Volume 9, Issue 3 (2021)
Health Educ Health Promot 2021, 9(3): 221-227 |
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Hamzavi Zarghani N, Ghofranipour F, mohammadi E, Haeri Mehrizi A, Cardon G. Weight Management Promotion among Preschoolers: a Protocol for a Pilot Study using Mixed Methods. Health Educ Health Promot 2021; 9 (3) :221-227
URL: http://hehp.modares.ac.ir/article-5-51997-en.html
URL: http://hehp.modares.ac.ir/article-5-51997-en.html
1- Health Education and Health Promotion Department, Faculty of Medical Science, Tarbiat Modares University, Tehran, Iran
2- Health Education and Health Promotion Department, Faculty of Medical Science, Tarbiat Modares University, Tehran, Iran , ghofranf@modares.ac.ir
3- Nursing Department, Faculty of Medical Science, Tarbiat Modares University, Tehran, Iran
4- Health Metrics Research Center, Iranian Institute for Health Sciences Research (ACECR), Tehran, Iran
5- Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium
2- Health Education and Health Promotion Department, Faculty of Medical Science, Tarbiat Modares University, Tehran, Iran , ghofranf@modares.ac.ir
3- Nursing Department, Faculty of Medical Science, Tarbiat Modares University, Tehran, Iran
4- Health Metrics Research Center, Iranian Institute for Health Sciences Research (ACECR), Tehran, Iran
5- Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium
Abstract: (990 Views)
Aims: This protocol aims to design and evaluate an educational program to promote weight management among preschoolers.
Designed Methods: This study has a sequential mixed-methods approach in two phases: qualitative and quantitative. In the first phase, epidemiological, educational, and ecological factors of the PRECEDE-PROCEED model influencing weight management promotion among Tehranian preschoolers will be explored. Seventeen preschoolers' parents and two preschool principals were interviewed by the researcher in the preschool setting. After data analysis through directed content analysis, a one-group pre and post pilot study will be performed in phase two. Fifteen mother-children dyads will be enrolled, and mothers will be asked to complete four questionnaires and measure children's weight and height. Then an educational program will be designed to promote weight management among preschoolers based on the results of the qualitative phase and a pre-test stage. Post-test will be performed immediately and three months after the intervention.
Expected Findings: In phase one, we expect facilities and barriers of preschoolers' weight management to be identified based on social-cultural conditions and the structures of the model. According to the qualitative study results, an educational program will be developed and evaluated in phase two, and it is anticipated that the educational program will positively influence children's weight management.
Conclusion: In the various communities, cultural and social differences have a critical effect on obesity in preschoolers; therefore, examining these factors can help understand individuals' views and interventional design programs to solve this problem.
Designed Methods: This study has a sequential mixed-methods approach in two phases: qualitative and quantitative. In the first phase, epidemiological, educational, and ecological factors of the PRECEDE-PROCEED model influencing weight management promotion among Tehranian preschoolers will be explored. Seventeen preschoolers' parents and two preschool principals were interviewed by the researcher in the preschool setting. After data analysis through directed content analysis, a one-group pre and post pilot study will be performed in phase two. Fifteen mother-children dyads will be enrolled, and mothers will be asked to complete four questionnaires and measure children's weight and height. Then an educational program will be designed to promote weight management among preschoolers based on the results of the qualitative phase and a pre-test stage. Post-test will be performed immediately and three months after the intervention.
Expected Findings: In phase one, we expect facilities and barriers of preschoolers' weight management to be identified based on social-cultural conditions and the structures of the model. According to the qualitative study results, an educational program will be developed and evaluated in phase two, and it is anticipated that the educational program will positively influence children's weight management.
Conclusion: In the various communities, cultural and social differences have a critical effect on obesity in preschoolers; therefore, examining these factors can help understand individuals' views and interventional design programs to solve this problem.
Keywords: Mothers [MeSH], Model [MeSH], Obesity [MeSH], Pilot Study [MeSH], Preschool Children [MeSH], Qualitative Research [MeSH]
Article Type: Analytic Review |
Subject:
Health Education and Health Behavior
Received: 2021/04/26 | Accepted: 2021/05/24 | Published: 2021/09/5
Received: 2021/04/26 | Accepted: 2021/05/24 | Published: 2021/09/5
References
1. Buttitta M, Iliescu C, Rousseau A, Guerrien A. Quality of life in overweight and obese children and adolescents: A literature review. Qual Life Res. 2014;23(4):1117-39. [Link] [DOI:10.1007/s11136-013-0568-5] [PMID]
2. Van Grieken A, Veldhuis L, Renders CM, Landgraf JM, Hirasing RA, Raat H. Impaired parent-reported health-related quality of life of underweight and obese children at elementary school entry. Qual Life Res. 2013;22(4):917-28. [Link] [DOI:10.1007/s11136-012-0211-x] [PMID] [PMCID]
3. Manios Y, Androutsos O, Katsarou C, Vampouli EA, Kulaga Z, Gurzkowska B, et al. Prevalence and sociodemographic correlates of overweight and obesity in a large Pan-European cohort of preschool children and their families: The toybox-study. Nutrition. 2018;55-56:192-8. [Link] [DOI:10.1016/j.nut.2018.05.007] [PMID]
4. Musaiger AO. Overweight and obesity in eastern mediterranean region: Prevalence and possible causes. J Obes. 2011;2011:407237. [Link] [DOI:10.1155/2011/407237] [PMID] [PMCID]
5. Ziaoddini H, Kelishadi R, Kamsari F, Mirmoghtadaee P, Poursafa P. First nationwide survey of prevalence of weight disorders in Iranian children at school entry. World J Pediatr. 2010;6(3):223-7. [Link] [DOI:10.1007/s12519-010-0206-z] [PMID]
6. Agha-Alinejad H, Farzad B, Salari M, Kamjoo S, Harbaugh BL, Peeri M. Prevalence of overweight and obesity among Iranian preschoolers: Interrelationship with physical fitness. J Res Med Sci. 2015;20(4):334-41. [Link]
7. Didarloo A, Farrokh-Eslamlou HR. Childhood obesity, a threat to health: Challenges and solutions. Health Educ Health Promot. 2017;5(4):1-3. [Persian] [Link]
8. Tchoubi S, Sobngwi-Tambekou J, Noubiap JJN, Asangbeh SL, Nkoum BA, Sobngwi E. Prevalence and risk factors of overweight and obesity among children aged 6-59 months in Cameroon: A multistage, stratified cluster sampling nationwide survey. Plos One. 2015;10(12):0143215. [Link] [DOI:10.1371/journal.pone.0143215] [PMID] [PMCID]
9. World health organization. Report of the commission on ending childhood obesity [Internet]. Geneva: World Health Organization; 2016 [Unknown cited]. Available from: https://www.paho.org/en/documents/report-commission-ending-childhood-obesity. [Link]
10. Amiri P, Jalali-Farahani S, Akbar HM, Cheraghi L, Khalili D, Momenan A, et al. The effects of a community-based lifestyle intervention on metabolic syndrome and its components in adolescents: Findings of a decade follow-up. Metab Syndr Relat Disord. 2018;16(5):215-23. [Link] [DOI:10.1089/met.2017.0055] [PMID]
11. O'Connor EA, Evans CV, Burda BU, Walsh ES, Eder M, Lozano P. Screening for obesity and intervention for weight management in children and adolescents: Evidence report and systematic review for the US preventive services task force. JAMA. 2017;317(23):2427-44. [Link] [DOI:10.1001/jama.2017.0332] [PMID]
12. Novotny R, Davis J, Butel J, Boushey CJ, Fialkowski MK, Nigg CR, et al. Effect of the children's healthy living program on young child overweight, obesity, and acanthosis nigricans in the us-affiliated pacific region: A randomized clinical trial. JAMA Netw Open. 2018;1(6):183896. [Link] [DOI:10.1001/jamanetworkopen.2018.3896] [PMID] [PMCID]
13. Adamo KB, Wasenius NS, Grattan KP, Harvey ALJ, Naylor PJ, Barrowman NJ, et al. Effects of a preschool intervention on physical activity and body composition. J Pediatr. 2017;188:42-9. [Link] [DOI:10.1016/j.jpeds.2017.05.082] [PMID]
14. Hammersley ML, Jones RA, Okely AD. Time 2b healthy-an online childhood obesity prevention program for preschool-aged children: A randomised controlled trial protocol. Contemp Clin Trials. 2017;61:73-80. [Link] [DOI:10.1016/j.cct.2017.07.022] [PMID]
15. Birnbaum J, Geyer C, Kirchberg F, Manios Y, Koletzko B, Group TS. Effects of a kindergarten-based, family-involved intervention on motor performance ability in 3-to6-year-old children: The toybox-study. J Sport Sci. 2017;35(4):377-84. [Link] [DOI:10.1080/02640414.2016.1166390] [PMID]
16. Barkin SL, Heerman WJ, Sommer EC, Martin NC, Buchowski MS, Schlundt D, et al. Effect of a behavioral intervention for underserved preschool-age children on change in body mass index: A randomized clinical trial. JAMA. 2018;320(5):450-60. [Link] [DOI:10.1001/jama.2018.9128] [PMID] [PMCID]
17. Wen LM, Baur LA, Simpson JM, Xu H, Hayes AJ, Hardy LL, et al. Sustainability of effects of an early childhood obesity prevention trial over time: A further 3-year follow-up of the healthy beginnings trial. JAMA Pediatr. 2015;169(6):543-51. [Link] [DOI:10.1001/jamapediatrics.2015.0258] [PMID]
18. Androutsos O, Katsarou C, Payr A, Birnbaum J, Geyer C, Wildgruber A, et al. Designing and implementing teachers' training sessions in a kindergarten‐based, family‐involved intervention to prevent obesity in early childhood, the toybox‐study. Obes Rev. 2014;15 Suppl 3:48-52. [Link] [DOI:10.1111/obr.12182] [PMID]
19. Zhou YE, Emerson JS, Levine RS, Kihlberg CJ, Hull PC. Childhood obesity prevention interventions in childcare settings: Systematic review of randomized and nonrandomized controlled trials. Am J Health Promot. 2014;28(4):92-103. [Link] [DOI:10.4278/ajhp.121129-LIT-579] [PMID]
20. Taheri F, Hassanzadeh-Taheri MM, Kazemi T, Nazari A, Sharifzadeh G. Prevalence of overweight and obesity in preschool children (2-5 year-olds) in Birjand, Iran. BMC Res Notes. 2012;5:529. [Link] [DOI:10.1186/1756-0500-5-529] [PMID] [PMCID]
21. Gaeini A, Kashef M, Samadi A, Fallahi A. Prevalence of underweight, overweight and obesity in preschool children of Tehran, Iran. J Res Med Sci. 2011;16(6):821-7. [Link]
22. Hajian-Tilaki K, Heidari B. Childhood obesity, overweight, socio-demographic and life style determinants among preschool children in Babol, northern Iran. Iran J Public Health. 2013;42(11):1283-91. [Link]
23. Nejadsadeghi E, Shojaeizadeh D, Sadeghi R, Majlesi F, Djazayeri A, Yekaninejad MS, et al. Demographic determinants of obesity, and adherence to dietary and physical activity guidelines among 4 to 6-year-old children in Behbahan city, southwest Iran, 2016. Electron Physician. 2018;10(3):6554-62. [Link] [DOI:10.19082/6554] [PMID] [PMCID]
24. Nejadsadeghi E, Sadeghi R, Shojaeizadeh D, Yekaninejad MS, Djazayeri A, Majlesi F. Influence of lifestyle factors on Body Mass Index in preschoolers in Behbahan city, southwest Iran, 2016. Electron Physician. 2018;10(4):6725-32. [Link] [DOI:10.19082/6725] [PMID] [PMCID]
25. Amini M, Djazayery A, Majdzadeh R, Taghdisi MH, Sadrzadeh-Yeganeh H, Eslami-Amirabadi M. Children with obesity prioritize social support against stigma: A qualitative study for development of an obesity prevention intervention. Int J Prev Med. 2014;5(8):960-8. [Persian] [Link]
26. Mohammadpour-Ahranjani B, Pallan MJ, Rashidi A, Adab P. Contributors to childhood obesity in Iran: The views of parents and school staff. Public Health. 2014;128(1):83-90. [Link] [DOI:10.1016/j.puhe.2013.10.005] [PMID]
27. Elinder LS, Patterson E, Nyberg G, Norman A. A healthy school start plus for prevention of childhood overweight and obesity in disadvantaged areas through parental support in the school setting-study protocol for a parallel group cluster randomised trial. BMC Public Health. 2018;18(1):459. [Link] [DOI:10.1186/s12889-018-5354-4] [PMID] [PMCID]
28. Sosa ET, Mckyer EL, Pruitt B, Goodson P, Castillo L. The complexities of childhood obesity: A qualitative study among Mexican American mothers. J Health Dispar Res Pract. 2015;8(3):28-41. [Link]
29. Banerjee AT, Strachan PH, Boyle MH, Anand SS, Oremus M. Factors facilitating the implementation of church-based heart health promotion programs for older adults: A qualitative study guided by the precede-proceed model. Am J Health Promot. 2015;29(6):365-73. [Link] [DOI:10.4278/ajhp.130820-QUAL-438] [PMID]
30. Sharma M. Theoretical foundations of health education and health promotion. Burlington: Jones & Bartlett Learning; 2021. [Link]
31. Green LW, Kreuter MW. Health program planning: An educational and ecological approach. New York: McGraw-Hill; 2005. [Link]
32. Creswell JW. Research design, qualitative, quantitative and mixed methods approaches. Thousand Oaks: SAGE Publications; 2017. [Link]
33. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277-88. [Link] [DOI:10.1177/1049732305276687] [PMID]
34. Maddox R, Davey R, Cochrane T, Lovett R, Van Der Sterren A. Study protocol-indigenous Australian social networks and the impact on smoking policy and programs in Australia: Protocol for a mixed-method prospective study. BMC Public Health. 2013;13:879. [Link] [DOI:10.1186/1471-2458-13-879] [PMID] [PMCID]
35. Mirmiran P, Hosseini Esfahani F, Mehrabi Y, Hedayati M, Azizi F. Reliability and relative validity of an FFQ for nutrients in the Tehran lipid and glucose study. Public Health Nutr. 2010;13(5):654-62. [Link] [DOI:10.1017/S1368980009991698] [PMID]
36. Golzarpour M, Ghaedamini Harouni G, Vameghi M, Sajjadi H, Tavangar F. Validity and reliability of Persian version of children's health-related quality of life. J North Khorasan Univ Med Sci. 2017;8(3):447-59. [Persian] [Link] [DOI:10.18869/acadpub.jnkums.8.3.447]
37. Neelon SEB, Ostbye T, Hales D, Vaughn A, Ward DS. Preventing childhood obesity in early care and education settings: Lessons from two intervention studies. Child Care Health Dev. 2016;42(3):351-8. [Link] [DOI:10.1111/cch.12329] [PMID] [PMCID]
38. Gagne C, Harnois I. How to motivate childcare workers to engage preschoolers in physical activity. J Phys Act Health. 2014;11(2):364-374. [Link] [DOI:10.1123/jpah.2011-0325] [PMID]
39. Amiri P, Ghofranipour F, Jalali-Farahani S, Ahmadi F, Hosseinpanah F, Hooman HA, et al. Inventory of determinants of obesity-related behaviors in adolescents: Development and psychometric characteristics. Int J Endocrinol Metab. 2015;13(3):24618. [Link] [DOI:10.5812/ijem.24618v2] [PMID] [PMCID]
40. Manios Y. The toybox‐study obesity prevention programme in early childhood: An introduction. Obes Rev. 2012;13 Suppl 1:1-2. [Link] [DOI:10.1111/j.1467-789X.2011.00977.x] [PMID]
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