Adolescents' capacity to take action on obesity: A concurrent controlled before-and-after study of the European CO-CREATE project

Sondre Haugsbø Herstad; Navnit Kaur Grewal; Anna Banik; Knut-Inge Klepp; Cecile Knai; Aleksandra Luszczynska; Sofia Mendes; Ana Rito; Harry Rutter; Nanna Lien

doi:10.1111/obr.13622

Adolescents' capacity to take action on obesity: A concurrent controlled before-and-after study of the European CO-CREATE project

Obes Rev. 2023 Sep:24 Suppl 2:e13622. doi: 10.1111/obr.13622.

Authors

Affiliations

¹ Department of Nutrition, University of Oslo, Oslo, Norway.
² SWPS University of Social Sciences and Humanities, Wroclaw, Poland.
³ Division of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.
⁴ Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
⁵ Center for Studies and Research on Social Dynamics and Health - CEIDSS, Lisbon, Portugal.
⁶ National Institute of Health Dr. Ricardo Jorge, Lisbon, Portugal.
⁷ Department of Social and Policy Sciences, University of Bath, Bath, UK.

PMID: 37753601
DOI: 10.1111/obr.13622

Abstract

This study evaluated the effect on reported readiness for action and attitudes toward obesity prevention among older adolescents (mean age 17) who took part in a youth-led participatory action research European initiative (CO-CREATE Youth Alliances) compared with a comparison group that acted as controls. This was a concurrent before-and-after controlled study across five countries and took place between September 2019 and October 2020. Adolescents (n = 159) recruited from schools and youth organizations came together with researchers and formed 15 Youth Alliances. An online questionnaire measuring their readiness for action and attitudes toward obesity prevention was administered. Alliance members (n = 62) who filled in the questionnaire at both baseline and postinitiative, and adolescents from the comparison group (n = 132) who completed the questionnaire twice were included in the main analysis. Two-level linear mixed models controlling for country-related variance were fitted. Alliance members scored significantly higher than the comparison group on two factors in each of the readiness for action, responsibility, and drivers of behavior concepts. The findings suggest that involving youth in co-creating policies to prevent obesity may increase adolescents' readiness for action and promote a shift in adolescents' conceptualization of obesity from an individual perspective to a societal responsibility and drivers of behavior.

Keywords: adolescents; obesity; prevention; youth-led participatory action research.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adolescent
Humans
Obesity* / prevention & control
Policy*
Research Design
Research Personnel
Schools