Pilot Study on Satisfaction in Children and Adolescents after a Comprehensive Educational Program on Healthy Habits
Abstract
:1. Introduction
1.1. Theoretical Background
1.2. Nutrition Education as a Strategy for Promoting Healthy Habits in Children
1.3. Aim
1.4. Hypothesis
2. Materials and Methods
2.1. Design
2.2. Participants
2.3. Instruments
2.4. Procedure
2.5. Design and Application of the Educational Program
2.6. Data Analysis
3. Results
3.1. Quantitative Results
3.2. Qualitative Results
4. Discussion
4.1. Limitations of the Study
4.2. Future Practical Applications of the MotivACTION Program
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Deci, E.L.; Ryan, R.M. Intrinsic Motivation and Self-Determination in Human Behaviour; Plenum: New York, NY, USA, 1985. [Google Scholar]
- Deci, E.L.; Ryan, R.M. The “what” and “why” of goal pursuits: Human needs and the self-determination of behaviour. Psych. Inq. 2000, 11, 227–268. [Google Scholar] [CrossRef]
- Ajzen, I. The theory of planned behaviour. Organ. Behav. Hum. Decis. Process. 1991, 50, 179–211. [Google Scholar] [CrossRef]
- Goleman, D. Emotional Intelligence; Bantam Books: New York, NY, USA, 1995. [Google Scholar]
- Candela-Borja, Y.; Intriago-Loor, M.; Solórzano-Coello, D.; Rodríguez-Gámez, M. Los procesos motivacionales de la teoría cognitiva social y su repercusión en el aprendizaje de los estudiantes de bachillerato. Domino Cienc. 2000, 6, 932–949. [Google Scholar] [CrossRef]
- Chiu, T.K.F. Applying the self-determination theory (SDT) to explain student engagement in online learning during the COVID-19 pandemic. J. Res. Technol. Educ. 2022, 54, S14–S30. [Google Scholar] [CrossRef]
- Li, W.; Zhang, H.; Zhang, C.; Luo, J.; Wang, H.; Wu, H.; Zhu, Y.; Cui, H.; Wang, J.; Li, H.; et al. The Prevalence of Psychological Status During the COVID-19 Epidemic in China: A Systemic Review and Meta-Analysis. Front. Psychol. 2021, 12, 614964. [Google Scholar] [CrossRef]
- Volk, C.; Rosenstiel, S.; Demetriou, Y.; Krustrup, P.; Thiel, A.; Trautwein, U.; Wagner, W.; Höner, O.; Sudeck, G. Effects of a physical education intervention programme for ninth-graders on physical activity-related health competence: Findings from the GEKOS cluster randomised controlled trial. Psychol. Sport Exerc. 2021, 55, 101923. [Google Scholar] [CrossRef]
- Ismailov, M.; Chiu, T.K.M. Catering to Inclusion and Diversity with Universal Design for Learning in Asynchronous Online Education: A Self-Determination Theory Perspective. Front. Psychol. 2022, 13. [Google Scholar] [CrossRef]
- Bandura, A. Self-Efficacy: The Exercise of Control; W.H. Freeman and Company: New York, NY, USA, 1997. [Google Scholar]
- García Fernández, M.; Giménez-Mas, S.I. La inteligencia emocional y sus principales modelos: Propuesta de un modelo integrador. Espiral. Cuad. Profr. 2010, 3, 43–52. [Google Scholar] [CrossRef] [Green Version]
- Kumar, S.; Kaufman, T. Childhood obesity. Panminerva Med. 2018, 60, 200–212. [Google Scholar] [CrossRef]
- Organización Mundial de la Salud. Obesidad y Sobrepeso. Available online: https://www.who.int/en/newsroom/fact-sheets/detail/obesity-and-overweight (accessed on 9 February 2023).
- Brown, C.L.; Halvorson, E.E.; Cohen, G.M.; Lazorick, S.; Skelton, J.A. Addressing Childhood Obesity: Opportunities for Prevention. Pediatr. Clin. N. Am. 2015, 62, 1241–1261. [Google Scholar] [CrossRef] [Green Version]
- Porter, K.J.; Koch, P.A.; Contento, I.R. Why and How Schools Make Nutrition Education Programs “Work”. J. Sch. Health 2018, 88, 23–33. [Google Scholar] [CrossRef] [PubMed]
- OMS. Global Strategy on Diet, Physical Activity and Health-2004. Available online: https://www.who.int/publications/i/item/9241592222 (accessed on 10 February 2023).
- Ministerio de Consumo y AESAN: “Pon más Héroes en tu Plato, y Llena tu vida de Superpoderes”. Available online: https://www.aesan.gob.es/AECOSAN/web/nutricion/campanyas/aesan_campanya_18.htm (accessed on 10 February 2023).
- Charlotte, E.L.; Meaghan, S.C.; Cleghorn, C.L.; Greenwood, D.C.; Cade, J.E. Systematic review and meta-analysis of school-based interventions to improve daily fruit and vegetable intake in 5–12 year olds. Am. J. Nutr. Cl. 2022, 96, 889–901. [Google Scholar] [CrossRef] [Green Version]
- Collado-Soler, R.; Alférez-Pastor, M.; Torres, F.; Trigueros, R.; Aguilar-Parra, J.M.; Navarro, N. A Systematic Review of Healthy Nutrition Intervention Programs in Kindergarten and Primary Education. Nutrients 2023, 15, 541. [Google Scholar] [CrossRef]
- Meiklejohn, B.N.D.; Ryan, L.; Palermo, C. A Systematic Review of the Impact of Multi-Strategy Nutrition Education Programs on Health and Nutrition of Adolescents. J. Nutr. Educ. Behav. 2016, 48, 631–646. [Google Scholar] [CrossRef]
- Pereira, A.R.; Oliveira, A. Dietary interventions to prevent childhood obesity: A literature review. Nutrients 2021, 13, 3447. [Google Scholar] [CrossRef] [PubMed]
- Scazzocchio, B.; Varì, R.; d’Amore, A.; Chiarotti, F.; Del Papa, S.; Silenzi, A.; Gimigliano, A.; Giovannini, C.; Masella, R. Promoting Health and Food Literacy through Nutrition Education at Schools: The Italian Experience with MaestraNatura Program. Nutrients 2021, 13, 1547. [Google Scholar] [CrossRef]
- Habib-Mourad, C.; Ghandour, L.A.; Maliha, C.; Dagher, M.; Kharroubi, S.; Hwalla, N. Impact of a three-year obesity prevention study on healthy behaviours and BMI among Lebanese schoolchildren: Findings from the ajyal salima programme. Nutrients 2020, 12, 2687. [Google Scholar] [CrossRef] [PubMed]
- Manios, Y.; Kafatos, A. Educación sobre salud y nutrición en las escuelas primarias: Cambios en el conocimiento de la salud, la ingesta de nutrientes y la actividad física durante un período de seis años. Nutr. Sal. Públ. 1999, 2, 445–448. [Google Scholar]
- Butt, Z.I.; Rashid, K.; Akhtar, T.; Saeed, N.; Adnan, M.A.J.; Hashmi, S. Relationship between psychological wellbeing and exercise. Sci. Int. 2016, 28, 1569–1574. [Google Scholar]
- Mariño García, A.; Núñez Velázquez, M.; Gámez Bernal, A.I. Healthy Nutrition. Rev. Act. Méd. 2016, 17. Available online: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=68525 (accessed on 10 February 2023).
- Manrique-Chica, O.; Rosique-Gracia, J. Seguridad e inocuidad alimentaria en hogares de jornaleros de fincas cafeteras con y sin certificación del suroeste de Antioquia-Colombia. Vitae 2014, 21, 20–29. [Google Scholar]
- Whitmore, E.; McKee, C.; Reason, P.; Bradbury, H. Handbook of Action Research: Participative Inquiry and Practice; SAGE Publications: London, UK, 2001. [Google Scholar]
- Otzen, T.; Manterola, C. Técnicas de Muestreo sobre una Población a Estudio. Int. J. Morphol. 2017, 35, 227–232. [Google Scholar] [CrossRef] [Green Version]
- Belmont, I. Principios Éticos & Directrices Para La Protección de Sujetos Humanos de Investigación. Estados Unidos de Norteamérica: Informe de la Comisión Nacional para la Protección de Sujetos Humanos de Investigación Biomédica y de Comportamiento. In Informe Belmont; Comisión Nacional para la Protección de Sujetos Humanos de Investigación Biomédica y del Comportamiento: Berkeley, CA, USA, 1978. [Google Scholar]
- Gilder, S. La Asociación Médica Mundial se reúne en Helsinki. Hermano Med. J. 1964, 2, 299–300. [Google Scholar] [CrossRef] [Green Version]
- Angulo-Brunet, A.; Viladrich, C.; Pallarès, S.; Borrueco, M.; Ramis, Y.; Torregrossa, M.; Cruz, J. Can Multi-Item Measures and Single-Item Measures be Trusted to Assess Self-Determination Theory Constructs in the Elderly? Psicothema 2020, 32, 583–589. [Google Scholar] [CrossRef]
- Reeve, J. Self-determination theory applied to educational settings. In Handbook of Self-Determination Research; Deci, E.L., Ryan, R.M., Eds.; University of Rochester Press: Rochester, NY, USA, 2002; pp. 183–203. [Google Scholar]
- Food and Agriculture Organization of the United Nations (FAO). Guías Alimentarias Basadas en Alimentos. 2021. Available online: http://www.fao.org/nutrition/education/food-dietary-guidelines/es/ (accessed on 3 February 2023).
- Thomas, J.R.; Silverman, S.; Nelson, J. Research Methods in Physical Activity, 7th ed.; Human Kinetics: Champaign, IL, USA, 2015. [Google Scholar]
- Smith, B. Generalizability in qualitative research: Misunderstandings, opportunities and recommendations for the sport and exercise sciences. Qual. Res. Sport Exerc. Health 2018, 10, 137–149. [Google Scholar] [CrossRef]
- Merino-Barrero, J.A.; Valero-Valenzuela, A.; Belando-Pedreño, N. Determinated Psychosocial Consequences through the Promotion of Responsibility in Physical Education. Int. J. Med. Sci. Phys. Act. Sport 2019, 19, 415–430. [Google Scholar] [CrossRef] [Green Version]
- Jiménez-Parra, J.F.; Belando-Pedreño, N.; Valero-Valenzuela, A. The Effects of the ACTIVE VALUES Program on Psychosocial Aspects and Executive Functions. Int. J. Environ. Res. Public Health 2023, 20, 595. [Google Scholar] [CrossRef] [PubMed]
- AESAN. Come Sano y Muévete: 12 Decisiones Saludables. 2008. Available online: https://www.aesan.gob.es/AECOSAN/docs/documentos/nutricion/educanaos/come_sano_muevete.pdf (accessed on 3 February 2023).
- Oddo, V.M.; Roshita, A.; Khan, M.T.; Ariawan, I.; Wiradnyani, L.A.A.; Chakrabarti, S.; Izwardy, D.; Rah, J.H. Evidence-Based Nutrition Interventions Improved Adolescents’ Knowledge and Behaviors in Indonesia. Nutrients 2022, 14, 1717. [Google Scholar] [CrossRef]
- Verstraeten, R.; Roberfroid, D.; Lachat, C.; Leroy, J.L.; Holdsworth, M.; Maes, L.; Kolsteren, P.W. Effectiveness of preventive school-based obesity interventions in low- and middle-income countries: A systematic review. Am. J. Clin. Nutr. 2012, 96, 415–438. [Google Scholar] [CrossRef] [Green Version]
- Roshita, A.; Riddell-Carre, P.; Sjahrial, R. A Qualitative Inquiry into the Eating Behavior and Physical Activity of Adolescent Girls and Boys in Indonesia. Food Nutr. Bull. 2021, 42, S122–S131. [Google Scholar] [CrossRef]
- OMS. Salud Mental: Fortaleciendo Nuestra Propuesta. 2013. Available online: https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response (accessed on 12 February 2023).
- Fernández, F.C.; Martínez, Á.M.; Martín, A.B.B.; Pérez-Fuentes, M.D.C.; Jurado, M.D.M.M.; Linares, J.J.G. Prevalencia de la depresión en España: Análisis de los últimos 15 años. Eur. J. Investig. Health Psychol. Educ. 2015, 5(2), 267–279. [Google Scholar] [CrossRef]
- Oliveira, A.; Durão, C.; Lopes, C. Determinantes del comportamiento social y sanitario de la obesidad. In Avances Recientes en la Obesidad: Comprender la Obesidad-Desde sus Orígenes hasta el Impacto en la Vida; Monteiro, R., Martins, M., Eds.; Bentham Science Publishers: Sharjah, United Arab Emirates, 2020. [Google Scholar]
- Melguizo-Ibáñez, E.; Zurita-Ortega, F.; Ubago-Jiménez, J.L.; Salvador-Pérez, F.; González-Valero, G. Motivación deportiva, adherencia a la dieta mediterránea y ocio digital. Un modelo explicativo en estudiantes de educación en función del sexo. Sci. J. Sch. Sport Phys. Educ. Psychomot. 2022, 8, 239–254. [Google Scholar] [CrossRef]
- Jiménez-Parra, J.F.; Manzano-Sánchez, D.; Camerino, O.; Castañer, M.; Valero-Valenzuela, A. Enhancing Physical Activity in the Classroom with Active Breaks: A Mixed Methods Study. Apunt. Educ. Física Deportes 2022, 147, 84–94. [Google Scholar] [CrossRef]
- Pastor-Vicedo, J.C.; Martínez-Martinez, J.; López-Polo, M.; Prieto-Ayuso, A. Recreos activos como estrategia de promoción de la actividad física: Una revisión sistemática. Retos 2021, 40, 135–144. [Google Scholar] [CrossRef]
- Jiménez-Parra, J.F.; Belando-Pedreño, N.; López-Fernández, J.; García-Vélez, J.A.; Valero-Valenzuela, A. “ACTIVE VALUES”: An Interdisciplinary Educational Programme to Promote Healthy Lifestyles and Encourage Education in Values-A Rationale and Protocol Study. Appl. Sci. 2022, 12, 8073. [Google Scholar] [CrossRef]
- McMullen, J.M.; Martin, R.; Jones, J.; Murtagh, E.M. Moving to learn Ireland–Classroom teachers’ experiences of movement integration. Teach. Teach. Educ. 2016, 60, 321–330. [Google Scholar] [CrossRef]
Socio-Demographic Variables | Characteristics | Dates |
---|---|---|
Sex | 34.4% boys; 29% girls | |
Geography and year enrolled and current situation. | Boys and girls School children from the Community of Madrid Primary and secondary school students, the academic year 2021/2022. | 43.4% Primary school students; 56.6% secondary student |
Socio-economic level | Medium. | |
Level of education of parents or guardians | School graduate and intermediate studies. | 33% School graduate; 67% intermediate studies |
Thematic Lines | Theoretical Background | Aim | Activity Example |
---|---|---|---|
1. Initial activities | To explain the “what” and “why” of the program. | The concept of MotivACTION is defined in relation to emotions, nutritional education, and physical exercise. | |
2. Testing Motivation | SDT | To explore the personal commitment and motivation of the participants | Graphically, participants self-assess the level of c commitment and personal motivation to participate in the workshop. Activity called: “Motivational Commitmentometer”. |
3. Emotional education | TEI, TPB | To work intra-interpersonal emotional intelligence | Emotions are defined, and an activity involving graphics, figures, and art frames is proposed to recognize emotions and moods. |
4. Emotional literacy | TEI | To facilitate the emotional education of children and adolescence | In groups (6–8 students), they design “Emotional Literacy” taking Dr. Hitzig’s emotional literacy as a reference. |
5. Thinking quality | SDT, TEI, TPB | The influence of thinking on behaviors | After observing several images of situations that occur in the school environment (class attention, exams, recess), students verbalize their thoughts about it. |
6. Physical health and physical activity | SDT, TPB | Awareness about physical health through physical activity | A physical exercise activity (active break) is carried out in which curricular contents (mathematical calculations, natural science contents, geography contents, bodily systems) are related to an exercise technique, e.g., We have to add 200 squats among all participants, “How many squats will you have to perform in your group?” |
7. Nutritional education | FAO, AESAN strategy | To learn healthy eating behaviors | Each group of students creates the “Harvard Plate” or “Nutriplate” with the help of “Chef Frog” (an infographic of a frog dressed as a chef who explains the difference between fast food and healthy food). |
8. Closing activities | To design a personalized action plan to promote healthy behaviors | Each group of students creates an action plan (a template is provided) to design three healthy behavior strategies: (1) How to identify an “uncomfortable” emotion; (2) thinking about a “negative” thought about oneself and changing it to a “positive” thought; (3) choose 3 healthy foods to include in the daily menu at home. |
Items 1 to 9 | M | SD |
---|---|---|
1. How useful is it for you to work on your way of thinking, your emotions, and your fitness level? | 9.1 | 0.95 |
2. Have you learned something? | 8.7 | 1.04 |
3. How much do you feel that becoming more aware of the importance of your thoughts and emotions has contributed to you? | 9.1 | 1.02 |
4. Would you recommend your peers to participate in this workshop? | 8.8 | 0.92 |
5. How much do you value continuing to participate in workshops on “MotivACTION”? | 8.5 | 1.08 |
6. Overall satisfaction with the workshop | 8.76 | 1.07 |
7. Rate the activity in terms of format | 9.80 | 1.02 |
8. Rate the activity in terms of organization | 9.89 | 0.91 |
9. What is your overall satisfaction with what the person who led the workshop communicated to you? | 8.9 | 0.93 |
Context | Responses |
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Belando-Pedreño, N.; Blanco-García, M.E.; Chamorro, J.L.; García-Martí, C. Pilot Study on Satisfaction in Children and Adolescents after a Comprehensive Educational Program on Healthy Habits. Nutrients 2023, 15, 1161. https://doi.org/10.3390/nu15051161
Belando-Pedreño N, Blanco-García ME, Chamorro JL, García-Martí C. Pilot Study on Satisfaction in Children and Adolescents after a Comprehensive Educational Program on Healthy Habits. Nutrients. 2023; 15(5):1161. https://doi.org/10.3390/nu15051161
Chicago/Turabian StyleBelando-Pedreño, Noelia, Marta Eulalia Blanco-García, José L. Chamorro, and Carlos García-Martí. 2023. "Pilot Study on Satisfaction in Children and Adolescents after a Comprehensive Educational Program on Healthy Habits" Nutrients 15, no. 5: 1161. https://doi.org/10.3390/nu15051161
APA StyleBelando-Pedreño, N., Blanco-García, M. E., Chamorro, J. L., & García-Martí, C. (2023). Pilot Study on Satisfaction in Children and Adolescents after a Comprehensive Educational Program on Healthy Habits. Nutrients, 15(5), 1161. https://doi.org/10.3390/nu15051161