Design of an educational strategy based on Intervention Mapping for nutritional health promotion in Child Care Centers |
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| Affiliation: | 1. Center for Evaluation and Surveys Research, National Institute of Public Health, Av. Universidad No 655, Col. Sta. Ma. Ahuacatitlan, C.P. 62100, Cuernavaca, Morelos, Mexico;2. Center for Population Health Research, National Institute of Public Health, Av. Universidad No 655, Col. Sta. Ma. Ahuacatitlán, C.P. 62100, Cuernavaca, Morelos, Mexico;3. Institute of Health Sciences, Autonomous University of the State of Hidalgo, Mexico;4. Ibero-American University Puebla, Blvrd del Niño Poblano 2901, Reserva Territorial Atlixcayotl, Centro Comercial Puebla, 72810 San Andres Cholula, Puebla, Mexico;5. Center for Health Systems Research, National Institute of Public Health, Av. Universidad No 655, Col. Sta. Ma. Ahuacatitlan, C.P. 62100, Cuernavaca, Morelos, Mexico;1. University of Idaho, College of Education,875 Perimeter Drive MS 2401, Moscow, ID, 83844, United States;2. University of South Carolina, 1300 Wheat Street, Blatt PE Center, Columbia, SC 29208, United States;3. Iowa State University, 534 Wallace Road, Ames, IA 5001, United States;1. London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1E 7HT, UK;2. CARE International UK, Camelford House, 87-90 Albert Embankment, Lambeth, London, SE1 7TP, UK;3. CARE USA, 2506 Beacon Avenue, Atlanta, V8L 1Y2, USA;4. CARE Rwanda, N 8 Avenue, Kigali, Rwanda;5. Independent Consultant, New York, USA;1. School of Economics and Management, Xidian University, No. 2 South Taibai Street, Xi’an, Shaanxi Province, PR China;2. Shaanxi Xi ''an Yanta District, Shida Road, Shaanxi Normal University, Xi’an, Shaanxi Province, PR China;1. Virginia Commonwealth University, School of Allied Health Professions, 730 East Broad Street, Richmond, VA, 23298, USA;2. University of Maryland School of Public Health, 4200 Valley Drive, College Park, MD, 20742, USA;3. University of Kentucky College of Public Health, 111 Washington Ave., Lexington, KY, 40536, USA;4. University of Kentucky College of Medicine, UK Medical Center MN 150, Lexington, KY, 40536, USA;5. University of Kentucky College of Public Health, 111 Washington Ave., Lexington, KY, 40536, USA;1. Faculty of Forestry, Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia;2. Institute of Tropical Forestry & Forest Products (INTROP), Universiti Putra Malaysia, 43400 Serdang, Selangor, Malaysia;1. Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA 30322, United States;2. University of Texas School of Public Health, 7000 Fannin St., Suite 2668, Houston, TX 77030, United States;3. University of North Carolina at Chapel Hill, 200 N. Greensboro Street, Suite D-13, Carrboro, NC 27510, United States |
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| Abstract: | Early childhood is a critical period for instilling healthy habits to prevent overweight and obesity. This paper describes the development of an educational intervention for the promotion of healthy eating and physical activity among two-to-four-year-old children in public child care centers (CCCs) in Mexico City. Following the Intervention Mapping (IM) protocol, we developed the Bright Futures multidisciplinary intervention. First, a formative research process to identify the personal and environmental determinants of childhood overweight and obesity, behavioral outcomes and performance objectives was conducted. Then, a matrix of change objectives by intersecting the performance objectives with the determinants was integrated. Bright Futures lasted six months and included 24 weekly sessions, each composed of five phases: warm-up, theory, active movements, relaxation, and hydration. Ad hoc interactive teaching materials focused on recreational activities, and formulated plans for the adoption, implementation and process/impact evaluation of the intervention was developed. IM successfully guided the design of a theory-driven and evidence-based intervention for children in CCCs within a socio-ecological and participatory planning framework. This is one of the first studies in Mexico to use IM in the context of CCCs. |
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| Keywords: | Child care centers Early childhood Overweight and obesity prevention Healthy habits Intervention mapping Mexico |
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