Participatory selection of children as health promoters for obesity prevention in times of COVID-19
DOI:
https://doi.org/10.15517/psm.v20i1.49640Keywords:
obesity, Community Based Participatory Research, health promotion, programAbstract
Background. Childhood obesity is a major worldwide public health problem. To face this epidemic, society requires strategies developed from the structures and possibilities of the community local context and from a holistic approach. Community participation in the development of strategies is necessary to promote a healthy lifestyle. Objective. Select child promoters through online tools during COVID-19 pandemic using a participatory approach. Methods. Puppet theater was used as a tool to select health promoters using a Community Based Participatory Research (CBPR) methodology; five acts regarding the characteristics of a health promoter (Sympathy, Empathy, Solidarity, Responsibility) were presented to children from four elementary schools in Hermosillo, Sonora, Mexico. Due to the COVID-19 pandemic lock down and the work-at-home modality implemented since March 2020 in Mexico, the strategy was developed using on-line platforms. Results. Through the CBPR practice, the classmates of four schools selected 79 students whom they considered met the characteristics to be a health promoter and then carry out a health promotion program aimed at the entire school community in a later study phase. Conclusions. The election participation process was adequately developed through online communication and CBPR principles, using the puppet theater tool.
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References
Álvarez Sintes, R. y Barcos Pina, I. (2015). Estrategia metodológica para la formación de promotores comunitarios de salud. Revista Cubana de Medicina General Integral, 31(2). http://scielo.sld.cu/scielo.php?script=sci_arttextypid=S0864-21252015000200008
Alzás, T., Casa, L. M., Luengo, R., Torres, J. L. y Verissimo, S. (2016). Revisión metodológica de la triangulación como estrategia de investigación. Investigación Cualitativa en Ciencias Sociales, 3(1), 639–648. https://proceedings.ciaiq.org/index.php/ciaiq2016/article/view/1009
Amini, M., Djazayery, A., Majdzadeh, R., Taghdisi, M. H., y Jazayeri, S. (2015). Effect of school-based interventions to control childhood obesity: A review of reviews. International Journal of Preventive Medicine, 6(68). https://doi.org/10.4103/2008-7802.162059
Arévalo, M. y Méndez, F. (2021). Vista de aspectos físicos y sociales del ambiente alimentario del hogar relacionados con el consumo de frutas y verduras en niños escolares: Un estudio transversal. Revista Española de Nutrición Humana y Dietética, 25(2), 143-153. https://doi.org/10.14306/renhyd.25.2.1092
Arredondo, A., García, R., Ibáñez, S., Jiménez, C. Y., Linares, A., Maldonado, A., Palacios, G. y Ríos Blancas, M. (2014). Costo efectividad de programas de prevención en infecciones de transmisión sexual. Horizonte Sanitario, 13(2), 201. https://doi.org/10.19136/hs.a13n2.51
Bell, C., Allender, S., Love, P., Whelan, J. y Millar, L. (2018). Sustaining obesity prevention in communities: a systematic narrative synthesis review. Obesity Reviews, (13). https://doi.org/10.1111/obr.12675
Birkenstock, L., Chen, T., Chintala, A., Ngan, A., Spitz, J., Kumar, I., Loftis T., Fogg, M., Malik, N. y Riley, A. H. (2021). Pivoting a Community-Based Participatory Research Project for Mental Health and Immigrant Youth in Philadelphia During COVID-19. Health Promotion Practice, 23(1), 32-34. https://doi.org/10.1177/15248399211033311
Celorio-Sardà, R., Comas-Basté, O., Latorre-Moratalla, M. L., Zerón-Rugerio, M. F., Urpi-Sarda, M., Illán-Villanueva, M., Farran-Codina, A., Izquierdo-Pulido, M. y Vidal-Carou, M. D. C. (2021). Effect of COVID-19 Lockdown on Dietary Habits and Lifestyle of Food Science Students and Professionals from Spain. Nutrients, 13(5). https://doi.org/10.3390/nu13051494
Cristiani, V., Kumbamu, A., Asiedu, G. B., Johnson, S. K., Gewirtz O’Brien, J. R., Ziebart, G., Mogen, M., Lynch, B. y Kumar, S. (2021). Use of Community Based Participatory Research to Design Interventions for Healthy Lifestyle in an Alternative Learning Environment. Journal of Primary Care and Community Health, 12, 1-8. https://doi.org/10.1177/21501327211014749
De La Torre, A., Sadeghi, B., Green, R. D., Kaiser, L. L., Flores, Y. G., Jackson, C. F., Shaikh, U., Whent, L. y Schaefer, S. E. (2013). Niños Sanos, Familia Sana: Mexican immigrant study protocol for a multifaceted CBPR intervention to combat childhood obesity in two rural California towns. BMC Public Health, 13(1), 1–12. https://doi.org/10.1186/1471-2458-13-1033/TABLES/3
Duncanson, K., Shrewsbury, V., Burrows, T., Chai, L. K., Ashton, L., Taylor, R., Gow, M., Ho, M., Ells, L., Stewart, L., Garnett, S., Jensen, M.E., Nowicka P., Littewood, R., Demaio, A., Coyle, D.H., Walker, J.L. y Collins, C. E. (2021). Impact of weight management nutrition interventions on dietary outcomes in children and adolescents with overweight or obesity: a systematic review with meta-analysis. Journal of Human Nutrition and Dietetics, 34(1), 147–177. https://doi.org/10.1111/JHN.12831
Ebbs, D., Hirschbaum, J. H., Mika, A., Matsushita, S. C. y Lewis, J. H. (2020). Expanding Medical Education for Local Health Promoters Among Remote Communities of the Peruvian Amazon: An Exploratory Study of an Innovative Program Model. Advances in Medical Education and Practice, 11, 215–223. https://doi.org/10.2147/AMEP.S245491
Economos, C. D. y Hammond, R. A. (2017). Designing effective and sustainable multifaceted interventions for obesity prevention and healthy communities. Obesity, 25(7), 1155–1156. https://doi.org/10.1002/oby.21893
Economos, C. D., Hyatt, R. R., Nelson, M. E., Naumova, E. N., Must, A., Goldberg, J. P., Collins, J. y Kuder, J. (2013). Shape Up Somerville two-year results: A community-based environmental change intervention sustains weight reduction in children. Preventive Medicine, 57(4), 322–327. https://doi.org/10.1016/j.ypmed.2013.06.001
Encuesta Nacional de Salud y Nutrición CONTINUA. (2020). Instituto Nacional de Salud Pública INSP. https://ensanut.insp.mx/encuestas/ensanutcontinua2020/doctos/informes/ensanutCovid19ResultadosNacionales.pdf
Escudero, X., Guarner, J., Galindo-Fraga, A., Escudero-Salamanca, M., Alcocer-Gamba, M. A. y Del-Río, C. (2020). La pandemia de Coronavirus SARS-CoV-2 (COVID-19): Situación actual e implicaciones para México. Archivos de cardiología de México, 90, 7–14. https://doi.org/10.24875/ACM.M20000064
Fondo de las Naciones Unidas para la Infancia. (2016). Salud y Nutrición. https://www.unicef.org/mexico/salud-y-nutrici%C3%B3n#:~:text=1%20de%20cada%2020%20ni%C3%B1as,norte%20y%20en%20comunidades%20urbanas.
Gil, J. F. L. (2018). El paradigma de la alimentación saludable en educación primaria. ¿Nos estamos equivocando?. Revista Digital de Educación Física, 56, 13–29. https://dialnet.unirioja.es/servlet/articulo?codigo=6751155
Gobierno de México. (2020). Componentes de la Jornada Nacional de Sana Distancia. https://hgm.salud.gob.mx/descargas/pdf/noticias/Susana_distancia_informa.pdf
González, D., Bon-Padilla, K., Grijalva, M. y Ortega, M. (2020). Impacto de un programa de promoción de la salud nutricional y ambiente alimentario escolar en escuelas primarias públicas. Revista Chilena de Salud Pública, 24(2), 127–138. https://revistasaludpublica.uchile.cl/index.php/RCSP/article/view/61270/64961
Gudiño, M. R. y Sosenski, S. (2017). El teatro guiñol, la televisión mexicana y la educación para la salud a mediados del siglo XX. História, Ciências, Saúde, 24(1), 201–221. https://doi.org/10.1590/S0104-59702016005000027
Israel, B. A., Schulz, A. J., Parker, E. A. y Becker, A. B. (2002). REVIEW OF COMMUNITY-BASED RESEARCH: Assessing Partnership Approaches to Improve Public Health. Annual Review of Public Health, 19(1), 173–202. https://doi.org/10.1146/annurev.publhealth.19.1.173
Kidd, T., Kumar, J., Li, Y., Lindshield, E., Muturi, N. y Adhikari, K. (2014). View of Using the Community-Based Participatory Research (CBPR) Approach in Childhood Obesity Prevention. International Journal of Child Health and Nutrition, 3, 170–178. https://doi.org/ 10.6000/1929-4247.2014.03.04.3
Korn, A. R., Hennessy, E., Tovar, A., Finn, C., Hammond, R. A. y Economos, C. D. (2018). Engaging Coalitions in Community-Based Childhood Obesity Prevention Interventions: A Mixed Methods Assessment. Childhood Obesity, 14(8), 537-552. https://doi.org/10.1089/chi.2018.0032
Kröger T. y Nupponen A. (2019). Puppet as a Pedagogical Tool: A Literature Review. International Electronic Journal of Elementary Education, 11. https://www.iejee.com/index.php/IEJEE/article/view/688/403
Lai, A. Y., Stewart, S. M., Wan, A., Chan, S. S., Lam, T., Lai, H. Y. W. y Fok, H. (2017). Development and evaluation of a training workshop for lay health promoters to implement a community-based intervention program in a public low rent housing estate: The Learning Families Project in Hong Kong. Plos One, 12(8). https://doi.org/10.1371/journal.pone.0183636
Larouche, R., Mire, E. F., Belanger, K., Barreira, T. V., Chaput, J.-P., Fogelholm, M., Hu, G., Lambert, E., Maher, C., Olds, T., Onywera, V., Sarmiento, O., Standage, M., Tudor-Locke, C., Katzmarzyk, P y Tremblay, M. S. (2018). Relationships Between Outdoor Time, Physical Activity, Sedentary Time, and Body Mass Index in Children: A 12-Country Study. Pediatric Exercise Science, 31(1), 118–129. https://search.ebscohost.com/login.aspx?direct=trueydb=awnyAN=30304983ysite=ehost-liveyscope=site
León, A. (2018). Niños promotores de salud para el fomento de prácticas saludables de alimentación y actividad física en primarias de Hermosillo. [Tesis de maestría]. Centro de Investigación en Alimentación y Desarrollo A.C. CIAD.
Martínez-munguía, C. y Navarro-contreras, G. (2014). Factores psicológicos, sociales y culturales del sobrepeso y la obesidad infantil y juvenil en México Psychological, social and cultural factors of overweight and obesity in children and adolescents in México. Revista Médica del Instituto Mexicano del Seguro Social, 52(1), 94–101. http://www.medigraphic.com/pdfs/imss/im-2014/ims141p.pdf
Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50(4), 370–396. https://doi.org/10.1037/h0054346
Mattioli, A. V., Sciomer, S., Cocchi, C., Maffei, S. y Gallina, S. (2020). Quarantine during COVID-19 outbreak: Changes in diet and physical activity increase the risk of cardiovascular disease. Nutrition, Metabolism and Cardiovascular Diseases, 30(9), 1409-1417. https://doi.org/10.1016/j.numecd.2020.05.020
Muturi, N., Kidd, T., Daniels, A. M., Kattelmann, K. K., Khan, T., Lindshield, E., Zies, S. y Adhikari, K. (2018). Examining the role of youth empowerment in preventing adolescence obesity in low-income communities. Journal of Adolescence, 68, 242–251. https://doi.org/10.1016/j.adolescence.2018.08.001
Navarrete, Z., Manzanilla, H. M. y Ocaña, L. (2020). Políticas implementadas por el gobierno mexicano frente al COVID-19. El caso de la educación básica. Revista Latinoamericana de Estudios Educativos, 50, 143–172. https://doi.org/10.48102/RLEE.2020.50.ESPECIAL.100
Nogueira-de-Almeida, C. A., Del Ciampo, L. A., Ferraz, I. S., Del Ciampo, I. R. L., Contini, A. A. y Ued, F. da V. (2020). COVID-19 and obesity in childhood and adolescence: a clinical review. Jornal de Pediatria, 96(5), 546-558. https://doi.org/10.1016/j.jped.2020.07.001
Oetzel, J. G., Wallerstein, N., Duran, B., Sanchez-Youngman, S., Nguyen, T., Woo, K., Wang, J., Schulz, A., Keawe'Aimoku Kaholokula, J., Israel, B. y Alegria, M. (2018). Impact of participatory health research: A test of the community-based participatory research conceptual model. BioMed Research International, 1–13. https://doi.org/10.1155/2018/7281405
Organización Mundial de la Salud. (2016). Informe de la comisión para acabar con la obesidad infantil. https://apps.who.int/iris/handle/10665/206450
Organización Mundial de la Salud. (2022). Temas de Salud: Obesidad. https://www.who.int/es/health-topics/obesity#tab=tab_1
Padilla-Vinueza, V.E., Tisalema-Tipan, H.D., Acosta-Gavilanéz, R.I., Jerez-Cunalata, E.I., Moreno-Carrión, A.A. y Salvador, A.D. (2022). Obesidad Infantil y Métodos de Intervención. Dominio de las Ciencias, 8(1), 961–971. https://doi.org/10.23857/pocaip
Pupo, N. L. y Carvajal, C. (2009). Estrategia metodológica para la formación de las niñas y los niños como promotores de salud en las familias. Revista Cubana de Salud Pública, 35(4), 139–153. http://www.scopus.com/inward/record.url?eid=2-s2.0-71949114069ypartnerID=40ymd5=711924fd67f1234584fa95f00d2e6d7b
Rabiee, F. (2011). Workshop on ‘Developing professionalism in public health practice’ Sustainability in local public health nutrition programmes: beyond nutrition education, towards community collaboration. Proceedings of the Nutrition Society, 65(04), 418–428. https://doi.org/10.1017/s0029665106005179
Salas, S., Miche, V., Eugenia, M. y Benítez, B. (2016). Caracterización de los alumnos ayudantes de la escuela latinoamericana de medicina para su formación como promotores de salud. Panorama Cuba y Salud, 11(2), 14–22. http://www.redalyc.org/articulo.oa?id=477355398003
Vorland, C., Brown, A., Kahathuduwa, C., Dawson, J., Gletsu-Miller, N., Kyle, T., Thabane, L. y B. Allison, D. (2019). Questions on Intervention effects of a kindergarten-based health promotion programme on obesity related behavioural outcomes and BMI percentiles. Preventive medicine reports, 17. https://doi.org/10.1016/j.pmedr.2019.101022
Wieland, M. L., Hanza, M. M. K., Clark, M. M., Levine, J. A., Patten, C. A., Njeru, J. W., Abbenyi, A., Levine, J., Goodson, M., Porraz-Capetillo, M.G., Osman, A., Abdullah, H., Nigon, J. y Sia, I. (2016). Healthy immigrant families: Participatory development and baseline characteristics of a community-based physical activity and nutrition intervention. Contemporary Clinical Trials, 47, 22–31. https://doi.org/10.1016/j.cct.2015.12.004
Woodall, J. (2020). COVID-19 and the role of health promoters and educators. Emerald Open Research, 2(28). https://doi.org/10.35241/emeraldopenres.13608.2
Ysunza, A. M., Silvia Diez-Urdanivia y Sara E. Pérez-Gil. (2017). Capacitación-acción participativa: una experiencia de 24 años en las comunidades rurales de Oaxaca, México. Global health promotion, 24(4), 117–125. https://doi.org/10.1177/1757975916636787
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