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Qualitative methodological pathway for developing the Instructive for the Obesity Management in the SUS, 2018-2020.

Thanise Sabrina Souza Santos1, Larissa Morelli Ferraz Guimarães2, Patrícia Pinheiro de Freitas3

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This study outlines the development of an obesity management guide for Brazil's Unified Health System (Sistema Único de Saúde - SUS), focusing on nutrition and adapting existing dietary guidelines for effective public health interventions.

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Area of Science:

  • Public Health Nutrition
  • Health Policy Development
  • Behavioral Science in Health

Background:

  • Obesity management within Brazil's Unified Health System (SUS) requires tailored instructional materials.
  • Adapting the Brazilian Dietary Guidelines is a strategic approach for developing relevant health interventions.
  • Collective approaches are crucial for effective obesity management in public health settings.

Purpose of the Study:

  • To detail the methodological pathway for creating and validating an Instructive for obesity management in SUS.
  • To focus on food and nutrition actions within the scope of collective health approaches.
  • To adapt existing Brazilian Dietary Guidelines for practical application in obesity care.

Main Methods:

  • Expert workshops were conducted in 2018 and 2019 for proposal evaluation and validation.
  • A dynamic carousel facilitated expert input from management, academia, and SUS health services.
  • Exploratory content analysis with predefined theoretical frameworks guided material development, resolving divergences through consensus.

Main Results:

  • The first workshop confirmed the need for collective approach materials and defined theoretical frameworks.
  • The second workshop resolved conceptual issues and consolidated the care flow for obesity management.
  • The final Instructive integrated a problem-posing methodology and the transtheoretical model for enhanced adherence and effectiveness.

Conclusions:

  • The Instructive's development followed a rigorous scientific research trajectory.
  • This process successfully created instructional materials based on the Brazilian Dietary Guidelines.
  • The validated Instructive offers a structured approach to obesity management within the SUS framework.