showed an increase of 28.9% in ≥1 fruit/day (p < 0.01) and of 18.5% in ≥6 hours/week of PA (p < 0.01) compared with controls. Additionally, intervention group males had an increase of 28.8% in ≥1 vegetable/day (p < 0.01) and of 15.6% in ≤2 hours/day of sedentary activity (p = 0.01) compared with controls. CONCLUSIONS A school-based, peer-led, SM intervention developed by adolescents attending high schools in low-income neighborhoods effectively improved the healthy choices of their school-aged peers, leading to increased fruit consumption and PA in adolescents of both genders. Furthermore, adolescent males were more sensitive to improvements in healthy choices, showing increased vegetable consumption and decreased sedentary behavior.
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Affiliation(s)
- Magaly Aceves-Martins
- 1 Health Education and Promotion, Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili , Reus, Spain .,2 Functional Nutrition, Oxidation, and Cardiovascular Disease Research Group (NFOC), the Medicine and Surgery Department, Universitat Rovira i Virgili , Reus, Spain
| | - Elisabet Llauradó
- 1 Health Education and Promotion, Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili , Reus, Spain .,2 Functional Nutrition, Oxidation, and Cardiovascular Disease Research Group (NFOC), the Medicine and Surgery Department, Universitat Rovira i Virgili , Reus, Spain
| | - Lucia Tarro
- 1 Health Education and Promotion, Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili , Reus, Spain .,2 Functional Nutrition, Oxidation, and Cardiovascular Disease Research Group (NFOC), the Medicine and Surgery Department, Universitat Rovira i Virgili , Reus, Spain
| | - David Moriña
- 3 Unit of Infections and Cancer (UNIC), Cancer Epidemiology Research Program (CERP), Catalan Institute of Oncology (ICO)-IDIBELL , L'Hospitalet de Llobregat, Barcelona, Spain
| | | | - Jordi Prades-Tena
- 5 Departament d'Estudis de Comunicació, Universitat Rovira i Virgili , Tarragona, Spain
| | - Helle Kettner-Høeberg
- 5 Departament d'Estudis de Comunicació, Universitat Rovira i Virgili , Tarragona, Spain
| | | | - Lluís Arola
- 4 Eurecat, Technology Centre of Catalonia , Reus, Spain .,6 Departament de Bioquímica I Biotecnologia, Nutrigenomics Research Group, Universitat Rovira i Virgili , Tarragona, Spain
| | - Amy Davies
- 7 Health & Social Care, National Children's Bureau , London, United Kingdom
| | - Montse Giralt
- 1 Health Education and Promotion, Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili , Reus, Spain .,2 Functional Nutrition, Oxidation, and Cardiovascular Disease Research Group (NFOC), the Medicine and Surgery Department, Universitat Rovira i Virgili , Reus, Spain .,8 Unit of Pharmacology, Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili , Reus, Spain
| | - Rosa Solà
- 1 Health Education and Promotion, Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili , Reus, Spain .,2 Functional Nutrition, Oxidation, and Cardiovascular Disease Research Group (NFOC), the Medicine and Surgery Department, Universitat Rovira i Virgili , Reus, Spain .,4 Eurecat, Technology Centre of Catalonia , Reus, Spain .,9 Unit of Lipids and Arteriosclerosis Research, CIBERDEM, Hospital Universitari Sant Joan , IISPV, Facultat de Medicina i Ciències de la Salut, Universitat Rovira i Virgili, Reus, Spain
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Huhman M, Kelly RP, Edgar T. Social Marketing as a Framework for Youth Physical Activity Initiatives: a 10-Year Retrospective on the Legacy of CDC's VERB Campaign. Curr Obes Rep 2017; 6:101-107. [PMID: 28421471 DOI: 10.1007/s13679-017-0252-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
PURPOSE OF REVIEW In 2002, the U.S. Centers for Disease Control and Prevention (CDC) launched the VERB. It's what you do! campaign to increase physical activity among tweens and concomitantly respond to the rise in childhood obesity. This retrospective study summarizes the history of the VERB campaign's social marketing approach and its effectiveness in promoting behavior change in the targeted population. RECENT FINDINGS The legacy of VERB, which ended in 2006, is discussed, with an emphasis on examining initiatives over the last decade and the degree to which they followed (or did not follow) the structural and thematic lead of the campaign. The article ends with suggestions for how VERB still has the potential to inform other social marketing campaigns going forward.
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Affiliation(s)
- Marian Huhman
- Department of Communication, University of Illinois at Urbana-Champaign, 3001 Lincoln Hall, 702 S. Wright Street, MC 456, Urbana, IL, 61801, USA.
| | - Ryan P Kelly
- Department of Public Health and Community Medicine, Tufts University School of Medicine, 136 Harrison Avenue, Boston, MA, 02111, USA
| | - Timothy Edgar
- Department of Public Health and Community Medicine, Tufts University School of Medicine, 136 Harrison Avenue, Boston, MA, 02111, USA
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Bullock A, Barnes E, Morris ZS, Fairbank J, de Pury J, Howell R, Denman S. Getting the most out of knowledge and innovation transfer agents in health care: a qualitative study. HEALTH SERVICES AND DELIVERY RESEARCH 2016. [DOI: 10.3310/hsdr04330] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
BackgroundKnowledge and innovation transfer (KIT) is recognised internationally as a complex, dynamic process that is difficult to embed in organisations. There is growing use of health service–academic–industry collaborations in the UK, with knowledge brokers linking producers with the users of knowledge and innovation.AimFocusing on KIT ‘agent’ roles within Academic Health Science Networks in England and Partnerships in Wales, we show how individual dispositions, processes and content contribute to desired outcomes.MethodsWe studied the KIT intentions of all Academic Health Science Networks in England, and the South East Wales Academic Health Science Partnership. Using a qualitative case study design, we studied the work of 13 KIT agents purposively sampled from five networks, by collecting data from observation of meetings, documentation, KIT agent audio-diaries, and semistructured interviews with KIT agents, their line managers and those they supported (‘Links’). We also used a consensus method in a meeting of experts (nominal group technique) to discuss the measurement of outcomes of KIT agent activity.FindingsThe case study KIT agents were predominantly from a clinical background with differing levels of experience and expertise, with the shared aim of improving services and patient care. Although outside of recognised career structures, the flexibility afforded to KIT agents to define their role was an enabler of success. Other helpful factors included (1) time and resources to devote to KIT activity; (2) line manager support and a team to assist in the work; and (3) access and the means to use data for improvement projects. The organisational and political context could be challenging. KIT agents not only tackled local barriers such as siloed working, but also navigated shifting regional and national policies. Board-level support for knowledge mobilisation together with a culture of reflection (listening to front-line staff), openness to challenges and receptivity to research all enabled KIT agents to achieve desired outcomes. Nominal group findings underscored the importance of relating measures to specific intended outcomes. However, the case studies highlighted that few measures were employed by KIT agents and their managers. Using social marketing theory helped to show linkages between processes, outcomes and impact, and drew attention to how KIT agents developed insight into their clients’ needs and tailored work accordingly.LimitationsLevel of KIT agent participation varied; line managers and Links were interviewed only once; and outcomes were self-reported.ConclusionsSocial marketing theory provided a framework for analysing KIT agent activity. The preparatory work KIT agents do in listening, understanding local context and building relationships enabled them to develop ‘insight’ and adapt their ‘offer’ to clients to achieve desired outcomes.Future workThe complexity of the role and the environment in which it is played out justifies more research on KIT agents. Suggestions include (1) longitudinal study of career pathways; (2) how roles are negotiated within teams and how competing priorities are managed; (3) how success is measured; (4) the place of improvement methodologies within KIT work; (5) the application of social marketing theory to comparative study of similar roles; and (6) patients as KIT agents.FundingThe National Institute for Health Research Health Services and Delivery Research programme.
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Affiliation(s)
- Alison Bullock
- The Cardiff Unit for Research and Evaluation in Medical and Dental Education (CUREMeDE), Cardiff University, Cardiff, UK
| | - Emma Barnes
- The Cardiff Unit for Research and Evaluation in Medical and Dental Education (CUREMeDE), Cardiff University, Cardiff, UK
| | | | | | | | - Rosamund Howell
- Aneurin Bevan University Health Board, Clinical Research and Innovation Centre, St Woolos Hospital, Newport, UK
| | - Susan Denman
- School of Medicine, Cardiff University, Cardiff, UK
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