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Formative research to develop a community-based intervention for chronic disease prevention in Guatemalan school-age children
BACKGROUND: Noncommunicable diseases (NCD) are the most common causes of morbidity and mortality worldwide, even in low- and middle-income countries (LMIC). Recent trends in health promotion emphasize community-based interventions as an important strategy for improving health outcomes. The aim of th...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3909912/ https://www.ncbi.nlm.nih.gov/pubmed/24485389 http://dx.doi.org/10.1186/1471-2458-14-101 |
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author | Letona, Paola Ramirez-Zea, Manuel Caballero, Benjamin Gittelsohn, Joel |
author_facet | Letona, Paola Ramirez-Zea, Manuel Caballero, Benjamin Gittelsohn, Joel |
author_sort | Letona, Paola |
collection | PubMed |
description | BACKGROUND: Noncommunicable diseases (NCD) are the most common causes of morbidity and mortality worldwide, even in low- and middle-income countries (LMIC). Recent trends in health promotion emphasize community-based interventions as an important strategy for improving health outcomes. The aim of this study was to conduct formative research regarding the perceptions of NCD risk factors, their influencing factors, and community resources available to aid the development and implementation of a community-based intervention with school-age children. METHODS: Focus group discussions (n = 18), home visits (n = 30), and individual semi-structured interviews (n = 26) were conducted in three urban communities in Guatemala with school-age children (10–12 years of age), teachers, parents, and local community members (i.e., school principals, school food kiosk vendors, religious leaders, authority representatives). All focus groups and interviews were transcribed verbatim for thematic analysis. RESULTS: Children, parents, and teachers have general knowledge about modifiable risk factors. Adults worried more about tobacco use, as compared to unhealthy diet and physical inactivity in children. Participants identified features at the intrapersonal (e.g., negative emotional state), interpersonal (e.g., peers as role models), and organizational and community levels (e.g., high levels of crime) that influence these risk factors in children. School committees, religious leaders, and government programs and activities were among the positive community resources identified. CONCLUSIONS: These findings should help researchers in Guatemala and similar LMIC to develop community-based interventions for NCD prevention in school-age children that are effective, feasible, and culturally acceptable. |
format | Online Article Text |
id | pubmed-3909912 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-39099122014-02-04 Formative research to develop a community-based intervention for chronic disease prevention in Guatemalan school-age children Letona, Paola Ramirez-Zea, Manuel Caballero, Benjamin Gittelsohn, Joel BMC Public Health Research Article BACKGROUND: Noncommunicable diseases (NCD) are the most common causes of morbidity and mortality worldwide, even in low- and middle-income countries (LMIC). Recent trends in health promotion emphasize community-based interventions as an important strategy for improving health outcomes. The aim of this study was to conduct formative research regarding the perceptions of NCD risk factors, their influencing factors, and community resources available to aid the development and implementation of a community-based intervention with school-age children. METHODS: Focus group discussions (n = 18), home visits (n = 30), and individual semi-structured interviews (n = 26) were conducted in three urban communities in Guatemala with school-age children (10–12 years of age), teachers, parents, and local community members (i.e., school principals, school food kiosk vendors, religious leaders, authority representatives). All focus groups and interviews were transcribed verbatim for thematic analysis. RESULTS: Children, parents, and teachers have general knowledge about modifiable risk factors. Adults worried more about tobacco use, as compared to unhealthy diet and physical inactivity in children. Participants identified features at the intrapersonal (e.g., negative emotional state), interpersonal (e.g., peers as role models), and organizational and community levels (e.g., high levels of crime) that influence these risk factors in children. School committees, religious leaders, and government programs and activities were among the positive community resources identified. CONCLUSIONS: These findings should help researchers in Guatemala and similar LMIC to develop community-based interventions for NCD prevention in school-age children that are effective, feasible, and culturally acceptable. BioMed Central 2014-01-31 /pmc/articles/PMC3909912/ /pubmed/24485389 http://dx.doi.org/10.1186/1471-2458-14-101 Text en Copyright © 2014 Letona et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. |
spellingShingle | Research Article Letona, Paola Ramirez-Zea, Manuel Caballero, Benjamin Gittelsohn, Joel Formative research to develop a community-based intervention for chronic disease prevention in Guatemalan school-age children |
title | Formative research to develop a community-based intervention for chronic disease prevention in Guatemalan school-age children |
title_full | Formative research to develop a community-based intervention for chronic disease prevention in Guatemalan school-age children |
title_fullStr | Formative research to develop a community-based intervention for chronic disease prevention in Guatemalan school-age children |
title_full_unstemmed | Formative research to develop a community-based intervention for chronic disease prevention in Guatemalan school-age children |
title_short | Formative research to develop a community-based intervention for chronic disease prevention in Guatemalan school-age children |
title_sort | formative research to develop a community-based intervention for chronic disease prevention in guatemalan school-age children |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3909912/ https://www.ncbi.nlm.nih.gov/pubmed/24485389 http://dx.doi.org/10.1186/1471-2458-14-101 |
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