Intervention components | Description | Dose per month | Expected behavior change |
---|---|---|---|
School | |||
1) Healthy eating | Definition of healthy eating and food choices using two educational games. | 2 × 30 min | To improve the choices when eating and purchasing foods at supermarkets and fairs. |
Main message: reduction of cookies, sodas, and sugar-sweetened beverages. | |||
2) Culinary classes | First activity- students assemble salads at school choosing from a large variety of greens and fruits. In the second, they prepare vegetarian pizzas. | 1 × 50 min | To develop cooking skills increasing healthy eating choices, to discuss sensory aspects of food and to stimulate teamwork. |
3) Water exchange with sugar sweetened beverage | Measuring the amount of sugar in different drinks. Sugar intake and prevention of diseases. | 2 × 30 min | To increase water consumption. |
A squeeze with the PAAPPAS logo will be provide to the students and teachers. | To develop a critical view about the consumption of sugar sweetened beverages. | ||
4) Physical activity and sedentary behavior | How many Olympic games they have heard of. What exercises they do and would like to do. Class games related to the Olympic games and time spend sedentary. | 2 × 30 min | To stimulate exercise. |
5) Fruit consumption | Group discussion and games about of fruits. What they like and dislike. Diversity of fruits from Brazil. How buy fruit al affordable prices and the importance of eating fruits. | 2 × 30 min | To exchange cookies consumption by fruit. |
6) Mindful eating and self-control strategies | Activity regarding hunger and satiety cues; how to combine foods to make a healthy dishes. | 2 × 30 min | To develop eating awareness regarding hunger and satiety physiological signs. To facilitate choices of healthy dishes. |
Household | CHA activities | ||
1) Health eating habits and anthropometry | Measure weight and waist of the adolescent and mother. | 30 min | To improve eating habits. |
Encourage adolescents and family to: 1) Keep regular mealtimes; 2) Eat with the family at the table; 3) No television, computer or mobile phone during meals; 4) Eating meal slowly (about 20 min); 5) Serve the dish once, except for vegetables. | |||
2) Reduce soft drinks and sugar sweetened juices | Show pictures of the amount of sugar in sodas and popular drinks negotiating reduction strategies: 1) Avoiding buying; 2) Replace soft drinks and juices by water and flavored waters; 3) Facilitate adolescent access to fruits; 4) Buy season fruits. | 20 min | To reduce soft drinks and sweetened juices and prompt specific strategies to achieve this target. |
3) Physical activity and sedentary behavior | Discuss that lifestyle modification are strong allies to lose weight. Provide a list of facilities free of charge in the neighborhood with physical activities such as churches and NGOs. Sedentary reduction strategies: 1) Reduce one hour time in computer games and TV; 2) Encourage the use of physical activity mobile app. 3) Encourage standing or walk during the interval of TV programs or in the game phase shift. | 20 min | To increase physical activity and reduce sedentary behavior. |
4) Biscuits and sweets | How to read nutritional labels using as example cookies, candy and other high sugar products. Negotiate: 1) Reducing intake of cookies, biscuits and sweets and also avoiding buying them; 2) Replace cookies with homemade popcorn, fresh coconut; peanuts and corn; 3) Substitute processed sweets, with homemade marmalades and jams low in sugar; 4) Add milk to coffee to reduce sugar. | 20 min | To reduce biscuits and sweets consumption and prompt specific strategies to achieve this target. |
5) Industrialized products | Identify dyes, preservatives and flavor enhance substances in labels avoid buying those high-energy industrialized products. Stimulate: 1) Replacement of noodles; processed sausage and hamburger for homemade burger /ground beef /egg; 2) Clean salads and vegetables in advance for consumption during the week (ask adolescent for help); 3) Keep always in the refrigerator fresh or frozen vegetables and beans; 4) Use spices and make attractive and colorful raw salads and vegetables. 5) Make shopping list to avoid buying unnecessary foods. | 20 min | Provide information to reduce the consumption of industrialized products and prompt specific strategies to achieve this target. |