Abstract
Background: Unhealthy eating among adolescents can lead to an increased prevalence of overweight and obesity. Urban Bangladesh has one of the highest rates of overweight and obesity in adolescents. To support these adolescents to eat healthily, bespoke interventions are needed that are co-designed with stakeholders, particularly with adolescents themselves. This study aims to co-design a school-based healthy eating intervention for adolescents in urban Bangladesh.
Methods: The study will employ concept mapping, a mixed-method approach to co-design a school-based healthy eating intervention for adolescents in urban Bangladesh. Two urban schools in the Dhaka Metropolitan City will be selected. Concept mapping workshops involving internal stakeholders (adolescents, parents, and teachers) as well as external stakeholders will be carried out. Trochim’s concept mapping methodology will be used which will entail generating statements on healthy eating intervention for adolescents in urban Bangladesh, sorting the statements, and rating them based on importance and feasibility scales. The data will be analysed using the R-CMap package implemented in R, utilising multivariate analyses. Concept maps, such as point maps, cluster maps, pattern matches, and bivariate plots, will be generated. The emergent maps will offer a visual and structured illustration of the groups' conceptions regarding healthy eating interventions based on their importance and feasibility. The stakeholders will be consulted once again to discuss the analysis findings and incorporate their feedback. Thus, by reaching a consensus, the intervention(s) deemed to be of the utmost importance and feasibility will be ultimately determined.
Discussion: This study involves a novel methodology to co-design a school-based healthy eating intervention for adolescents in urban Bangladesh. This participatory approach will allow the views of different stakeholders including adolescents to be taken into consideration and therefore, the intervention is likely to be acceptable and feasible to implement and improve healthy eating among adolescents in urban Bangladesh.
Methods: The study will employ concept mapping, a mixed-method approach to co-design a school-based healthy eating intervention for adolescents in urban Bangladesh. Two urban schools in the Dhaka Metropolitan City will be selected. Concept mapping workshops involving internal stakeholders (adolescents, parents, and teachers) as well as external stakeholders will be carried out. Trochim’s concept mapping methodology will be used which will entail generating statements on healthy eating intervention for adolescents in urban Bangladesh, sorting the statements, and rating them based on importance and feasibility scales. The data will be analysed using the R-CMap package implemented in R, utilising multivariate analyses. Concept maps, such as point maps, cluster maps, pattern matches, and bivariate plots, will be generated. The emergent maps will offer a visual and structured illustration of the groups' conceptions regarding healthy eating interventions based on their importance and feasibility. The stakeholders will be consulted once again to discuss the analysis findings and incorporate their feedback. Thus, by reaching a consensus, the intervention(s) deemed to be of the utmost importance and feasibility will be ultimately determined.
Discussion: This study involves a novel methodology to co-design a school-based healthy eating intervention for adolescents in urban Bangladesh. This participatory approach will allow the views of different stakeholders including adolescents to be taken into consideration and therefore, the intervention is likely to be acceptable and feasible to implement and improve healthy eating among adolescents in urban Bangladesh.
| Original language | English |
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| Journal | Protocol.io |
| DOIs | |
| Publication status | Published - 9 Oct 2023 |