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  11. Using A Participatory Action Research Approach To Explore, Understand And Evaluate Well-being Among Children Living In Socially Deprived Areas In Southern Sweden: A Study Protocol.

Using a participatory action research approach to explore, understand and evaluate well-being among children living in socially deprived areas in Southern Sweden: a study protocol.

Rathi Ramji1, Elisabeth Mangrio2,3, Therese Sterner2

  • 1Department of Care Science, Malmo University Faculty of Health and Society, Malmo, Sweden rathi.ramji@mau.se.

BMJ Open
|August 3, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Children co-designing health promotion environments improves well-being. This community-based participatory research (CBPR) model empowers children in disadvantaged areas to shape their after-school activities and environments.

Area of Science:

  • Child Health
  • Community Psychology
  • Public Health Interventions

Background:

  • After-school leisure activities are linked to improved health, well-being, and safety in disadvantaged neighborhoods.
  • The UN Convention on the Rights of the Child advocates for children's inclusion in decision-making, yet they are rarely involved in health promotion environments.
  • Established health promotion environments often lack child-centered design and implementation.

Purpose of the Study:

  • To explore, measure, and evaluate the impact of a participatory process on children's well-being within established health promotion environments.
  • To empower children, parents, and peer leaders in co-designing and evaluating health promotion initiatives.
  • To adapt and validate a survey instrument for assessing children's well-being in culturally relevant contexts.
Keywords:
Community child healthCommunity-Based Participatory ResearchHealth EquityPUBLIC HEALTH

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Main Methods:

  • Utilizing a community-based participatory research (CBPR) model in three disadvantaged areas of Malmö, Sweden.
  • Forming CBPR teams comprising 30 children (10-12 years), 30 parents/guardians, 15 peer-activity leaders, and researchers.
  • Children engaged in reflection, analysis, and writing about well-being, identifying key factors through an iterative process, and developing/validating the Socioculturally Aligned Survey Instrument for Children.

Main Results:

  • The participatory process facilitated children's active involvement in shaping their after-school activities and environments.
  • Development and validation of a child-centered survey instrument (Socioculturally Aligned Survey Instrument for Children) for evaluating well-being.
  • The study provides a framework for community-based participatory research in health promotion for children in disadvantaged settings.

Conclusions:

  • Participatory approaches involving children are crucial for developing effective and relevant health promotion environments.
  • Empowering children as active agents in research and program design enhances their well-being and engagement.
  • The CBPR model offers a scalable and sustainable approach to promoting health equity among children in diverse communities.
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