Literature DB >> 26999709

The Use of Narrative as a Treatment Approach for Obesity: A Storied Educational Program Description.

Marcus Griffith1, Jeana Griffith2, Mellanese Cobb3, Vladimir Oge4.   

Abstract

INTRODUCTION: Childhood obesity is a health care crisis according to the leading pediatric advocacy groups (National Medical Association, American Academy of Pediatrics, and American Diabetes Association) and the White House. The problem has reached epidemic proportions for all children, but it has an even greater impact on racial minorities. The subject of childhood obesity can lead to a host of medical, psychological, and social problems, including low self-esteem and discrimination.We wrote an interventional children's book and workbook (The Tale of Two Athletes: The Story of Jumper and The Thumper) and developed a three-step intervention based on the narrative. The intervention's purpose is to increase public awareness, reduce stigma, and to help members of underserved communities become more comfortable discussing obesity.
METHODS: In classrooms and other community settings, a storied education program is presented to students of various ages. Interactive storytelling is the first step: live narration with direct listening and active participation. Didactic information on obesity is shared, including a sociocultural explanation for why the issue is more problematic among racial minorities. The audience is then introduced to the story of Jumper and The Thumper, two larger-than-life characters who experience different outcomes as a result of their choices about diet and exercise. True examples are described during the narration about these two young men, accompanied by cartoons and photographs for visual emphasis.The next step is reading: audience members are provided with a book to reinforce what was learned. Readers are allowed to more closely examine the importance of making healthy choices.Practicing positive behaviors and decision making through games and exercises from the companion workbook is the final step. These activities help children and their families live a healthier lifestyle. The goal is that these three steps, linked to a common narrative, will have a meaningful impact on obesity by creating behavioral change.
RESULTS: Children, parents, and health care professionals have stated their enthusiastic response to the information and message and that they have made positive changes in children's eating and exercise habits. The program has been presented in community forums, churches, medical meetings, and elementary schools in at-risk communities.
CONCLUSION: New strategies must be developed to lead, uplift, and empower through health and wellness education and through community collaboration if we are to change the direction of course toward this devastating condition that affects our most valuable commodity-our children. This community-based educational approach is a means to help recognize and treat obesity in underserved communities.

Entities:  

Mesh:

Year:  2016        PMID: 26999709      PMCID: PMC4991922          DOI: 10.7812/TPP/15-029

Source DB:  PubMed          Journal:  Perm J        ISSN: 1552-5767


  8 in total

1.  Prevention of pediatric overweight and obesity.

Authors:  Nancy F Krebs; Marc S Jacobson
Journal:  Pediatrics       Date:  2003-08       Impact factor: 7.124

2.  Storytelling to access social context and advance health equity research.

Authors:  JoAnne Banks
Journal:  Prev Med       Date:  2011-10-29       Impact factor: 4.018

3.  Active healthy living: prevention of childhood obesity through increased physical activity.

Authors: 
Journal:  Pediatrics       Date:  2006-05       Impact factor: 7.124

Review 4.  From intervention to invitation: reshaping adolescent sexual health through story telling and games.

Authors:  Melissa Gilliam; Sarah Orzalli; Stephen Heathcock; Elisabeth Sutherland; Patrick Jagoda; Alicia Menendez; Oladosu Ojengbede
Journal:  Afr J Reprod Health       Date:  2012-06

5.  Early childhood: breastfeeding, "solving the problem of childhood obesity within a generation," an excerpt from the White House Task Force on Childhood Obesity: report to the President, May 2010.

Authors: 
Journal:  Breastfeed Med       Date:  2010-10       Impact factor: 1.817

6.  Prevalence of childhood and adult obesity in the United States, 2011-2012.

Authors:  Cynthia L Ogden; Margaret D Carroll; Brian K Kit; Katherine M Flegal
Journal:  JAMA       Date:  2014-02-26       Impact factor: 56.272

7.  Participation in community-originated interventions is associated with positive changes in weight status and health behaviors in youth.

Authors:  Lauren MacKenzie Whetstone; Kathryn M Kolasa; David N Collier
Journal:  Am J Health Promot       Date:  2012 Sep-Oct

8.  The Institute of Medicine report "Unequal Treatment": implications for academic health centers.

Authors:  Joseph R Betancourt; Angela W Maina
Journal:  Mt Sinai J Med       Date:  2004-10
  8 in total

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