Ecological system theory and school-age obesity in Thailand: a participation action research for implications to practice

Developing an appropriate context-based school-age obesity prevention programme, understanding the root causes of obesity in real-life situations is vital. The objectives of this study were to explore the risk factors of school-age obesity based on Ecological System Theory (EST) and develop mutual p...

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Bibliographic Details
Published in:Primary health care research & development 2024-10, Vol.25, p.e60, Article e60
Main Authors: Suwannawong, Pennapa R., Auemaneekul, Naruemon, Powwattana, Arpaporn, Chongsuwat, Rewadee
Format: Article
Language:English
Subjects:
Adolescent
Child
Chronic illnesses
Exercise
Female
Focus Groups
Health care policy
Health education
Health promotion
Health Promotion - methods
Health Services Research
Humans
Male
Nutrition
Obesity
Pediatric Obesity - prevention & control
Qualitative Research
Risk Factors
School Health Services
Schools
Sedentary behavior
Students
Sustainability
System theory
Thailand
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Summary:Developing an appropriate context-based school-age obesity prevention programme, understanding the root causes of obesity in real-life situations is vital. The objectives of this study were to explore the risk factors of school-age obesity based on Ecological System Theory (EST) and develop mutual problem-solving guidelines for school-age obesity prevention. Participation Action Research (PAR) was used as the study design. The data collection employed focus group discussions, in-depth interviews, participant's observations, together with the procedures of Appreciation, Influence, and Control (AIC) with 55 school key informants. Risk factors supported by EST at all level included high-calorie intake; sedentary lifestyles; perceptions of 'Chubby are cute'; indulgent parenting, including limited exercise area in school. PAR process guarantees the sustained context-based prevention guidelines. The results could be used as a policy-driven for school-based participation and environmental support in order to promote health-promoting school.
ISSN:1463-4236
1477-1128
1477-1128
DOI:10.1017/S1463423624000501