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Table 1 Group activities with students and parents/guardians at school

From: Effectiveness of a 16-month multi-component and environmental school-based intervention for recovery of poor income overweight/obese children and adolescents: study protocol of the health multipliers program

Themes

Objectives

Reflective Meetings

With Students

 

Establishing bonds of trust

Introduction of the research team to the students

Creating intimacy between research team and students

Clarification on the school Program “Health Multipliers”

Creating a personal diary to describe life events, perceptions, likings, worries, desires, etc

Creating an instrument that fosters dialog among students, between students/teachers or research team

Teaching the students how to use the diary regularly

Is it possible to change?

Discussing how students conceive themselves in that moment and what they would like to change in their lives

Discussing about body self-image

Discussing about which changes are possible and how to achieve them

Considering obstacles that make changes in a difficult life

Sharing experiences of students who have managed to change something in their lives, in particular, considering how they overcame obstacles in the classroom

Discussing about how it was possible for them to overcome such obstacles

How do I feel?

What do I do?

Favoring self-perception of their feelings at any given moment

Encouraging self-perception of more recurring feelings in their lives

Understanding how their feelings interfere on their day-to-day actions

Discussing if anyone in the group has ever experienced a situation in which, because of being under the influence of a strong feeling, has done something he/she regrets

Discussing if anyone, by perceiving feelings, was able to avoid some negative situation

Discussing about how did it happen.

How to deal with difficulties?

Remembering situations that caused negative feelings

Remembering how they reacted to such situations

Remembering situations in which the students have actually succeeded in reacting in a satisfactory manner

Discussing about how students find the solution and how they can extend this solution to the lives of others

How to have fun in the real world?

Understanding how students usually have fun in daily life

Considering the context in which fun happens: with whom, where, when, etc.

Remembering situations where they have been able to enjoy without having to use electronic equipment

Discussing about how that student found the solution, and how they can extend this solution to the lives of others

Getting to know each other

Understanding what the students usually do together

Considering the context where they meet and interact

Understanding the barriers to meet friends

Remembering situations where they met to have fun

Understanding how they can expand social interaction among them

Reflective Meetings

Parents/guardians

 

How to find time?

Understanding how they reconcile healthy habits and commitments, such as work, home care, children, and so on

Understanding if “health” is a priority in their lives

Reflecting on the consequences of a sedentary life

Understanding if they consider an active life for their children important, and how they encourage them to do so

Reflecting on moments in which it was possible to find time within the routine of each one to practice some activity that promotes their own health as well as their children’s

Dialogue, intimacy, and leadership

Understanding how they engage in dialog with their children

Understanding if there is freedom of both parties—children and parents—for dialog

Promoting dialog between the parties

Understanding how they perceive themselves as protagonists of their own life and family life

Reflecting on how to improve dialog between the parties and whether anyone in the group has already succeeded at this

Nutrition Workshops

Students

 

Knowing the food routine of the students

Understanding their eating routine and promoting reflection on how to improve it

Healthy versus unhealthy foods

Identifying food preference

Reflecting on concepts of healthy and unhealthy foods

Knowing the ultra-processed food

Discussing the main nutritional differences between natural, minimally processed and ultraprocessed foods by looking at labels and packages of industrialized products

Reflecting on the impact of the consumption of these foods on their health

What do I eat?

Comparing the amounts of sugar, fat, and salt of natural and ultra-processed food.

Olympics in Brazil: what do athletes eat?

Reflecting on feeding habits of famous athletes and comparing them with food choices of students

What food is this?

Knowing and identifying natural foods

Cooking workshop: how to prepare tasty and delicious foods in a healthy way

Learning easy recipes for making ice-cream using real fruits in the preparation

Awakening interest in developing these recipes at home

Nutrition Workshops Parents/guardians

 

Breakfast and quality of life

Developing easy, inexpensive recipes for a breakfast routine

Talking about the relationship between eating breakfast, weight gain and the quality of life

The use of milk

Discussing the consumption of milk from birth to the present moment in their children’s life

Knowing their preferences and frequency of milk consumption

Remembering the milk recipes developed by the family

Making together preparations of milk mixed with fruits

Sharing the experience of making and tasting the recipes developed

Discussing how to improve the family diet routine by milk consumption

Motivation to achieve nutritional goals

Reflect, through the use of motivational sentences, about the difficulties they face to achieve the nutritional goals propose during the reflective meetings

Discussing the concepts that each one has about certain food, body composition, and life habits

Physical activity

Students

 

The importance of physical activity for health

Raising awareness among students about the importance of regular physical activity for health and well-being maintenance

Stretching and relaxation activities

Guidance on stretching and relaxation techniques so students can apply them in everyday life

Folk dance

Constructing a folkloric dance choreography involving students and teachers, to present to parents and communities during a school festivity

Knowing about sports and competitions

Two sports modalities were chosen, rugby and free dance, after discussion with the students. The students then studied the theory of each one of them, familiarized with the rules and applied the knowledge to propose new rules during the training

Physical activities involved exercises of strength, aerobics, balance, and resistance, culminating in a sporting tournament

Competition between classes

A competition between classes occurred at the end of the first semester of intervention, counting on the involvement of children from three different classes and their teachers

Physical Activity (Parents/guardians)

 

Dialog with parents

Dialog with parents/guardians about the importance of physical activity to the health and well being of their children

Playing with parents

Developing plays to support contact and interaction between parents/guardians and children

Relaxing with parents

Developing exercises of relaxation involving parents/guardians and their children to support the bond between them