Involving Children in Creating a Healthy Environment in Low Socioeconomic Position (SEP) Neighborhoods in The Netherlands: A Participatory Action Research (PAR) Project

Wilderink, Lisa; Bakker, Ingrid; Schuit, Albertine J.; Seidell, Jacob C.; Renders, Carry M.

doi:10.3390/ijerph182212131

Cited by 6 publications

(9 citation statements)

References 56 publications

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“…The system of health-related behaviors does not only consist of determinants that can be measured objectively, but also of experiences and perceptions of different stakeholders. Participation of all stakeholders, including the often difficult-to-reach people from low-SEP groups, to build the most complete understanding of the system is an important aspect of complex systems thinking [ 87 , 88 ]. Moreover, the complex system of the person, environment, ball and their interactions, can vary between specific groups: the determinants and their interactions within the system might work differently for people from low-SEP groups in comparison with the general population.…”

Section: The Complexity Of Changing Health-related Behaviors In Low-s...mentioning

confidence: 99%

A Theoretical Perspective on Why Socioeconomic Health Inequalities Are Persistent: Building the Case for an Effective Approach

Wilderink

Bakker

Schuit

et al. 2022

IJERPH

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Despite policy intentions and many interventions aimed at reducing socioeconomic health inequalities in recent decades in the Netherlands and other affluent countries, these inequalities have not been reduced. Based on a narrative literature review, this paper aims to increase insight into why socioeconomic health inequalities are so persistent and build a way forward for improved approaches from a theoretical perspective. Firstly, we present relevant theories focusing on individual determinants of health-related behaviors. Thereafter, we present theories that take into account determinants of the individual level and the environmental level. Lastly, we show the complexity of the system of individual determinants, environmental determinants and behavior change for low socioeconomic position (SEP) groups and describe the next steps in developing and evaluating future effective approaches. These steps include systems thinking, a complex whole-system approach and participation of all stakeholders in system change.

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Section: The Complexity Of Changing Health-related Behaviors In Low-s...mentioning

confidence: 99%

A Theoretical Perspective on Why Socioeconomic Health Inequalities Are Persistent: Building the Case for an Effective Approach

Wilderink

Bakker

Schuit

et al. 2022

IJERPH

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“…Wilderink et al (20) tried to engage young adolescents (10-14 years of age) in developing interventions aimed at healthier food choices. They involved children living in three low-socioeconomic position neighbourhoods in the Netherlands in participatory action research by using the photovoice method.…”

Section: Participatory Action Research With Adolescentsmentioning

confidence: 99%

“…They involved children living in three low-socioeconomic position neighbourhoods in the Netherlands in participatory action research by using the photovoice method. The photovoice method provided comprehensive information from the children's perspectives (20) . With the help of the community workers, the children identified feasible actions.…”

Section: Participatory Action Research With Adolescentsmentioning

confidence: 99%

Improving local food environments and dietary habits in adolescents by engaging with stakeholders in the Netherlands

2021

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The purpose of this article is to describe a series of recent studies from the authors and many of their colleagues aimed at improving the food environments of adolescents in the Netherlands and thereby improving their food choices. These studies are performed in the wider context of national and local strategies for the prevention of overweight and obesity in the Netherlands. Interventions were developed with local stakeholders and carried out in schools, supermarkets and low-income neighbourhoods. We conclude that current national policies in the Netherlands are largely ineffective in reducing the prevalence of overweight and obesity. Local integrated programmes in the Netherlands, however, seem to result in a reduction of overweight, especially in low-income neighbourhoods. It is impossible to say which elements of such an integrated approach are effective elements on their own. We found very little evidence for the effectiveness of separate interventions aimed at small changes in the food environment. This suggests that such interventions are only effective in combination with each other and in a wider systems approach. Future studies are needed to further develop the practical methodology of implementation and evaluation of systems science in combination with participatory action research.

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“…Among socially disadvantaged groups, where unhealthy behaviors 25 and obesity are generally more prevalent, 26 YPAR holds particular promise to facilitate youth development and civic participation 12 . Furthermore, as meaningful engagement of youth is necessary to represent their lived experience, 5,21 it is important to include youth from diverse social backgrounds to ensure the relevance and acceptability of policies 22,27 . Although promising, youth advocacy for obesity prevention among adolescents is a novel strategy, 28,29 and despite increasing attention to youth involvement, 6 young people are rarely involved in PAR 30…”

Section: Introductionmentioning

confidence: 99%

“…12 Furthermore, as meaningful engagement of youth is necessary to represent their lived experience, 5,21 it is important to include youth from diverse social backgrounds to ensure the relevance and acceptability of policies. 22,27 Although promising, youth advocacy for obesity prevention among adolescents is a novel strategy, 28,29 and despite increasing attention to youth involvement, 6 young people are rarely involved in PAR. 30 The Confronting obesity: Co-creating policy with youth (CO-CREATE) project aims to reduce the prevalence of obesity among adolescents, by combining the knowledge of adolescents, scientists, and stakeholders in the joint development of policy ideas.…”

mentioning

confidence: 99%

Adolescents' capacity to take action on obesity: A concurrent controlled before‐and‐after study of the European CO‐CREATE project

Herstad,

Grewal,

Banik

et al. 2023

Obesity Reviews

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SummaryThis study evaluated the effect on reported readiness for action and attitudes toward obesity prevention among older adolescents (mean age 17) who took part in a youth‐led participatory action research European initiative (CO‐CREATE Youth Alliances) compared with a comparison group that acted as controls. This was a concurrent before‐and‐after controlled study across five countries and took place between September 2019 and October 2020. Adolescents (n = 159) recruited from schools and youth organizations came together with researchers and formed 15 Youth Alliances. An online questionnaire measuring their readiness for action and attitudes toward obesity prevention was administered. Alliance members (n = 62) who filled in the questionnaire at both baseline and postinitiative, and adolescents from the comparison group (n = 132) who completed the questionnaire twice were included in the main analysis. Two‐level linear mixed models controlling for country‐related variance were fitted. Alliance members scored significantly higher than the comparison group on two factors in each of the readiness for action, responsibility, and drivers of behavior concepts. The findings suggest that involving youth in co‐creating policies to prevent obesity may increase adolescents' readiness for action and promote a shift in adolescents' conceptualization of obesity from an individual perspective to a societal responsibility and drivers of behavior.

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Involving Children in Creating a Healthy Environment in Low Socioeconomic Position (SEP) Neighborhoods in The Netherlands: A Participatory Action Research (PAR) Project

Cited by 6 publications

References 56 publications

A Theoretical Perspective on Why Socioeconomic Health Inequalities Are Persistent: Building the Case for an Effective Approach

A Theoretical Perspective on Why Socioeconomic Health Inequalities Are Persistent: Building the Case for an Effective Approach

Improving local food environments and dietary habits in adolescents by engaging with stakeholders in the Netherlands

Adolescents' capacity to take action on obesity: A concurrent controlled before‐and‐after study of the European CO‐CREATE project

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