scholarly journals Design of an Online Initiative to Promote Water Consumption in Mexican Adolescents

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 136-136
Author(s):  
Alejandra Jiménez-Aguilar ◽  
Rebeca Uribe-Carvajal ◽  
Araceli Salazar-Coronel ◽  
Graciela Berenice Chávez-Becerril ◽  
Ana Karen Pérez-Jiménez ◽  
...  

Abstract Objectives To describe the development of an initiative for water consumption in Mexican adolescents of public secondary schools. Methods Based on a diagnosis in adolescents 11 to 16 years from public secondary schools we developed an initiative following the Intervention Mapping protocol: (1) Logic model of the problem, (2) Logic model of change, (3) Program design, (4) Program production, (5) Program implementation plan, and (6) Evaluation plan. We established behavioral outcomes for the next levels: Intrapersonal (adolescents), Interpersonal (mothers and fathers), Organizational (principals and teachers) and Social (authorities of the respective Ministries of Education and Health). At Intrapersonal and Interpersonal levels, we based on the Health Belief Model and the Social Cognitive Theory. For Organizational and Social levels, we considered the Stage Theory of Organizational Change. Results We developed a comprehensive initiative with a gender perspective entitled EPCA (for its acronym in Spanish of Schools Promoting Water Consumption). It includes an online course for adolescents, which shows the benefits of water and the health risks of sugary drinks, it guides adolescents to identify their water requirement and gives them tips to achieve it. The course presents funny challenges and healthy advices in audiovisual materials. For principals, teachers, mothers, and fathers there are digital resources available on the Facebook page of the EPCA initiative, which aim to help adults guide adolescents to take the course online, in addition, the resources motivate them to consume water. For the implementation of the EPCA initiative we developed a manual and planned online workshops with authorities of the Ministries of Education and Health, principals, and parents. We developed a process and impact evaluation plan, in which we considered to make a randomized controlled trial. Conclusions The EPCA initiative is a multilevel online intervention that was developed in accordance with a systematic protocol grounded in theory and scientific evidence, which will be implemented in a pilot manner in a random sample of Mexican adolescents to evaluate their impact on water consumption. Funding Sources This study was financed by the United Nations Children's Fund, UNICEF-Mexico.

2020 ◽  
Author(s):  
N Badillo-Camacho ◽  
S Torres-Castro ◽  
MF Bernal-Orozco ◽  
NM Torres-Carrillo ◽  
M Altamirano-Martínez ◽  
...  

Abstract Background: Eating habits and physical activity are important factors for the development and prevention of non-communicable diseases. Therefore, the objective of this study was to analyse the beliefs, behaviours, and experiences of dietary and physical activity habits based on the constructs of the Social Cognitive Theory (SCT). Methods: An exploratory study with a qualitative methodology and a phenomenological study design was conducted using focus groups, in-depth interviews, and indirect non-participatory observation. The sessions were audio-recorded and transcribed with prior written informed consent. Data analysis was performed using a hybrid approach.Results: Workers reported that they do not eat vegetables or fruits daily; however, the consumption of fast food and sugary drinks was frequent. Participants’ behaviour is influenced by environmental factors such as reinforcements (economic bonus and company meetups & events), barriers (workplace policies) and facilitators (availability of drinking water, free tortillas , dining rooms, and recreational areas); and personal factors, such as low self-control when when choosing foods from the grains group (e.g. Mexican pastries, noodles and breads), and emotional confrontation (e.g. few workers try to use strategies to confront their emotions and avoid them from affecting their eating and physical activity). On the other hand, participants indicated not feeling capable of eating specific foods due to their taste, for example vegetables, and doing physical activity due to factors such as time. Finally, other key elements influencing workers’ behaviours were observational learning (participants eating behaviour and physical activity are influenced by their coworkers and family’s behaviours), social support (coworkers and family) and outcome expectations (participants’ hoping to improve their health by eating healthy and physical activity behaviours).Conclusions: Workers’s eating behaviour and physical activity could be modified if different influencing factors are simultaneously addressed. These findings will contribute to the development of worksite health programs, based on the SCT, to address the key factors that could improve workers’ eating behaviours and physical activity. Keywords: Eating habits, physical activity, adults, workers, workplace programs, qualitative research, Social Cognitive Theory.


Author(s):  
Irina Bergenfeld ◽  
Emma C Jackson ◽  
Kathryn M Yount

Abstract Background Higher schooling attainment for girls is associated with improved maternal and child health outcomes. In low- and middle-income countries, girls drop out of school at higher rates than boys beginning in early adolescence due to factors such as son preference and lack of access to menstrual supplies. Methods Using principal components analysis, we created a gender-equitable school (GES) index with data from 159 secondary schools in Nepal to measure school-level factors that may influence girls' secondary school pass rates. Results A component describing girls’ safety and hygiene was positively associated with school-wide pass rates for girls, and to a lesser degree for boys. Conclusions The GES index has diagnostic and programmatic utility in programs aimed at supporting girls’ education and health.


Appetite ◽  
2012 ◽  
Vol 58 (2) ◽  
pp. 517-524 ◽  
Author(s):  
David R. Lubans ◽  
Ronald C. Plotnikoff ◽  
Philip J. Morgan ◽  
Deborah Dewar ◽  
Sarah Costigan ◽  
...  

2019 ◽  
Author(s):  
Nathalie M Berninger ◽  
Gill A ten Hoor ◽  
Guy Plasqui ◽  
Gerjo Kok ◽  
Gjalt-Jorn Ygram Peters ◽  
...  

BACKGROUND Since desk-dominated work environments facilitate sedentary behavior, office workers sit for 66% of their working days and only 8% succeed in interrupting their prolonged periods of sitting within the first 55 minutes. Yet stretches of long and uninterrupted sitting increase the likelihood of several chronic metabolic and cardiovascular diseases. OBJECTIVE We therefore developed a computer-based app designed to interrupt periods of prolonged sitting among office employees. METHODS When developing the intervention, we applied the intervention mapping protocol. This approach for the systematic design of theory and evidence-based behavior change programs consists of 6 steps: creation of a logic model of the problem, creation of a logic model of change, program design, program production, design of an implementation plan, and development of an evaluation plan. RESULTS Working through all 6 steps has resulted in an individually adaptable intervention to reduce sedentary behavior at work. The intervention, UPcomplish, consists of tailored, half-automatized motivational components delivered by a coach. To register sedentary behavior, the VitaBit (VitaBit Software International BV) toolkit, a wearable accelerometry-based monitoring device, is used. Among others, UPcomplish includes personalized goal setting, tailored suggestions to overcome hurdles, and weekly challenges. The VitaBit toolkit supports the participants to monitor their behavior in relation to self-set goals. CONCLUSIONS Intervention mapping is a useful protocol not only for the systematic development of a comprehensive intervention to reduce sedentary behavior but also for planning program adherence, program implementation, and program maintenance. It facilitates obtaining the participation of relevant stakeholders at different ecological levels in the development process of the intervention and anticipating facilitators to and barriers of program implementation and maintenance. CLINICALTRIAL Netherlands Trial Register NL7503; https://www.trialregister.nl/trial/7503 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/14951


2017 ◽  
Vol 34 (3) ◽  
pp. 174-181 ◽  
Author(s):  
Donna Daughtry ◽  
Martha Keehner Engelke

This article describes how one very large, diverse school district developed a Student Acuity Tool for School Nurse Assignment and used a logic model to successfully advocate for additional school nurse positions. The logic model included three student outcomes that were evaluated: provide medications and procedures safely and accurately, increase the number of students with a medical home, and increase the number of students with chronic illness that receive case management. Pairing a staffing formula with an evaluation plan that focuses on student outcomes and the priorities of the school district provides a strong case that school nurses are essential and that they contribute to student success.


2013 ◽  
Vol 57 (3) ◽  
pp. 351-361 ◽  
Author(s):  
Lisa Jaegers ◽  
Ann Marie Dale ◽  
Nancy Weaver ◽  
Bryan Buchholz ◽  
Laura Welch ◽  
...  

2017 ◽  
Vol 20 (9) ◽  
pp. 1666-1680 ◽  
Author(s):  
Astrid Merkx ◽  
Marlein Ausems ◽  
Raymond de Vries ◽  
Marianne J Nieuwenhuijze

AbstractObjectiveGaining too much or too little weight in pregnancy (according to Institute of Medicine (IOM) guidelines) negatively affects both mother and child, but many women find it difficult to manage their gestational weight gain (GWG). Here we describe the use of the intervention mapping protocol to design ‘Come On!’, an intervention to promote adequate GWG among healthy pregnant women.DesignWe used the six steps of intervention mapping: (i) needs assessment; (ii) formulation of change objectives; (iii) selection of theory-based methods and practical strategies; (iv) development of the intervention programme; (v) development of an adoption and implementation plan; and (vi) development of an evaluation plan. A consortium of users and related professionals guided the process of development.ResultsAs a result of the needs assessment, two goals for the intervention were formulated: (i) helping healthy pregnant women to stay within the IOM guidelines for GWG; and (ii) getting midwives to adequately support the efforts of healthy pregnant women to gain weight within the IOM guidelines. To reach these goals, change objectives and determinants influencing the change objectives were formulated. Theories used were the Transtheoretical Model, Social Cognitive Theory and the Elaboration Likelihood Model. Practical strategies to use the theories were the foundation for the development of ‘Come On!’, a comprehensive programme that included a tailored Internet programme for pregnant women, training for midwives, an information card for midwives, and a scheduled discussion between the midwife and the pregnant woman during pregnancy. The programme was pre-tested and evaluated in an effect study.


2020 ◽  
pp. 1-10 ◽  
Author(s):  
Ashleigh Haynes ◽  
Belinda Morley ◽  
Helen Dixon ◽  
Maree Scully ◽  
Alison McAleese ◽  
...  

Abstract Objective: The current study aimed to assess the nutritional quality of Australian secondary school canteen menus. Design: Stratified national samples of schools provided canteen menus in 2012–2013 and 2018, which were systematically assessed against a ‘traffic light’ classification system according to the National Healthy School Canteen Guidelines. Items were classified as green (healthiest and recommended to dominate canteen menus), amber (select carefully) or red (low nutritional quality, should not appear on canteen menus), and pricing and promotional strategies were recorded. Setting: Australia. Participants: Canteen menus from 244 secondary schools (2012–2013 n 148, 2018 n 96). Results: A total of 21 501 menu items were classified. Forty-nine percent of canteen menus contained at least 50 % green items; however, nearly all (98·5 %) offered at least one red item and therefore did not comply with national recommendations. Snacks and drinks had the least healthy profile of all product sectors, and a large proportion of schools supplied products typically of poor nutritional quality (meat pies and savoury pastries 91·8 %, sugary drinks 89·5 %, sweet baked goods 71·5 %, ice creams 64·1 % and potato chips 44·0 %). Red items were significantly cheaper than green items on average, and many schools promoted the purchase of red items on canteen menus (52·8 %). There were few differences between survey waves. Conclusions: There is considerable room for improvement in the nutritional quality of canteen menus in Australian secondary schools, including in the availability, pricing and promotion of healthier options. Additional resources and services to support implementation of national guidelines would be beneficial.


Author(s):  
Mª de la Villa Carpio Fernández ◽  
Mª Cruz García Linares ◽  
Manuel Jesús De la Torre Cruz ◽  
Mª Teresa Cerezo Rusillo ◽  
Pedro F. Casanova Arias

Abstract:This paper analyzed the different consistent and inconsistent combination of maternal and paternal parenting styles and their relationships with psychosocial adjustment problems reported by their children. The participant were 840 Secondary schools students, aged 12 to 16. A cluster analysis was performed in order to obtain the parenting styles of both mothers and fathers. The results shown that children report lower levels of internalizing and externalizing problems when assigning a democratic style to both parents. Children who have a father or a mother with a democratic style have lower psychosocial adjustment problems than family situations where the democratic style is not present. Finally, children whose parents agree on an affective-authoritarian style have fewer externalizing problems.Keywords: parenting styles, consistency, inconsistency, psychosocial adjustment problems, adolescentResumen:Este estudio analiza las diversas combinaciones de consistencia y de inconsistencia en los estilos educativos de ambos progenitores y su relación con los problemas de ajuste psicosocial que informan sus hijos. Los participantes fueron 840 estudiantes de E.S.O. con edades entre los 12 y 16 años. Para la obtención de los estilos educativos parentales se utilizó el análisis de clúster. Los resultados muestran que los hijos informan de menor incidencia de problemas externalizantes e internalizantes cuando se atribuye un estilo democrático a ambos padres. Los hijos que tienen un solo progenitor democrático presentan menores problemas de ajuste psicosocial frente a situaciones familiares donde no está implicado el estilo democrático. Finalmente los hijos que tienen padres que coinciden en un estilo afectivo-autoritario presentan menos problemas externalizantes.Palabras clave: estilos educativos paternos, consistencia, inconsistencia, problemas de ajuste psicosocial, adolescentes.


2018 ◽  
Vol 27 (6) ◽  
pp. 656-662 ◽  
Author(s):  
Xueying Zhang ◽  
Tam D Vuong ◽  
Elizabeth Andersen-Rodgers ◽  
April Roeseler

IntroductionCalifornia’s law raising the minimum tobacco sales age to 21 went into effect on 9 June 2016. This law, known as ‘Tobacco 21’ or ‘T21’, also expanded the definition of tobacco to include electronic smoking devices. This paper describes the T21 evaluation plan and initial evaluation results.MethodsAn evaluation plan and logic model were created to evaluate T21. A tobacco retailer poll was conducted 7 months after the law went into effect to assess awareness, support and implementation; an online survey of California adults was fielded to provide data on tobacco use and attitudinal changes before and after T21 implementation; and tobacco purchase surveys were conducted to assess the retailer violation rate (RVR). Multivariate models estimated the odds of RVR and odds of being aware, agreeing with and observing advertisements related to T21.ResultsSeven months after the T21 effective date, 98.6% of retailers were aware of the law and 60.6% supported the law. Furthermore, 66.2% of retailers agreed that people who start smoking before 21 would become addicted to tobacco products. The RVR using youth decoys under age 18 statistically decreased from 10.3% before T21 to 5.7% after T21 (P=0.002). Furthermore, the RVR using young adult decoys ages 18–19 was 14.2% (95% CI 9.3% to 19.1%) for traditional tobacco and 13.1% (95% CI 10.2% to 16.1%) for electronic smoking devices.ConclusionsSurvey findings suggest that the high awareness and support for the law may have contributed to reducing illegal tobacco sales to youth under 18 and achieving widespread retailer conformity with the new law disallowing sales to young adults under 21.


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