Abstract
Using multimedia strategies to decrease obesity and eating disorders in prevention programs for children is a promising approach that has shown good results. The current challenge for their dissemination is implementing and evaluating these programs to ensure their validity in different countries. Recently, a group of researchers from Spain developed and evaluated an "intelligent e-therapy system" (ETIOBE). The program involves learning through a multimedia training system on nutritional habits, physical activity and lifestyles. Objective. The present study aims to validate the psycho-educational component results of the ETIOBE system in Mexican population. Method. A sample of 149 children from Mexico City participated in a quasi-experimental pretest-posttest design study. Results. The results show significant improvement in the mean scores of nutritional knowledge about foods. Discussion. The results of this study indicate effective changes in health knowledge and the promotion of healthy lifestyles.
References
A.A. (2017). La obesidad entre los niños y los adolescentes se ha multiplicado por 10 en los cuatro últimos decenios. Recuperado de https://www.who.int/es/news/item/11-10-2017-tenfold-increase-in-childhood-and-adolescent-obesity-in-four-decades-new-study-by-imperial-college-london-and-who.
Ajie, W.N. y Chapman-Novakofski, K.M. (2014). Impact of computer-mediated, obesity-related nutrition education interventions for adolescents: A systematic review. Journal of Adolescent Health, 54(6), 631-645). Doi: 10.1016/j.jadohealth.2013.12.019.
Baños, R.M., Cebolla, A., Etchemendy, E., Felipe, S., Rasal, P. y Botella, C. (2011). Validación del cuestionario holandés de comportamiento alimentario (DEBQ-C) para su uso en niños españoles. Nutricion Hospitalaria, 26(4), 890-898. Doi: 10.3305/nh.2011.26.4.5238.
Baños, R.M., Cebolla, A., Oliver, E., Alcañiz, M. y Botella, C. (2013). Efficacy and acceptability of an Internet platform to improve the learning of nutritional knowledge in children: The ETIOBE mates. Health Education Research, 28(2), 234-248. Doi: 10.1093/her/cys044.
Baños, R.M., Oliver, E., Navarro, J., Vara, M.D., Cebolla, A., Lurbe, E., Pitti, J.A., Torró, M.I. y Botella, C. (2019). Efficacy of a cognitive and behavioral treatment for childhood obesity supported by the ETIOBE web platform. Psychology, Health and Medicine, 24(6), 703-713. Doi: 10.1080/13548506.2019.1566622.
Bentham, J., Di Cesare, M., Bilano, V., Bixby, H., Zhou, B., Stevens, G.A., Riley, L.M., Taddei, C., Hajifathalian, K., Lu, Y., Savin, S., Cowan, M.J., Paciorek, C.J., Chirita-Emandi, A., Hayes, A.J., Katz, J., Kelishadi, R., Kengne, A.P., Khang, Y.H. y Cisneros, J.Z. (2017). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. The Lancet, 390(10113), 2627-2642. Doi: 10.1016/S0140-6736(17)32129-3.
Cardel, M.I., Jastreboff, A.M. y Kelly, A.S. (2019). Treatment of adolescent obesity in 2020. Journal of the American Medical Association, 322(17), 1707-1708). Doi: 10.1001/jama.2019.14725.
Cole, J.M., Weigel, J., Albrecht, S., Ren, D., Reilly, A.K. y Danford, C.A. (2019). Setting Kids Up for Success (SKUFS): Outcomes of an Innovation project for promoting healthy lifestyles in a pediatric patient-centered medical home. Journal of Pediatric Health Care, 33(4), 455-465. Doi: 10.1016/j.pedhc.2019.01.001.
Fleming, T.M., de Beurs, D., Khazaal, Y., Gaggioli, A., Riva, G., Botella, C., Baños, R.M., Aschieri, F., Bavin, L.M., Kleiboer, A., Merry, S., Lau, H.M. y Riper, H. (2016). Maximizing the impact of e-therapy and serious gaming: Time for a paradigm shift. Frontiers in Psychiatry, 7(Apr.), 65. Doi: 10.3389/fpsyt.2016.00065.
Garris, R., Ahlers, R. y Driskell, J.E. (2002). Games, motivation, and learning: a research and practice model. Simulation & Gaming, 33(4), 441-467. Doi: 10.1177/1046878102238607.
Gross, E.F. (2004). Adolescent internet use: What we expect, what teens report. Journal of Applied Developmental Psychology, 25(Special Issue 6), 633-649. Doi: 10.1016/j.appdev.2004.09.005.
Haines, J. y Neumark-Sztainer, D. (2006). Prevention of obesity and eating disorders: A consideration of shared risk factors. Health Education Research, 21(6), 770-782). Doi: 10.1093/her/cyl094.
Hay, P.J., Mond, J., Buttner, P. y Darby, A. (2008). Eating disorder behaviors are increasing: findings from two sequential community surveys in South Australia. PLoS ONE, 3(2), e1541. Doi: 10.1371/journal.pone.0001541.
Hermans, R.C.J., Van Den Broek, N., Nederkoorn, C., Otten, R., Ruiter, E.L.M. y Johnson-Glenberg, M.C. (2018). Feed the Alien! The effects of a nutrition instruction game on children’s nutritional knowledge and food intake. Games for Health Journal, 7(3), 164-174. Doi: 10.1089/g4h.2017.0055.
Instituto Nacional de Salud Pública (2018). Encuesta Nacional de Salud y Nutrición 2018. Cuernavaca (México): INSP. Recuperado de https://ensanut.insp.mx/encuestas/ensanut2018/informes.php.
Jacobi, C., Hütter, K. y Fittig, E. (2017). Psychosocial risk factors for eating disorders. En W. Stewart Agras (Ed.): The Oxford Handbook of Eating Disorders (pp. 106-125). Oxford, UK: Oxford University Press. Doi: 10.1093/oxfordhb/9780190620998.013.6.
Luttikhuis, H.O., Baur, L., Jansen, H., Shrewsbury, V.A., O’Malley, C., Stolk, R.P. y Summerbell, C.D. (2009). Interventions for treating obesity in children. Cochrane Database of Systematic Reviews (Issue 1). John Wiley & Sons Ltd. Doi: 10.1002/14651858.CD001872.pub2.
Nguyen, B., Kornman, K.P. y Baur, L.A. (2011). A review of electronic interventions for prevention and treatment of overweight and obesity in young people. Obesity Reviews, 12(5). Doi: 10.1111/j.1467-789X.2010.00830.x.
Nitsch, M., Adamcik, T., Kuso, S., Zeiler, M. y Waldherr, K. (2019a). Usability and engagement evaluation of an unguided online program for promoting a healthy lifestyle and reducing the risk for eating disorders and obesity in the school setting. Nutrients, 11(4), 713. Doi: 10.3390/nu11040713.
Nitsch, M., Dimopoulos, C.N., Flaschberger, E., Saffran, K., Kruger, J.F., Garlock, L., Wilfley, D.E., Taylor, C.B. y Jones, M. (2016). A guided online and mobile self-help program for individuals with eating disorders: An iterative engagement and usability study. Journal of Medical Internet Research, 18(1), e7. Doi: 10.2196/jmir.4972.
Organización Mundial de la Salud (2021). Obesidad y sobrepeso. Ginebra: OMS.
Parmenter, K. y Wardle, J. (1999). Development of a general nutrition knowledge questionnaire for adults. European Journal of Clinical Nutrition, 53(4), 298-308. Doi: 10.1038/sj.ejcn.1600726.
Spitzer, R.L., Yanovsky, S.Z. y Marcus M.D. (1993). The Questionnaire on Eating and Weight Pattern-revised (QEWP-R). New York: New York State Psychiatric Institute.
Summerbell, C.D., Waters, E., Edmunds, L., Kelly, S.A., Brown, T. y Campbell, K.J. (2005). Interventions for preventing obesity in children. Cochrane Database of Systematic Reviews (Issue 3). New York: John Wiley & Sons, Ltd. Doi: 10.1002/14651858.cd001871.pub2.
Tate, D.F. (2008). Application of innovative technologies in the prevention and treatment of overweight in children and adolescents. En E. Jelalian y R. G. Steele (Eds.): Handbook of Childhood and Adolescent Obesity (pp. 387-404). New York: Springer. Doi: 10.1007/978-0-387-76924-0_23.
Van Strien, T. y Oosterveld, P. (2007). The children's DEBQ for assessment of restrained, emotional, and external eating in 7-to 12-year-old children. International Journal of Eating Disorders, 41, 72-81.
Wang, Y. (2017). Global perspectives of childhood obesity: Prevalence, contributing factors, and prevention. En Michael I. Goran (Ed.): Childhood obesity causes, consequences, and intervention approaches (pp. 28-31). CRC Press. Oxfordshire, UK: Francis and Taylor Group. Doi: 10.1201/9781315370958.
Zeiler, M., Waldherr, K., Philipp, J., Nitsch, M., Dür, W., Karwautz, A. y Wagner, G. (2016). Prevalence of eating disorder risk and associations with health-related quality of life: results from a large school-based population screening. European Eating Disorders Review, 24(1), 9-18. Doi: 10.1002/erv.2368.