Development and cultural adaptation of text messages for promoting healthy eating among Amazonian schoolchildren

IF 4.6 2区医学 Q1 BEHAVIORAL SCIENCES

Appetite Pub Date : 2025-02-01 DOI:10.1016/j.appet.2024.107833

Ana Carolina de Andrade Hovadick , Steffany Martins Moreira , Caroline Zani Rodrigues , Valéria Clarisse de Oliveira , Marly Augusto Cardoso

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引用次数: 0

Abstract

Objective

To develop text messages for a mHealth intervention promoting healthy eating among Amazonian schoolchildren.

Design

Two rounds of expert panel analysis and formative research interviews.

Setting

Western Brazilian Amazon, Cruzeiro do Sul, Acre, Brazil.

Participants

Included 17 healthcare professionals and 40 caregivers of school-aged children enrolled in the Maternal and Child Health and Nutrition in Acre birth cohort study.

Main outcome measures

Evaluation focused on messages' cultural appropriateness, comprehensibility, and relevance, along with caregivers' understanding and intention to adhere to the recommendations.

Analysis

Quantitative analysis employed the modified Cohen Kappa, the Scale-Content Validity Index Average (S-CVI-Ave), frequency calculations, and a ranking system.

Results

Fifty-five text messages were drafted. In the initial stage, eight messages did not achieve a sufficient score and were subsequently revised and reevaluated, ultimately gaining approval. The S-CVI-Ave for each domain was as follows: cultural appropriateness = 0.97, comprehensibility = 0.96, and relevance = 0.97. Formative research indicated a 92% understanding rate and a 70% intention rate to adhere to the proposed suggestions.

Conclusions and implications

The final set of messages was successfully culturally adapted and will contribute to the translation and dissemination of Dietary Guidelines for Brazilian Population recommendations to Western Amazon families.

查看原文本刊更多论文

为促进亚马逊地区学童健康饮食而编写的短信及其文化适应性。

目的：为促进亚马逊学童健康饮食的移动健康干预开发短信。设计：两轮专家小组分析和形成性研究访谈。环境：巴西西部亚马逊，南克鲁塞罗，阿克里，巴西。参与者：包括17名医疗保健专业人员和40名学龄儿童的照顾者，他们参加了阿克里出生队列研究的妇幼保健和营养。主要结果测量：评估侧重于信息的文化适当性、可理解性和相关性，以及护理人员对建议的理解和坚持的意图。分析：定量分析采用改进的Cohen Kappa、量表-内容效度指数平均值（S-CVI-Ave）、频率计算和排名系统。结果：共起草了55条短信。在最初阶段，有8条信息没有达到足够的分数，随后进行了修改和重新评估，最终获得了批准。各域的S-CVI-Ave分别为：文化适宜性= 0.97，可理解性= 0.96，相关性= 0.97。形成性研究表明，92%的理解率和70%的意愿率坚持提出的建议。结论和影响：最后一组信息成功地适应了文化，并将有助于翻译和传播巴西人口膳食指南建议给西亚马逊家庭。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Appetite 医学-行为科学

CiteScore

9.10

自引率

11.10%

发文量

566

审稿时长

13.4 weeks

期刊介绍： Appetite is an international research journal specializing in cultural, social, psychological, sensory and physiological influences on the selection and intake of foods and drinks. It covers normal and disordered eating and drinking and welcomes studies of both human and non-human animal behaviour toward food. Appetite publishes research reports, reviews and commentaries. Thematic special issues appear regularly. From time to time the journal carries abstracts from professional meetings. Submissions to Appetite are expected to be based primarily on observations directly related to the selection and intake of foods and drinks; papers that are primarily focused on topics such as nutrition or obesity will not be considered unless they specifically make a novel scientific contribution to the understanding of appetite in line with the journal's aims and scope.