School Health Nursing Program: prevention and control of overweight/obesity in adolescents<sup>,</sup>

Vieira, Caroline Evelin Nascimento Kluczynik; Dantas, Dândara Nayara Azevêdo; Miranda, Larissa Soares Mariz Vilar de; Araújo, Anne Karoline Cândido; Monteiro, Akemi Iwata; Enders, Bertha Cruz

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Revista da Escola de Enfermagem da USP

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ORIGINAL ARTICLE • Rev. esc. enferm. USP 52 • 2018 • https://doi.org/10.1590/S1980-220X2017025403339 copy

School Health Nursing Program: prevention and control of overweight/obesity in adolescents^* * Extracted from the thesis: “Desenvolvimento de um Programa para Assistência de Enfermagem na prevenção e controle de sobrepeso ou obesidade em adolescentes”, Programa de Pós-Graduação em Enfermagem, Universidade Federal do Rio Grande do Norte, 2016. ^,^ Article awarded in the 19th Seminário Nacional de Pesquisa em Enfermagem (Nacional Seminar in Research in Nursing), May, 2017.

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective

To describe the construction process of an intervention in the form of a Nursing Care program to Adolescents aimed at preventing and controlling overweight/obesity in the school environment.

Method

A methodological study developed through Intervention Mapping in Natal/RN, Brazil, between October of 2015 and September of 2016, with the participation of adolescents, public school teachers and nurses in Primary Health Care. Data sources were focus groups, interviews and an integrative review. The Collective Subject Discourse was used for analysis.

Results

At the end of the six stages of the Intervention Mapping, the “School Health Nursing Program” (Programa de Enfermagem Saúde na Escola) was constructed, which should be implemented over 10 months with five weekly classes of exercises and a weekly session of nursing interventions detailed in the Program.

Conclusion

The nursing intervention guided by Intervention Mapping allows actions based on theories, community participation, school/service bonds, and care continuity.

Adolescent; Overweight; Obesity; Nursing Care; Primary Health Care; Primary Care Nursing

Group	Objective of the Program	Performance Objectives (PO)
Nurses	Promoting interventions to promote adolescent health at school, related to eating, physical exercise and good interpersonal relationships.	PO1. Getting to know and maintaining bonds with students, their parents/guardians, and school teachers. PO2. Planning and implementing nursing interventions on diet at the school, reviewing the foods offered in the school with the parents, stimulating physical exercise and good interpersonal relationships.

OBJECTIVE OF THE PROGRAM: Promoting nursing interventions to promote adolescent health at school related to eating, physical exercise practice and good interpersonal relationships.

PERFORMANCE OBJECTIVES (PO)	DETERMINANTS (D)	CHANGE OBJECTIVES (CO)
PO1. Getting to know and maintaining bonds with students and school teachers. PO2. Planning and implementing interventions at the school on diet, physical exercise, good interpersonal relationships and other issues that emerge as needs.	D1. Does not know the professionals or adolescents of the school. D2. Does not carry out nursing interventions for overweight or obese adolescents in the school.	CO1. Getting to know school professionals and students, participating in meetings. CO2a. Determining individual and group motivation to reduce/maintain weight. CO2b. Classifying and monitoring students’ nutritional status. CO2c. Teaching students to classify their nutritional status and understand the result. CO2d. Determining dietary patterns and discussing the benefits of healthy foods.

Group	CO	Theories	Theoretical methods	Practical strategies
Nurse	CO1	ELM	Elaboration	Meetings and encounters (teachers/nurses)
	CO2a	TIP	Discussion	Conversation circle
	CO2b	ELM	Elaboration	Nutrition Status Worksheet
	CO2c	TL	Targeted practice	Practical class on nutritional status classification
	CO2d	SCT	Reevaluation	Conversation circle

Group	Performance objectives (PO)	Change objectives (CO)	Practical Strategies (PS)	Adoption/implementation (AI)
NURSES	PO1. Creating bonds with the students and school teachers. PO2. Planning and carrying out interventions related to diet, physical exercise, good interpersonal relationships and other issues that emerge as needs.	CO1. Getting to know school professionals and students. CO2a. Determining individual and group motivation to reduce/maintain weight. CO2b. Classifying and monitoring students’ nutritional status. CO2c. Teaching students to classify their nutritional status.	PS1. Meetings and encounters. PS2a. Conversation circles. PS2b. Spreadsheet. PS2c. Practical class.	AI1. Participation in the meetings (school and UBS), congratulating for the interest in health actions. AI2a. Coordination of conversation circles. AI2b. Classification of students’ nutritional status 1 time per semester, registering it in a spreadsheet. AI2c. Planning and execution of a practical class on nutritional status classification.

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Caroline Evelin Nascimento Kluczynik Vieira. Departamento de Enfermagem, Campus Universitário Central – BR 101, S/N CEP 59072-970 – Natal, RN, Brazil. carolinekluczynik@gmail.com