Designing intervention prototypes to improve infant and young child nutrition in Peru: a participatory design study protocol.
Designing intervention prototypes to improve infant and young child nutrition in Peru: a participatory design study protocol.
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DOI：
10.1136/bmjopen-2022-071280
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发表时间：
2023-12-09
期刊：
影响因子：
2.9
通讯作者：
Verdezoto, Nervo
中科院分区：
文献类型：
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作者：
Rousham, Emily;Pareja, Rossina G.;Creed-Kanashiro, Hilary M.;Bartolini, Rosario;Pradeilles, Rebecca;Ortega-Roman, Deysi;Holdsworth, Michelle;Griffiths, Paula;Verdezoto, Nervo
添加辅食期间（6-23 个月）的营养对于确保最佳生长并降低整个生命过程中饮食相关疾病的风险至关重要。减少婴幼儿多种形式营养不良（发育迟缓、超重/肥胖和贫血）的战略是包括秘鲁在内的低收入和中等收入国家的一个关键优先事项。本研究旨在采用参与式设计方法，共同设计和开发干预措施原型，以解决秘鲁城市国际营养年中多种形式的营养不良问题。该研究将基于秘鲁两个地区（利马和瓦努科市）的城郊社区。通过形成性研究（第一阶段）确定 6-23 个月 IYC 的关键营养挑战后，我们将举办一系列研讨会，汇集来自政府卫生中心的医疗保健专业人员和 6-23 个月 IYC 的护理人员。研讨会（关于创意生成、创建未来场景、故事板以及早期实施和反馈）将在两个研究领域同时举行。通过这些研讨会，我们将与社区参与者一起探索、实验、共同设计和迭代验证新的设计理念，以解决第一阶段 IYC 添加辅食所面临的挑战。研讨会的成果和记录将使用亲和图和主题分析进行定性分析。干预原型将进行定性评估并在参与社区中进行试点。本研究获得了秘鲁营养研究研究所 (IIN) (388-2019/CIEI-IIN)、拉夫堡大学 (C19-87) 伦理审查委员会的伦理批准，并得到卡迪夫大学的确认。参与式设计过程的研究结果将通过在秘鲁利马与国家和地区政府利益相关者以及参与设计过程的参与者和研究人员举行的审议研讨会进行传播。将通过政策简报、会议和学术出版物进行进一步传播。
Nutrition during the complementary feeding period (6–23 months) is critical to ensure optimal growth and reduce the risk of diet-related disease across the life course. Strategies to reduce multiple forms of malnutrition (stunting, overweight/obesity and anaemia) in infants and young children (IYC) are a key priority in low-income and middle-income countries, including Peru. This study aims to co-design and develop prototypes for interventions to address the multiple forms of malnutrition in IYC in urban Peru, using a participatory design approach. The study will be based within peri-urban communities in two areas of Peru (Lima and Huánuco city). Following the identification of key nutritional challenges for IYC aged 6–23 months through formative research (phase I), we will conduct a series of workshops bringing together healthcare professionals from government health centres and caregivers of IYC aged 6–23 months. Workshops (on idea generation; creating future scenarios; storyboarding and early implementation and feedback) will take place in parallel in the two study areas. Through these workshops, we will engage with community participants to explore, experiment, co-design and iteratively validate new design ideas to address the challenges around IYC complementary feeding from phase I. Workshop outputs and transcripts will be analysed qualitatively using affinity diagramming and thematic analyses. The intervention prototypes will be evaluated qualitatively and piloted with the participating communities. Ethical approval for this study was obtained from the Ethical Review Committee of the Instituto de Investigación Nutricional (IIN) Peru (388-2019/CIEI-IIN), Loughborough University (C19-87) and confirmed by Cardiff University. Findings of the participatory design process will be disseminated through a deliberative workshop in Lima, Peru with national and regional government stakeholders, as well as participants and researchers involved in the design process. Further dissemination will take place through policy briefs, conferences and academic publications.
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