Suwannawong P.R.Auemaneekul N.Powwattana A.Chongsuwat R.Mahidol University2024-11-112024-11-112024-10-31Primary health care research & development Vol.25 (2024) , e60https://repository.li.mahidol.ac.th/handle/20.500.14594/101960OBJECTIVE: 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.NursingMedicineArticleSCOPUS10.1017/S14634236240005012-s2.0-852081656091477112839478433