Ceria, Respek, Gigih, Aktif, Sihat (C.E.R.G.A.S.): Factors Influencing Sustainability of a School-Based Obesity Intervention for Young Adolescents

Background/Aims: School-based obesity intervention is important and when implemented, sustainability should be seriously considered to promote healthy lifestyles and behavior changes in order to overcome childhood obesity. This study aimed to explore factors that promote and inhibit the sustainabili...

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Bibliographic Details
Published in:Annals of nutrition and metabolism 2019-01, Vol.75, p.370
Main Authors: Hoe, Wilfred Mok Kok, Chuan, Lau Xiao, Hum, Wee Lei, Talib, Ruzita Abd, Koon, Poh Bee
Format: Article
Language:English
Subjects:
Adolescents
Attitudes
Audio data
Body image
Cerium oxides
Children
Childrens health
Eating
Eating behavior
Health promotion
Home environment
Intervention
Nutrition
Obesity
Pediatrics
Physical activity
Physical fitness
Schools
Sustainability
Teenagers
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Summary:Background/Aims: School-based obesity intervention is important and when implemented, sustainability should be seriously considered to promote healthy lifestyles and behavior changes in order to overcome childhood obesity. This study aimed to explore factors that promote and inhibit the sustainability of C.E.R.G.A.S. program, which was a 12-week obesity intervention focusing on healthy eating, physical activity and physical fitness. Methods: Face-to-face in-depth interviews were conducted at 30 months post-intervention with 21 children who participated in C.E.R.G.A.S. at a secondary school located in Kuala Lumpur. The interviews were audio-recorded, data were transcribed verbatim and analyzed using Nvivo version 12. Results: Themes identified as promoting factors were (1) support from family members, researchers, peers and school teachers; (2) self-awareness on mobility, health status, and body image; (3) knowledge on food pyramid and physical activity (4) physical environment; and (5) practices after intervention on physical activity and healthy eating. Barriers were (1) self-attitude, such as laziness, embarrassment, bored, busy, and lack of self-discipline; (2) knowledge consistency; (3) peers influence; (4) social pressure from family members and friends; (5) school and home environment. We found that the main promoting factor of sustainability of C.E.R.G.A.S intervention is support from family members, while the main barrier is self-attitude. Future school-based obesity intervention programs should consider these factors prior to implementation. Conclusion: We opine that C.E.R.G.A.S. obesity intervention program can potentially be adopted and implemented at secondary schools throughout Malaysia to combat obesity.
ISSN:0250-6807
1421-9697
DOI:10.1159/000501751