Change in the motivation pattern of adolescents before and after participation in a multidisciplinary health promotion program
DOI:
https://doi.org/10.36311/jhgd.v33.14188Abstract
Introduction: there is evidence that multidisciplinary interventions are an efficient approach to achieving weight loss and other health-related goals. However, dropout rates of these programs are high among adolescents. The suggestion is that understanding the motivation of individuals to participate in these projects is fundamental to developing strategies for permanence and, consequently, promoting better results.
Objective: the main aim of this study was to describe the motivations of overweight adolescents participating in a multidisciplinary health promotion project.
Methods: this qualitative study was conducted from March to July 2021 using the Bardin content analysis technique. The tool used for data collection was the semi-structured interview, analyzed means by the software QSR NVivo 11 by grouping the speech into clusters. These, in turn, were evaluated in three categories: (1) motivation, (2) food, and (3) physical exercise.
Results: the age of the participants was 13.8 ± 2.4 years old, with body mass index of 31.8 ± 8.5 kg/m². Regarding family income, 41.66% had a monthly payment of 3 to 6 minimum wages. Regarding parents’ educational level, 70.83% of mothers had completed higher education, while 29.16% had completed high school. According to the respondent’s answers, weight loss was the greatest motivation to participate in a multidisciplinary obesity treatment program. In category 2, it was observed that adolescents associated the act of eating with feelings such as anxiety and nervousness. In category 3, the impact of the pandemic was found under the modalities of physical exercise practiced.
Conclusion: the results describe the motivation of overweight adolescents to participate in a multidisciplinary program, in addition to elucidating participants’ perception of their health and related habits, strategies for health promotion, and consequent improvement of the quality of life of these individuals.
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References
World Health Organization. Obesity and overweight. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
World Health Organization. Noncommunicable diseases: Childhood overweight and obesity. Available from: https://www.who.int/news-room/questions-and-answers/item/noncommunicable-diseases-childhood-overweight-and-obesity
Christie D, Viner R. Adolescent development. BMJ. 2005 Feb 5; 330(7486): 301–4.
Pesquisa nacional de saúde do escolar: 2019 / IBGE, Coordenação de População e Indicadores Sociais. – Rio de Janeiro: IBGE, 2021. 162 p. il.
Swinburn B, Kraak V, Rutter H, Vandevijvere S, Lobstein T, Sacks G, et al. Strengthening of accountability systems to create healthy food environments and reduce global obesity. The Lancet. 2015 Jun; 385(9986): 2534–45.
do Amaral e Melo GR, Silva PO, Nakabayashi J, Bandeira MV, Toral N, Monteiro R. Family meal frequency and its association with food consumption and nutritional status in adolescents: A systematic review. PLOS ONE. 2020 Sep 18; 15(9): e0239274.
Kumar S, Kelly AS. Review of Childhood Obesity. Mayo Clin Proc. 2017 Feb; 92(2): 251–65.
Macedo TTS de, Portela PP, Palamira CS, Mussi FC. Obese people’s perception of their own bodies. Escola Anna Nery - Revista de Enfermagem. 2015; 19(3).
Loades ME, Chatburn E, Higson-Sweeney N, Reynolds S, Shafran R, Brigden A, et al. Rapid Systematic Review: The Impact of Social Isolation and Loneliness on the Mental Health of Children and Adolescents in the Context of COVID-19. J Am Acad Child Adolesc Psychiatry. 2020 Nov; 59(11): 1218-1239.e3.
Duan L, Shao X, Wang Y, Huang Y, Miao J, Yang X, et al. An investigation of mental health status of children and adolescents in china during the outbreak of COVID-19. J Affect Disord. 2020 Oct; 275: 112–8.
Singh S, Roy D, Sinha K, Parveen S, Sharma G, Joshi G. Impact of COVID-19 and lockdown on mental health of children and adolescents: A narrative review with recommendations. Psychiatry Res. 2020 Nov; 293: 113429.
Guessoum SB, Lachal J, Radjack R, Carretier E, Minassian S, Benoit L, et al. Adolescent psychiatric disorders during the COVID-19 pandemic and lockdown. Psychiatry Res. 2020 Sep; 291: 113264.
Sciberras E, Patel P, Stokes MA, Coghill D, Middeldorp CM, Bellgrove MA, et al. Physical Health, Media Use, and Mental Health in Children and Adolescents With ADHD During the COVID-19 Pandemic in Australia. J Atten Disord. 2022 Feb 17; 26(4): 549–62.
Nardo Junior N, Bianchini JAA, da Silva DF, Ferraro ZM, Lopera CA, Antonini VDS. Building a response criterion for pediatric multidisciplinary obesity intervention success based on combined benefits. Eur J Pediatr. 2018 Jun 19; 177(6): 1–12.
Branco BHM, Mariano IR, de Oliveira LP, Bertolini SMMG, de Oliveira FM, Araújo CGA, et al. Sports and Functional Training Improve a Subset of Obesity-Related Health Parameters in Adolescents: A Randomized Controlled Trial. Front Psychol. Jan 21;11. Available from: https://www.frontiersin.org/articles/10.3389/fpsyg.2020.589554/full
Branco BHM, Valladares D, de Oliveira FM, Carvalho IZ, Marques DC, Coelho AA, et al. Effects of the Order of Physical Exercises on Body Composition, Physical Fitness, and Cardiometabolic Risk in Adolescents Participating in an Interdisciplinary Program Focusing on the Treatment of Obesity. Front Physiology. 2019 Aug 6; 10.
Silva TMG da, Garcia LF, Oliveira DV de, Anversa ALB, Santos NQ dos, Branco BHM. Expectativas e mudanças de comportamento de pais e adolescentes com síndrome metabólica participantes de um projeto interdisciplinar para promoção da saúde. Revista Cesumar – Ciências Humanas e Sociais Aplicadas. 2020 Dec 29; 25(2): 247–61.
van der Baan-Slootweg O, Benninga MA, Beelen A, van der Palen J, Tamminga-Smeulders C, Tijssen JG, et al. Inpatient treatment of children and adolescents with severe obesity in the Netherlands: a randomized clinical trial. JAMA Pediatr. 2014; 168(9): 807-14.
Fuster V. An alarming threat to secondary prevention: low compliance (lifestyle) and poor adherence (drugs). Rev Esp Cardiol (Engl Ed). 2012; 65 Suppl 2: 10-6. Review. Spanish.
Alberga AS, Medd ER, Adamo KB, Goldfield GS, ‘Prud’homme D, Kenny GP, et al. Top 10 practical lessons learned from physical activity interventions in overweight and obese children and adolescents. Appl Physiol Nutr Metab. 2013; 38(3): 249-58.
Lofrano-Prado MC, HILL JO, Silva HJ, Freitas CR, Freitas CM, Ferreira MN, et al. Reasons and barriers to lose weight: obese adolescents point of view. Br J Med Med Res. 2013; 3(3): 474-82.
Cole TJ, Lobstein T. Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity. Pediatr Obes. 2012 Aug; 7(4): 284–94.
WHO, World Health Organization. Young People’ ‘s Health – a Challenge for Society. Report of a WHO Study Group on Young People and Health for All. Technical Report Series 731. Geneva: WHO, 1986.
Whegley ES, Quételet A. (1796-1874): Pioneer anthropometrist. Nutrition Today, 1989; 24: 12-16.
Bardin L. Análise de conteúdo. 2011. 70, 229 p.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Guia alimentar para a população brasileira / Ministério da Saúde, Secretaria de Atenção à Saúde, Departamento de Atenção Básica. – 2. ed., 1. reimpr. – Brasília: Ministério da Saúde, 2014.
Pichon-Rivière E. O processo grupal. 7a. São Paulo: WMF Martins Fontes; 2005. 286 p.
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Secretaria de Atenção à Saúde. Política Nacional de Promoção da Saúde: PNPS: Anexo I da Portaria de Consolidação nº 2, de 28 de setembro de 2017, que consolida as normas sobre as políticas nacionais de saúde do SUS – Brasília: Ministério da Saúde, 2018. 40 p.
Bleger J. Temas de psicologia: entrevistas e grupos. São Paulo: Martins Fontes; 2003.
Pedroni JL, Rech RR, Halpern R, Marin S, Roth L dos R, Sirtoli M, et al. Prevalência de obesidade abdominal e excesso de gordura em escolares de uma cidade serrana no sul do Brasil. Ciênc Saúde Colet. 2013 Mai; 18(5): 1417–25.
Leal VS, Lira PIC de, Oliveira JS, Menezes RCE de, Sequeira LA de S, Arruda Neto MA de, et al. Excesso de peso em crianças e adolescentes no Estado de Pernambuco, Brasil: prevalência e determinantes. Cad Saúde Pública. 2012 Jun; 28(6): 1175–82.
Guedes DP, Miranda Neto JT, Almeida MJ, Silva AJRM. Impacto de fatores sociodemográficos e comportamentais na prevalência de sobrepeso e obesidade de escolares. Rev Bras Cineantropom Desempenho Hum. 2011 Jan 1; 12(4).
Baskaradoss JK. Relationship between oral health literacy and oral health status. BMC Oral Health. 2018 Dec 24; 18(1): 172.
Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low Health Literacy and Health Outcomes: An Updated Systematic Review. Ann Intern Med. 2011 Jul 19; 155(2): 97.
del Ciampo LA, del Ciampo IRL. Adolescência e imagem corporal. Adolescência & Saúde. 2010; 7(4): 55–9.
Diez-Garcia RW, Cervato-Mancuso AM. Mudanças alimentares e educação nutricional. In: Mudanças alimentares e educação nutricional. 2013. p. 411.
Pearson N, Ball K, Crawford D. Predictors of changes in ‘adolescents’ consumption of fruits, vegetables and energy-dense snacks. Br J Nutr. 2011 Mar 14; 105(5): 795–803.
Boutelle KN, Fulkerson JA, Neumark-Sztainer D, Story M, French SA. Fast food for family meals: relationships with parent and adolescent food intake, home food availability and weight status. Public Health Nutr. 2007 Jan 1; 10(1): 16–23.
Branco BHM, Mariano IR, de Oliveira LP, Bertolini SMMG, de Oliveira FM, Araújo CGA, et al. Sports and Functional Training Improve a Subset of Obesity-Related Health Parameters in Adolescents: A Randomized Controlled Trial. Front Psychol. 2021 Jan 21; 11.
Silva DC de A, Frazão I da S, Osório MM, Vasconcelos MGL de. Percepção de adolescentes sobre a prática de alimentação saudável. Ciência & Saúde Coletiva. 2015 Nov; 20(11): 3299–308.
Nogueira CJ, Cortez ACL, Oliveira Leal SM de, Dantas EHM. Recomendações para a prática de exercício físico em face do COVID-19: uma revisão integrativa. Rev Bras Fisiol Exerc. 2021 Mar 19; 20(1): 101–24.
Carneiro IR, Medeiros PR, Silva M. Contribuições da psicologia em um grupo de emagrecimento e reeducação alimentar: um relato de experiência. Revista Científica da Escola Estadual de Saúde Pública de Goiás - “Cândido Santiago”, 2019; 5(2): 36-50.
Magnani Branco BH, Carvalho IZ, Garcia de Oliveira H, Fanhani AP, Machado dos Santos MC, Pestillo de Oliveira L, et al. Effects of 2 Types of Resistance Training Models on Obese Adolescents’ Body Composition, Cardiometabolic Risk, and Physical Fitness. J Strength Cond Res. 2020 Sep; 34(9): 2672–82.
Brasil. Ministério da Saúde. Caderno do gestor do PSE / Ministério da Saúde, Ministério da Educação. – Brasília: Ministério da Saúde, 2015.
Silva A de A, Gubert F do A, Barbosa Filho VC, Freitas RWJF de, Vieira-Meyer APGF, Pinheiro MTM, et al. Health promotion actions in the School Health Program in Ceará: nursing contributions. Rev Bras Enferm. 2021; 74(1).
Baggio MA, Berres R, Gregolin BPS, Aikes S. Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses. Rev Bras Enferm. 2018; 71(suppl 4): 1540–7.
Ricci ÉC, Dimov T, da Silva Cassais T, Dellbrügger AP. University experiences of occupational therapy in Brazil during the Covid-19 pandemic: Contributions and support in mental health for the population. World Federation of Occupational Therapists Bulletin. 2020 Jul 2; 76(2): 75–7.
Steigleder LI, Zucchetti DT, Martins RL. Trajetória para curricularização da extensão universitária: contribuições do fórum nacional de extensão das universidades comunitárias - forext e a definição de diretrizes nacionais. Revista Brasileira de Extensão Universitária. 2019 Dec 10; 10(3): 167–74.
Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA, et al. 2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults. Circulation. 2014 Jun 24; 129(25_suppl_2).
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Copyright (c) 2023 Santos IC, Marques DCS, Ryal JJ, Ross GS, Camilo CFA, Garcia LF, Branco BHM
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