Public and Occupational Health, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands
Health Behaviours and Chronic Diseases, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
BMJ Open. 2024 Feb 21;14(2):e084657. doi: 10.1136/bmjopen-2024-084657.
The majority of adolescents do not meet guidelines for healthy behaviours, 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. How to develop and implement sustainable and effective interventions focused on adolescent health and well-being in urban vulnerable life situations is a key challenge. This paper describes the protocol of a Youth-centred Participatory Action (YoPA) project aiming to tailor, implement, and evaluate social and physical environmental interventions.
In diverse urban environments in Denmark, the Netherlands, Nigeria and South Africa, we will engage a dynamic group of 15-20 adolescents (12-19 years) growing up in vulnerable life situations and other key stakeholders (eg, 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; tailoring; implementing and evaluating interventions during participatory meetings over the course of 3 years. YoPA applies a participatory mixed methods design guided by a novel Systems, User perspectives, Participatory co-creation process, Effects, Reach, Adoption, Implementation and Maintenance framework assessing: (i) the local systems, (ii) user perspectives, (iii) the participatory co-creation process, (iv) effects, (v) reach, (vi) adoption, (vii) implementation and (viii) maintenance of interventions. Through a realist evaluation, YoPA will explore why and how specific outcomes were reached (or not) in each setting (n=800-1000 adolescents in total).
This study received approval from the ethics committees in Denmark, the Netherlands, Nigeria and South Africa and will be disseminated via various collaborative dissemination activities targeting multiple audiences. We will obtain informed consent from all participants. We envision that our 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.
NCT06181162.
大多数青少年不符合健康行为准则，这给他们患上多种非传染性疾病带来了巨大风险。不健康的生活方式在城市地区似乎比农村更为普遍，而邻里环境则是一个中介途径。如何在城市脆弱生活环境中为青少年的健康和福祉制定和实施可持续和有效的干预措施是一个关键挑战。本文介绍了一项以青少年为中心的参与式行动（YoPA）项目的方案，旨在调整、实施和评估社会和物理环境干预措施。
在丹麦、荷兰、尼日利亚和南非的不同城市环境中，我们将让一群由 15-20 名青少年（12-19 岁）组成的充满活力的群体参与进来，他们生活在脆弱的环境中，还有其他关键利益相关者（如政策制定者、城市规划者、社区领袖）参与当地的合作社区。青少年将与学术研究人员和当地利益相关者一起，在 3 年的参与式会议期间，主导绘制当地系统图；调整；实施和评估干预措施。YoPA 采用了一种基于系统的参与式混合方法设计，由一个新的系统、用户观点、参与式共创过程、效果、覆盖范围、采用、实施和维护框架指导，评估：（i）当地系统，（ii）用户观点，（iii）参与式共创过程，（iv）效果，（v）覆盖范围，（vi）采用，（vii）实施和（viii）干预措施的维护。通过实证评估，YoPA 将探讨在每个环境中（总共约 800-1000 名青少年）特定结果是如何（或未）达到的原因和方式。
本研究已获得丹麦、荷兰、尼日利亚和南非的伦理委员会的批准，并将通过各种针对多个受众的合作传播活动进行传播。我们将从所有参与者那里获得知情同意。我们设想，我们的 YoPA 共创方法将为参与脆弱生活环境的青少年在欧洲、非洲和全球范围内参与健康促进和城市规划提供指导。
NCT06181162。
