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A Mixed-Methods Participatory Intervention Design Process to Develop Intervention Options in Immediate Food and Built Environments to Support Healthy Eating and Active Living among Children and Adolescents in Cameroon and South Africa

Author

Listed:
  • Agnes Erzse

    (SAMRC/Wits Centre for Health Economics and Decision Science—PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of Witwatersrand, Johannesburg 2193, South Africa)

  • Teurai Rwafa-Ponela

    (SAMRC/Wits Centre for Health Economics and Decision Science—PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of Witwatersrand, Johannesburg 2193, South Africa)

  • Petronell Kruger

    (SAMRC/Wits Centre for Health Economics and Decision Science—PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of Witwatersrand, Johannesburg 2193, South Africa)

  • Feyisayo A. Wayas

    (Research Centre for Health through Physical Activity, Lifestyle and Sport (HPALS), Division of Physiological Sciences, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town 7935, South Africa
    Division of Public Health Medicine, School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town 7925, South Africa)

  • Estelle Victoria Lambert

    (Research Centre for Health through Physical Activity, Lifestyle and Sport (HPALS), Division of Physiological Sciences, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town 7935, South Africa)

  • Clarisse Mapa-Tassou

    (Health of Population in Transition Research Group, University of Yaoundé, Yaoundé P.O. Box 812, Cameroon
    Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang P.O. Box 67, Cameroon)

  • Edwin Ngwa

    (Health of Population in Transition Research Group, University of Yaoundé, Yaoundé P.O. Box 812, Cameroon)

  • Susan Goldstein

    (SAMRC/Wits Centre for Health Economics and Decision Science—PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of Witwatersrand, Johannesburg 2193, South Africa)

  • Louise Foley

    (MRC Epidemiology Unit, University of Cambridge, Cambridge CB2 0SL, UK)

  • Karen J. Hofman

    (SAMRC/Wits Centre for Health Economics and Decision Science—PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of Witwatersrand, Johannesburg 2193, South Africa)

  • Stephanie Teguia

    (Health of Population in Transition Research Group, University of Yaoundé, Yaoundé P.O. Box 812, Cameroon)

  • Tolu Oni

    (MRC Epidemiology Unit, University of Cambridge, Cambridge CB2 0SL, UK)

  • Felix Assah

    (Health of Population in Transition Research Group, University of Yaoundé, Yaoundé P.O. Box 812, Cameroon)

  • Maylene Shung-King

    (Health Policy and Systems Division, School of Public Health and Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town 7925, South Africa)

  • Safura Abdool Karim

    (SAMRC/Wits Centre for Health Economics and Decision Science—PRICELESS SA, School of Public Health, Faculty of Health Sciences, University of Witwatersrand, Johannesburg 2193, South Africa)

Abstract

Rates of obesity and related non-communicable diseases are on the rise in sub-Saharan Africa, associated with sub-optimal diet and physical inactivity. Implementing evidence-based interventions targeting determinants of unhealthy eating and physical inactivity in children and adolescents’ immediate environments is critical to the fight against obesity and related non-communicable diseases. Setting priorities requires a wide range of stakeholders, methods, and context-specific data. This paper reports on a novel participatory study design to identify and address contextual drivers of unhealthy eating and physical inactivity of children and adolescents in school and in their home neighborhood food and built environments. We developed a three-phase mixed-method study in Cameroon (Yaoundé) and South Africa (Johannesburg and Cape Town) from 2020–2021. Phase one focused on identifying contextual drivers of unhealthy eating and physical inactivity in children and adolescents in each setting using secondary analysis of qualitative data. Phase two matched identified drivers to evidence-based interventions. In phase three, we worked with stakeholders using the Delphi technique to prioritize interventions based on perceived importance and feasibility. This study design provides a rigorous method to identify and prioritize interventions that are tailored to local contexts, incorporating expertise of diverse local stakeholders.

Suggested Citation

  • Agnes Erzse & Teurai Rwafa-Ponela & Petronell Kruger & Feyisayo A. Wayas & Estelle Victoria Lambert & Clarisse Mapa-Tassou & Edwin Ngwa & Susan Goldstein & Louise Foley & Karen J. Hofman & Stephanie T, 2022. "A Mixed-Methods Participatory Intervention Design Process to Develop Intervention Options in Immediate Food and Built Environments to Support Healthy Eating and Active Living among Children and Adoles," IJERPH, MDPI, vol. 19(16), pages 1-12, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:10263-:d:891427
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    References listed on IDEAS

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