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Possibilities and Challenges in Developing and Implementing an Empowerment-based School-Intervention in a Swedish Disadvantaged Community
Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.ORCID iD: 0000-0003-0378-2071
Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.ORCID iD: 0000-0002-3352-6661
Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.ORCID iD: 0000-0001-7258-9967
Department of Food and Nutrition and Sport Science, University of Gothenburg, Gothenburg, Sweden.ORCID iD: 0000-0002-5785-0271
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2019 (English)In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, article id daz021Article in journal (Refereed) Epub ahead of print
Abstract [en]

In this paper, we describe and critically reflect on the possibilities and challenges of developing and implementing an empowerment-based school intervention regarding healthy food and physical activity (PA), involving participants from a Swedish multicultural area characterized by low socioeconomic status. The 2-year intervention was continually developed and implemented, as a result of cooperation and shared decision making among researchers and the participants. All 54 participants were seventh graders, and the intervention comprised health coaching, health promotion sessions and a Facebook group. We experienced that participants valued collaborating with peers, and that they took responsibility in codeveloping and implementing the intervention. Participants expressed feeling listened to, being treated with respect and taken seriously. However, we also experienced a number of barriers that challenged our initial intentions of aiding participation and ambition to support empowerment. Moreover, it was challenging to use structured group health coaching and to work with goal-setting in groups of participants with shared, and sometimes competing, goals, wishes and needs related to food and PA. Successful experiences from this intervention was the importance of acquiring a broad and deep understanding of the context and participants, being open to negotiating, as well as adjusting the intervention. © The Author(s) 2019. Published by Oxford University Press. All rights reserved.

Place, publisher, year, edition, pages
Oxford: Oxford University Press, 2019. article id daz021
Keywords [en]
food, participation, physical activity, shared decision making, socioeconomic
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:hh:diva-38804DOI: 10.1093/heapro/daz021PubMedID: 30848788OAI: oai:DiVA.org:hh-38804DiVA, id: diva2:1283546
Note

The study received funding from the Department of Food and Nutrition, and Sport Science at the University of Gothenburg and the Swedish Nutrition Foundation.

Available from: 2019-01-29 Created: 2019-01-29 Last updated: 2019-12-10Bibliographically approved

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Lindgren, Eva-Carin

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Jonsson, LinusFröberg, AndreasKorp, PeterLarsson, ChristelBerg, ChristinaLindgren, Eva-Carin
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