Keywords
government programs
public health
health behavior
adolescents
Mexico
How to Cite
Abstract
This research aimed to evaluate the effectiveness of an educational intervention intended to promote healthy eating practices in teenagers between 11 and 12 years old, under an active learning approach. The intervention was carried out among moderate-income family teenagers in first grade of secondary education at a public school. The intervention effectiveness was evaluated considering the favorable changes in their attitudes towards the healthy food, their self-efficiency to choose and balance the food, and the increase in the health risk implied by a non-healthy diet. The statistical analysis of the data indicated a significant change in the attitude and risk perceived after the intervention. Regarding the self-efficiency, by applying a Markov model the duration was estimated for the intervention to produce a greater percentage of teenagers perceived as self-efficient to choose their food. These findings support the proposal for a modification in the governmental programs in order to create a healthy environment in the elementary schools and improve the student’s competences to follow a balanced diet without breaking up with the sociocultural patterns and the eating habits of their families.
2. 2. Han JC, Lawlor DA, Kimm SY. Childhood obesity–-2010: progress and challenges. The Lancet. 2010;375:1737-1748.
3. 3. Agenda Ciudadana en Iberoamérica. 8 temas y retos que enfrenta México. 2018 [Internet]. Disponible en: http://agendaiberoamericana.org/mexico/.
4. 4. Shamah-Levy T, Cuevas-Nasu L, Rivera-Dommarco J, Hernández-Ávila M. , (Coord.)coordinadores. Encuesta Nacional de Salud y Nutrición de Medio Camino. Resultados Nacionales 2016. Cuernavaca, México: Instituto Nacional de Salud Pública y Secretaría de Salud de México (MX), ); 2016.
5. 5. Dávila-Torres J, Gónzalez-Izquierdo JJ, Barrera-Cruz A. Panorama de la obesidad en México. Revista Médica del Instituto Mexicano del Seguro Social. 2015;53(2):240-249.
6. 6. Secretaría de Educación Pública. Acuerdo Nacional para la Salud Alimentaria. Estrategia contra el Sobrepeso y la Obesidad. Programa de Acción en el Contexto Escolar. Comisión Nacional de Libros de Texto Gratuitos. Cd.iudad de México: Secretaría de Educación Pública; 2010.
7. 7. Secretaría de Salud. Acuerdo Nacional para la Salud Alimentaria. Estrategia contra el Sobrepeso y la Obesidad. Cd.iudad de México: Secretaría de Salud; 2010.
8. 8. Arroyo-López PE, Carrete-Lucero L . Alcance de las acciones para prevenir sobrepeso y obesidad en adolescentes. El caso de escuelas públicas mexicanas. Revista Gerencia y Políticas de Salud. 2015;14 (28): 142-160.
9. 9. Carrete-Lucero L, Arroyo-López PE, Villaseñor, R. Analysis of the socio-ecological environment to support the design of social marketing strategies to prevent overweight in children. Journal of Consumer Marketing. 2017;34(2):156-168.
10. 10. Bastos T, Barros-Bezerra, JA. Aprender a comer, comiendo: análisis socio histórico de cuadernos sobre educación alimentaria y nutricional, 1938-1946. Revista Brasileira de História da Educação. 2016;16(3):164-192.
11. 11. Elsden-Clifton J, Futter-Puati D. Creating a health and sustainability nexus in food education: designing third spaces in teacher education. Australian Journal of Environmental Education. 2015;31(1):86–-98.
12. 12. Ayliffe B, Glanville NT. Achieving healthy body weight in teenagers. Evidence-based practice guidelines for community nutrition interventions. Canadian Journal of Dietetic Practice and Research. 2010;71:78-84.
13. 13. Van Cauwenberghe E, Maes L, Spittaels H, Van Lethe FJ, Brug J, Oppert JM, De Bourdeaudhuij I. Effectiveness of school-based interventions in Europe to promote healthy nutrition and adolescents: systematic review of published and grey literature. The British Journal of Nutrition. 2010;103:781-797.
14. 14. Bandura A. Self- efficacy in changing societies. Cambridge, UK: Cambridge University Press; 1995.
15. 15. Bandura A. Guide for constructing self-efficacy scales. En: Pajares F, Urdan T, editores. Self efficacy beliefs of adolescent. Greenwich, CT: Information Age Publishing; 1996:. p. 307–3-37.
16. 16. Ajzen I, Fishbein, M. The influence of attitudes on behavior. En: Albarracín D, Johnson BT, Zanna MP, editores. The handbook of attitudes. Mahwah, NJ: Erlbaum;2015:173-221.
17. 17. Rogers RW. A protection motivation theory of fear appeals an attitude change. The Journal of Psychology. 1975;91:93-114.
18. 18. Prochaska JO, DiClemente CC, Velicer WF, Rossi JS. Criticisms and concerns of the transtheoretical model in light of recent research. British Journal of Addiction. 1992;87(6): 825–82-8.
19. 19. Schwarzer R. Self-efficacy in the adoption and maintenance of health behaviours: theoretical approaches and a new model. Self-efficacy: thought control of action. Washington DC: Hemisphere; 1992:. p. 243–2-71.
20. 20. Maddux JE, Brawley L, Boykin A. Self-efficacy and healthy behavior: Prevention, promotion and detection. Self-efficacy, adaptation and adjustment: Theory, research and application. New York NY: Plenum Press; 1995:. p. 173-202.
21. 21. Schwarzer R, Fuchs R. Self-efficacy and health behaviours. En: Conner M, Norman P, editors. Predicting health behaviour: research and practice with social cognition models. Buckingham UK: Open University Press;1995.
22. 22. Mai R, Hoffman S. Taste lovers versus nutrition fact seekers: How health consciousness and self-efficacy determine the way consumers choose food products. Journal of Consumer Behaviour. 2012;11:316–3-28.
23. 23. Rausch-Herscovici C, Kowalski’s I. Obesidad Infantilinfantil. Una revisión de las intervenciones preventivas en escuelas. Revista Mexicana de Trastornos Alimentarios. 2015;6(2):143-151, 2015.
24. 24. Chan K, Tsang L. Promote healthy eating among adolescents: a Hong Kong study. Journal of Consumer Marketing. 2011;28(5):354-362.
25. 25. Gronhoj A, Bech-Larsen T, Chan K, Tsang L. Using theory of planned behavior to predict healthy eating among Danish adolescents. Health Education. 2012;113(1):4-17.
26. 26. Martens MK, Van-Assema P, Brug J. Why do adolescents eat what they eat? Personal and social environmental predictors of fruit, snack and breakfast consumption among 12-14-year-old Dutch students. Public Health Nutrition. 2005;8(8):1258-1265.
27. 27. Asociación Mexicana de Agencias de Investigación y Opinión Pública. Niveles Socioeconómicos AMAI. 2017 [Internet]. Disponible en: http://nse.amai.org/nseamai2/http://nse.amai.org/nseamai2/.
28. 28. Chen X, Lunn S, Deveaux L, Li X, Brathwaite N, Cottrell L, Stanton B. A cluster randomized controlled trial of an adolescent HIV prevention program among Bahamian youth: Effect at 12 months post-intervention. AIDS Behavior. 2009;13(3):499–-508.
29. 29. Lerdboon P, Pham V, Green M, Riel R, Tho LH, Ha NTV, Kaljee LM. Strategies for developing gender-specific HIV prevention for adolescents in Vietnam. Journal of HIV/AIDS prevention Prevention & education Education for adolescents Adolescents & childrenChildren. 2009;20(5):384-398.
30. 30. Godínez-López D, Mondragón Ángeles A, Carmona MA, Valencia Albarrán J. Cultura de salud en adolescentes. Reporte no publicado. Escuela de Negocios y Humanidades, Tecnológico de Monterrey campus Toluca, Toluca, Mex. 2014.
31. 31. Schüz N, Eid M. Beyond the usual suspects: target group- and behavior-specific factors add to a theory-based sun protection intervention for teenagers, Journal of Behavioral Medicine. 2013;36:508–5-19.
32. 32. Must A, Dallal GE, Dietz WH. Reference data for obesity: 85th and 95th percentil of body mass index (wt/ht2) and triceps skinfold thickness. American Journal of Clinical Nutrition. 1991;53(4):839-846.
33. 33. CDC: Centers for diseases control and prevention. 2015 [internet]. Disponible en: http://www.cdc.gov/growthchartshttp://www.cdc.gov/growthcharts.
34. 34. Ko KM, Wu HH, Shieh JI. A framework of a Markov chain model approach to analyze service quality. Proceedings of the 12 International Conference on ISO 9000 and TQM (12-ICIT). Best Practices in Service Industry. Taiwan, RoC: National Chin-Yi University of Technology. ; 2007;. p. 1-11.
35. 35. Floyd DL, Prentice-Dunn S, Rogers RW. A meta-analysis of research on protection motivation theory. Journal of Applied Social Psychology. 2000;30:407-429.
36. 36. Pearson N, Ball K, Crawford D. Predictors of changes in adolescents’ consumption of fruits, vegetables and energy-dense snacks. The British Journal of Nutrition. 2011;105:795-803.
37. 37. Wright K, Norris K, Newman GJ, Suro Z. Improving healthy dietary behaviors, nutrition knowledge, and self-efficacy among underserved school children with parent and community involvement. Childhood Obesity. 2012;8(4):347-56.
38. 38. Chen X, Lunn S, Deveaux L, Li X, Brathwaite N, Cottrell L, Stanton B. A cluster randomized controlled trial of an adolescent HIV prevention program among Bahamian youth: Effect at 12 month post-intervention. AIDS Behavior. 2009;13:499–-508.
39. 39. Mispireta, ML. Determinantes del sobrepeso y la obesidad en niños en edad escolar en Perú. Revista Peruana de Medicina Experimental y Salud Pública. 2012;29(3):361-5.
40. 40. Hemar Nicolas V, Ezan P, Gollety M, Guichard N, LJ. How do children learn eating practices? Beyond the nutritional information, the importance of social eating. Young Consumers: Insight and Ideas for Responsible Marketers. 2013;1(14):5-18.
41. 41. Pedersen S, Gronhoj A, Bech-Larsen T. Family members’ role in healthy-eating socialization based on a healthy-eating intervention. Young Consumers: Insight and Ideas for Responsible Marketers. 2012;13(3):208--223.
42. 42. Moore L, Silva-Sanigorski A, Moore SN. A socio-ecological perspective on behavioural interventions to influence food choice in schools: alternative, complementary or synergistic? Public Health Nutrition. 2013;16(6):1000-1005.
43. 43. Johnston LM, Matteson CL, Finegood DT. Systems science and obesity policy: a novel framework for analyzing and rethinking population-level planning. American Journal of Public Health Research. 2014;104(7):1270-1278.
44. 44. Nyberg G, Sundblom E, Norman A, Elinder LS. A healthy school start-parental support to promote healthy dietary habits and physical activity in children: Design and evaluation of a cluster-randomised intervention. BMC Public Health. 2011;11:185-192.
45. 45. Flynn MA, McNeil DA, Maloff B, Mutasingwa D, Wu M, Ford C, Tough SC. Reducing obesity and related chronic disease risk in children and youth: a synthesis of evidence with ‘best practice’ recommendations. Obesity Reviews: an Official Journal of the International Association for the Study of Obesity. 2006;7(1):7-66.
46. 46. Aquino-Vivanco O, Aramburu A, Munares-García O, Gómez-Guizado G, García-Torres E, Donaires-Toscano F, Fiestas F. Intervenciones para el control del sobrepeso y obesidad en niños y adolescentes. Revista Peruana de Medicina Experimental y Salud Pública. 2013;30 (2):275-282.
Copyright notice
The Journal Management and Health Policies is registered under the Creative Commons Recognition 4.0 International license. Therefore, this work can be reproduced, distributed and publicly communicated in digital format, provided that the name of the authors and the Pontificia Universidad Javeriana are recognized. It is allowed to quote, adapt, transform, autoarchive, republish and create from the material, for any purpose (including commercial), provided that authorship is properly acknowledged, a link to the original work is provided and if changes have been mad. The Pontificia Universidad Javeriana does not retain the rights over published works and the contents are the exclusive responsibility of the authors, who preserve their moral, intellectual, privacy and publicity rights.
The endorsement of the intervention of the work (revision, style correction, translation, layout) and its subsequent disclosure is granted through a license to use and not through a transfer of rights, which means that the journal and the Pontificia Universidad Javeriana disclaims any liability that may arise from ethical misconduct on the part of the authors. As a result of the protection provided by the license for use, the journal is not obliged to publish retractions or modify the information already published, unless the erratum arises from the process of editorial management. The publication of contents in this magazine does not represent royalties for taxpayers.