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Cited by 55Participatory Visual Research MethodsCommunity Health and DevelopmentChildren's Rights and Participation

Co-designing obesity prevention interventions together with children: intervention mapping meets youth-led participatory action research

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Anselma, Manou, Altenburg, Teatske M., Emke, Helga, van Nassau, Femke, Jurg, Merlin, Ruiter, Robert A. C., Jurkowski, Janine M., Chinapaw, Mai J. M.·2019·International Journal of Behavioral Nutrition and Physical Activity
DOI 10.1186/s12966-019-0891-5PMC PMC6909512
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Abstract

Background: Youth-led Participatory Action Research (YPAR) involves children throughout the process of developing and implementing interventions. Combining YPAR with a structural approach for designing and planning interventions, such as Intervention Mapping (IM), may further improve implementation and effectiveness of interventions. This paper describes how YPAR and IM were combined in the Kids in Action study. Methods: The Kids in Action study aims to improve health behaviors of 9–12-year old children living in a low socioeconomic neighborhood in Amsterdam, by co-designing interventions with these children. At each of four schools 6–8 children ( N = 18–24 total per year) and two academic researchers formed participatory groups that met weekly or every fortnight during two school years. An IM expert panel advised the participatory groups on the application of IM. Results: Following the IM protocol, we conducted a participatory needs assessment with children, parents and professionals, in IM-step 1. In IM-step 2, the IM expert panel constructed matrices of program objectives, and the children provided feedback. In collaboration with children programs were designed and produced using an iterative process during IM-steps 3–4. In IM-step 5, the participatory groups and professional community partners designed the implementation plan. Finally, in IM-step 6, the protocol of the process and effect evaluation – executed by academic researchers with input from children – was developed. Conclusions: By combining YPAR and IM, several interventions have been developed and implemented, varying from a school water policy to extracurricular sports activities. Sharing responsibility with children was challenging when combining IM with YPAR. In YPAR children are given as much autonomy as possible, while traditional IM development work is primarily done by academic researchers. Strengths in combining IM and YPAR include the involvement of the end-users - children - throughout the process while at the same time developing interventions based on existing evidence. Time-management, a multidisciplinary team, and flexibility are important conditions when combining IM with YPAR. A strong community project group, with professionals who were willing to help children develop and execute their ideas, was an important success factor. This study can serve as an example to other YPAR studies developing interventions using the IM protocol.

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  • Engaging key stakeholders, including adolescents, parents, teachers, and policy experts, in intervention design ensures tailoring to adolescents' needs, feasibility, and successful implementation.

    “Empirical evidence suggests that engaging key stakeholders, including adolescents, parents, teachers, and policy experts, in intervention design ensures tailoring to adolescents’ needs, feasibility, and successful implementation [57–59].”

    From School-based healthy eating interventions for adolescents aged 10–19 years: an umbrella review (2024) · cites this paper as [58]

    The Background says involving children may improve an intervention’s relevance and implementation, and the Discussion says children aged 9–12 and community partners helped assess feasibility and develop interventions. The Methods (Step 5) also describes stakeholders helping plan implementation. These passages do not establish that engagement ensures those outcomes for adolescents, and some named stakeholders contributed to needs assessment or implementation planning rather than intervention design. (LLM, conf=0.87)

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Research works printed but not linked: 3

  1. [12]Bozlak CT Kelley MA Lawson HA Participatory Action Research with Youth, in Participatory Action Research 2015 New York City Oxford University Press 67 90
  2. [15]Cammarota J Fine M Cammarota J Fine M Youth Participatory Action Research: A Pedagogy for Transformational Resistance, in Revolutionizing education: youth participatory action research in motion 2008 New York Routledge 1 11
  3. [26]Kemmis S McTaggart R Denzin NK Lincoln YS Participatory Action Reserach: Communicative Action and the Public Sphere The Sage Handbook of Qualitative Resarch 2007 CA, United States of America Sage Publications: Thousand Oaks 271 330

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Authors
Anselma, M., Altenburg, T. M., Emke, H., van Nassau, F., Jurg, M., Ruiter, R. A. C., Jurkowski, J. M., & Chinapaw, M. J. M.
Affiliations
  • Amsterdam Public Health (NL)
  • Maastricht University (NL)
  • State University of New York (US)
Corresponding author
Anselma, Manou
ORCID
Venue
International Journal of Behavioral Nutrition and Physical Activity
Publisher
Springer Science and Business Media LLC
Published
2019-12
Volume
16
Issue
1
Pages
130-130
ISSN
1479-5868 (ISSN-L)
DOI
10.1186/s12966-019-0891-5
PMC
PMC6909512
OpenAlex
W2995070627
Cited by
55
References
49
Citations by year
2026: 6 · 2025: 9 · 2024: 15 · 2023: 6 · 2022: 9 · 2021: 8 · 2020: 2
FWCI
9.56
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Behavioral Nutrition and Physical Activity (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • VU Research Portal (publishedVersion, other-oa)
  • Research Publications (Maastricht University) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Pure Amsterdam UMC (submittedVersion, cc-by)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (submittedVersion, other-oa)
  • Research Publications (Maastricht University) (submittedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
Funders
FNO (101569)
Topics
  • Social Sciences › Sociology and Political Science › Participatory Visual Research Methods
  • Health Sciences › Health Professions › General Health Professions › Community Health and Development
  • Social Sciences › Sociology and Political Science › Children's Rights and Participation
Keywords
obesity prevention, intervention mapping, co-design, children, school-based intervention, participatory needs assessment, child autonomy, extracurricular sports
MeSH terms
Child, Health Services Research, Humans, School Health Services, Pediatric Obesity

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