Bonvecchio A, Théodore FL, Safdie M, Duque T, Villanueva MÁ, Torres C, Rivera J

Idioma: Ingles.
Referencias bibliográficas: 36
Paginas: 139-147
Archivo PDF: 274.85 Kb.

RESUMEN

Objetivo. Describir los aspectos metodológicos y principales resultados de una investigación formativa realizada para diseñar un programa ambiental para la prevención de obesidad en escuelas. Material y métodos. La investigación formativa se basó en el modelo ecológico y los principios del mercadeo social. Se utilizó un enfoque de métodos mixtos: cualitativos (observación directa, entrevistas en profundidad, grupos de discusión y foto-voz) y cuantitativos (cuestionarios cerrados, inventarios de alimentos y bebidas, antropometría). Resultados. Los principales resultados de la investigación formativa, incluyendo las barreras identificadas en los niveles del modelo ecológico, fueron contemplados para el diseño del programa, que incluyó estrategias ambientales para desincentivar el consumo de alimentos de alta densidad energética y bebidas azucaradas. Conclusión. La investigación formativa fue fundamental para diseñar un programa de prevención de obesidad para la modificación del ambiente y cambios de comportamientos, factible y adaptado al contexto de las escuelas públicas de la Ciudad de México.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Gutierrez J, Rivera-Dommarco J, Shamah-Levy T, Villalpando-Hernández S, Franco A, Cuevas-Nasu L. Encuesta Nacional de Salud y Nutricion 2012. Resultados Nacionales. Cuernavaca, Mexico: Instituto Nacional de Salud Pública, 2012.

2. Peters JC. Combating Obesity: Challenges and Choices. Obes Res 2003;11(S10):7S-11S.

3. OMS. Dieta, nutrición y prevención de enfermedades crónicas. Ginebra: OMS, FAO, 2003.

4. Katz D, O’Connell M, Njike V, M-C Yeh MC, Nawaz N. Strategies for the prevention and control of obesity in the school setting: systematic review and meta-analysis. Int J Obes 2008;32:1780-1789.

5. Brown T, Summerbell C. Systematic review of school-based interventions that focus on changing dietary intake and physical activity levels to prevent childhood obesity: an update to the obesity guidance produced by the National Institute for Health and Clinical Excellence. Obes Rev 2009;10(1):110-141.

6. Hill O, Wyatt H, Reed J, Peters J. Obesity and the Environment: Where Do We Go from Here? Science 2003;299(5608 ):853-855.

7. Peterson K, Fox M. Addressing the epidemic of childhood obesity through school-based interventions: what has been done and where do we go from here? J Law Med Ethics 2007;35(1):113-130.

8. Baranowski T, Cerin E, Baranowski J. Steps in the design, development and formative evaluation of obesity prevention-related behavior change trials. Int J Behav Nutr Phys Act 2009;6(6).

9. Gittelsohn J, Steckler A, Johnson C, et al. Formative Research in School and Community-Based Health Programs and Studies: “State of the Art” and the TAAG Approach. Health Educ Behav 2006;33(1):25-39.

10. Story M, Nanney M, Schwartz M. Schools and obesity prevention: creating school environments and policies to promote healthy eating and physical activity. Milbank Q 2009;87(1):71-100.

11. Safdie M, Lévesque L, González-Casanova I, Salvo D, Islas A, Hernández-Cordero S, et al. Promoting healthful diet and physical activity in the Mexican school system for the prevention of obesity in children. Salud Publica Mex 2013;55(3):S357-S373.

12. Jennings-Aburto N, Nava F, Bonvecchio A, Safdie M, González- Casanova I, Gust I, et al. Physical activity during the school day in public primary schools in Mexico City. Salud Publica Mex 2009;51:141-147.

13. Aburto-Jennings N, Fulton J, Safdie M, Duque T, Bonvecchio A, Rivera J, et al. Impact of a School-Based Intervention on Physical Activity: Cluster-Randomized Trial. Med Sci Sports Exerc 2011;43(10):1898-1906.

14. Gittelsohn J, Evans M, Story M, Davis S, Metcalfe L, Helitzer D. Multisite formative research for the Pathways study to prevent obesity in American Indian schoolchildren. Am J Clin Nutr 1999;69:767S-772S.

15. McLeroy K, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q 1988;15(4):351-377.

16. Andreasen A. Marketing social change: Changing behavior to promote Health, Social Development and de environment. San Francisco, CA: Jossey-Bass, 1995.

17. Center for Disease Control and Prevention. School Health Index. 2004 edition. Available at: https://apps.nccd.cdc.gov/shi/default.aspx

18. Wang C, Burris M. Photovoice: concept, methodology, and use for participatory needs assessment. Health Educ Behav 2004;24:369-387.

19. Cole T, Bellizzi M, Flegal K, Dietz W. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000;320(7244):1240-1243.

20. Glaser B, Strauss A. The Discovery of Grounded Theory. Chicago: Aldine Transaction, 1967.

21. Berger P, Luckmann T. Construcción social de la realidad. Buenos Aires: Amorrortu, 1968.

22. Théodore FL, Bonvecchio-Arenas A, Blanco-García I, Carreto-Rivera Y. Representaciones sociales relacionadas con la alimentación escolar: el caso de las escuelas públicas de la Ciudad de México. Salud colectiva 2011;7(2):215-229.

23. Lee N, Kotler P. Social marketing. Influencing behaviours for good. Thousand Oaks, California: Sage Publications, 2011.

24. Bandura A. Social cognitive theory: An agentic perspective. Annu Rev Psychol 2001;52(1):1-26.

25. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Proces 1991;50(2):179-211.

26. Jennings-Aburto N, Fulton J, Safdie M, Duque T, Bonvecchio A, Rivera- J, et al. Impact of a School-Based Intervention on Physical Activity: Cluster-Randomized Trial. Med Sci Sport Exer 2011;43(10):1898-1906.

27. Moore S, Murphy S, Moore L. Health improvement, nutritional behaviour and the role of school meals: the usefulness of a socio-ecological perspective to inform policy design, implementation and evaluation. Crit Public Health 2011;21:441-454.

28. Moore L, De Silva-Sanigorski A, Moore S. A socio-ecological perspective on behavioral interventions to influence food choice in schools: alternative, complementary or synergistic? Public Health Nutr 2013;16(1):1000-1005.

29. Gittelsohn J, Steckler A, Johnson C, Pratt C, Grieser M, Pickrel J, et al. Formative Research in School and Community-Based Health Programs and Studies: “State of the Art” and the TAAG Approach. Health Educ Behav 2006;33(1):25-39.

30. Ayala G, Elder J, Campbell N, et al. Nutrition communication for a Latino community: formative research foundations. Fam Community Health 2001;24(3):72-87.

31. Kumanyika S, Story M, Beech B, et al. Collaborative planning for formative assessment and cultural appropriateness in the Girls health Enrichment Multi-site Studies (GEMS): a retrospection. Ethn Dis 2003;13(1 Suppl 1):S15-S29.

32. Waters E, de Silva-Sanigorski A, Hall BJ, Brown T, Campbell KJ, Gao Y, et al. Interventions for preventing obesity in children. Cochrane Database Syst Rev 2011;12:00.

33. Strauss A, Corbin J. Bases de la investigación cualitativa. Técnicas y procedimientos para desarollar la teoria fundamentada. Antioquia: Universidad de Antioquia, 2002

34. Story M, Kaphingst K, French S. The Role of Schools in Obesity Prevention Obes Rev 2006;16(1):109-142.

35. Saffie M, Jennings-Aburto N, Lévesque L, Janssen I, Campirano- Núñez F, López-Olmedo N, et al. Impacto of a school-based intervention program on obesity risk factors in Mexican Children. Salud Publica Mex 2013;55:379-387.

36. Safdie M, Cargo M, Richard L, Lévesque L. An ecological and theorical deconstruction of a school-based obesity prevention program in Mexico. Int J Behav Nutr Phys Act 2014:11-103.