YoPA - A Youth-centred Participatory Action

Официальное название

YoPA - A Youth-centred Participatory Action Approach Towards Co-created Implementation of Socially and Physically Activating Environmental Interventions in Africa and Europe.

Обзор

Background A vast majority of adolescents do not meet guidelines for healthy physical activity, sedentary behaviour, and sleep, posing major risks for developing multiple non-communicable diseases. Unhealthy lifestyles seem more prevalent in urban than rural areas, with the neighbourhood environment as a mediating pathway linking urban living and poor health. How to develop and implement sustainable and effective interventions focused on adolescent health and wellbeing in urban vulnerable life situations is a key challenge and research gap. This paper describes the protocol of a Youth-centred Participatory Action (YoPA) project aiming to tailor, implement, and evaluate social and physical environmental interventions using an evidence-informed youth-centred co-creation approach, for structural improvement of the lifestyles of adolescents in urban vulnerable life situations. Methods In diverse urban environments in Denmark, the Netherlands, Nigeria, and South Africa, academic researchers will engage adolescents (12-19 years) growing up in vulnerable life situations and other key stakeholders (e.g., policy makers, urban planners, community leaders) in local co-creation communities. Together with academic researchers and local stakeholders, adolescents will take a leading role in mapping the local system for needs and opportunities; tailoring interventions to their local context; implementing and evaluating interventions during participatory meetings over the course of three years. YoPA applies a participatory mixed methods design guided by the newly developed SUPER-AIM framework assessing: (i) the local Systems, (ii) User perspectives, (iii) the Participatory co-creation process, (ii) Effects, iv) Reach, (vi) Adoption, (vii) Implementation, and (viii) Maintenance of interventions, in an integrated manner. Discussion YoPA aims to fill various research gaps, including the development of a practical protocol guiding the application of co-creation to tailor evidence-informed interventions to divers, multi-country contexts. Additionally, it focuses on advancing the research gap in physical activity and health within Sub-Saharan Africa and the involvement of adolescents in shaping their physical and social environments. Academic researchers envision that the YoPA co-creation approach will serve as a guide for participation of adolescents in vulnerable life situations in implementation of health promotion and urban planning in Europe, Africa and globally.

Вмешательства

• Другое Social and/or physical environmental interventions
  To be determined in the co-creation groups at the four sites (Denmark, the Netherlands, Nigeria, South Africa)

Первичные конечные точки

• 24-h movement behaviours (i.e., physical activity, sedentary behaviour and sleep). [Срок оценки: Pre-implementation, directly after implementation, and 3-6 months after implementation of the intervention.]
• Physical activity and associated environmental characteristics in selected outdoor spaces [Срок оценки: Pre-implementation, directly after implementation, and 3-6 months after implementation of the intervention.]

Вторичные конечные точки (3)

• Agency [Срок оценки: Pre-implementation, directly after implementation, and 3-6 months after implementation of the intervention.]
• Wellbeing [Срок оценки: Pre-implementation, directly after implementation, and 3-6 months after implementation of the intervention.]
• Peer relationships [Срок оценки: Pre-implementation, directly after implementation, and 3-6 months after implementation of the intervention.]

Критерии участия

Критерии включения

• aged 12 to 18 years
• living in a disadvantaged area in Aalborg (Denmark), Amsterdam (the Netherlands), Osogbo (Nigeria), or Soweto (South Africa)
• active informed consent by the adolescents and at least one parent/caregiver where applicable for the participation of the adolescent

Критерии исключения

• none

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Не применимо

Модель

Одна группа

Маскирование

Открытое

Основная цель

Профилактика

Центры проведения

Дания · 1 центр

• Syddansk Universitet, Research Unit for Active Living, Department of Sports Science and Cl — Odense

Нидерланды · 1 центр

• Amsterdam UMC, location Vrije Universiteit Amsterdam, Public and Occupational Health — Amsterdam

Nigeria · 1 центр

• Redeemer's University, Department of Physiotherapy — Osogbo

ЮАР · 1 центр

• University of the Witwatersrand, SAMRC Developmental Pathways for Health Research Unit, Fa — Johannesburg

Публикации

• Chinapaw MJM, Klaufus LH, Oyeyemi AL, Draper C, Palmeira AL, Silva MN, Van Belle S, Pawlowski CS, Schipperijn J, Altenburg TM. Youth-centred participatory action approach towards co-created implementation of socially and physically activating environmental interventions in Africa and Europe: the YoPA project study protocol. BMJ Open. 2024 Feb 21;14(2):e084657. doi: 10.1136/bmjopen-2024-084657. PMID 38387985

Идентификаторы

NCT: NCT06181162 · HORIZON Europe 101095423 · 101095423

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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