Ecological system theory and school-age obesity in Thailand: a participation action research for implications to practice
Issued Date
2024-10-31
Resource Type
eISSN
14771128
Scopus ID
2-s2.0-85208165609
Pubmed ID
39478433
Journal Title
Primary health care research & development
Volume
25
Rights Holder(s)
SCOPUS
Bibliographic Citation
Primary health care research & development Vol.25 (2024) , e60
Suggested Citation
Suwannawong P.R., Auemaneekul N., Powwattana A., Chongsuwat R. Ecological system theory and school-age obesity in Thailand: a participation action research for implications to practice. Primary health care research & development Vol.25 (2024) , e60. doi:10.1017/S1463423624000501 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/101960
Title
Ecological system theory and school-age obesity in Thailand: a participation action research for implications to practice
Author's Affiliation
Corresponding Author(s)
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Abstract
OBJECTIVE: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: The results could be used as a policy-driven for school-based participation and environmental support in order to promote health-promoting school.