Safura Abdool Karim

Public Health Lawyer | Researcher

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


Journal article


A. Erzse, Teurai Rwafa-Ponela, P. Kruger, Feyisayo A. Wayas, E. Lambert, Clarisse Mapa-Tassou, Edwin Ngwa, S. Goldstein, L. Foley, K. Hofman, Stephanie Teguia, T. Oni, F. Assah, Maylene Shung-King, S. Abdool Karim
International Journal of Environmental Research and Public Health, 2022

Semantic Scholar DOI PubMedCentral PubMed
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APA   Click to copy
Erzse, A., Rwafa-Ponela, T., Kruger, P., Wayas, F. A., Lambert, E., Mapa-Tassou, C., … Karim, S. A. (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 Adolescents in Cameroon and South Africa. International Journal of Environmental Research and Public Health.


Chicago/Turabian   Click to copy
Erzse, A., Teurai Rwafa-Ponela, P. Kruger, Feyisayo A. Wayas, E. Lambert, Clarisse Mapa-Tassou, Edwin Ngwa, et al. “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.” International Journal of Environmental Research and Public Health (2022).


MLA   Click to copy
Erzse, A., et al. “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.” International Journal of Environmental Research and Public Health, 2022.


BibTeX   Click to copy

@article{a2022a,
  title = {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},
  year = {2022},
  journal = {International Journal of Environmental Research and Public Health},
  author = {Erzse, A. and Rwafa-Ponela, Teurai and Kruger, P. and Wayas, Feyisayo A. and Lambert, E. and Mapa-Tassou, Clarisse and Ngwa, Edwin and Goldstein, S. and Foley, L. and Hofman, K. and Teguia, Stephanie and Oni, T. and Assah, F. and Shung-King, Maylene and Karim, S. Abdool}
}

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.


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