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Percorrer por autor "Knai, Cécile"

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  • Co‐creating obesity prevention policies with youth: Policy ideas generated through the CO‐CREATE project
    Publication . Conway‐Moore, Kaitlin; Knai, Cécile; Finegood, Diane; Johnston, Lee; Brinsden, Hannah; Aguiar, Anaely; Kopainsky, Birgit; Önal, Furkan; Helleve, Arnfinn; Klepp, Knut‐Inge; Lien, Nanna; Luszczynska, Aleksandra; Rito, Ana Isabel; Rønnestad, Alfred Mestad; Ulstein, Madeleine; Blanchard, Laurence; Savona, Natalie; Rutter, Harry
    Despite growing recognition of the importance of applying a systems lens to action on obesity, there has only been limited analysis of the extent to which this lens has actually been applied. The CO-CREATE project used a youth-led participatory action research approach to generate policy ideas towards the reduction of adolescent overweight and obesity across Europe. In order to assess the extent to which these youth-generated policy ideas take a systems approach, we analyzed them using the Intervention Level Framework (ILF). The ILF ascribes actions to one of five system levels, from Structural Elements, the least engaged with system change, up to Paradigm, which is the system's deepest held beliefs and thus the most difficult level at which to intervene. Of the 106 policy ideas generated by young people during the CO-CREATE project, 91 (86%) were categorized at the level of Structural Elements. This emphasis on operational rather than systems level responses echoes findings from a previous study on obesity strategies. Analyzing the distribution of systems level responses using the ILF has the potential to support more effective action on obesity by allowing identification of opportunities to strengthen systems level responses overall.
    2023-09Artigo científico Acesso aberto Ver mais
  • Voices of youth: youth participation in the CO-CREATE Project
    Publication . Meshkovska, Biljana; Moerman, Gerben; Baillergeau, Evelyne; Bröer, Christian; Lien, Nanna; Luszczynska, Aleksandra; Rito, Ana Isabel; Knai, Cécile; Helleve, Arnfinn
    Introduction: Applying youth participatory action research (YPAR) has become common practice in public health. However, there are challenges in applying YPAR and there is a need for improving the process by learning from youth that has participated in such projects. This study explores youth involvement in the CO-CREATE project which focused on developing overweight and obesity prevention policies. Methods: This is a qualitative study, based on three data sources: 1) fieldnotes taken by project staff during observation of youth (approximately 150 observations) 2) semi-structured interviews with project staff (n = 12) 3) direct feedback from participating youth through feedback forms (n = 51). Data was analyzed in NVivo, following the principles of reflexive thematic analysis. Results: Five themes were generated which showcase youth involvement in CO-CREATE: 1) an inspired and engaged youth; 2) insights through respectful interactions; 3) a strength of voice and call to action; 4) challenges in understanding project and disengagement; and 5) interpersonal conflict and pressure to participate. Conclusion: Taking the time to build trust and create a feeling of equality is important. It is also important to allow youth to take the lead when they wish so and have clear ideas of how to do so. Voices of rebelliousness can be a show of strength and help reach the goals of the project. Participation in CO-CREATE may have contributed toward individual empowerment of youth.
    2025-05-20Artigo científico Desconhecido Ver mais