Insights into nutrition education: a qualitative interpretive meta synthesis from the Latin American perspective
DOI:
https://doi.org/10.15343/0104-7809.202448e16052024PKeywords:
Systematic Review, Diet, Food and Nutrition, Patient Education as Topic, Latin AmericaAbstract
Studies about health education have focused more on what is taught than on who is learning. This article reports the findings of a qualitative interpretive meta-synthesis (QIMS) on patients' experiences which emerge during participation in educational interventions on food and nutrition in Latin America. A search for studies based on constructivist, hermeneutic or interpretive paradigm published between 2006 and 2020 encompassing nine databases was conducted, identifying 1,676 records. Three stages were contemplated: I) identification of the sample through characterization and quality assessment forms, resulting in nine studies; II) extraction of themes addressed in the research results to understand the participation experiences, and III) translation of data and synergistic comprehension through an integration of experiences, including a new categorization of themes. The QIMS generated seven themes: "social conflict", "insecurity", "sacrifice", "care", "valuing the approach", "change in understanding" and "learning". Given the level of detail regarding the social reality in which participation occurs, the themes highlight three dimensions that are crucial in food and nutrition education from the patients' perspective: "life history", "food configuration" and "educational appreciation". The complexity of patient experiences demands an approach that better acknowledges the configuration within the encountered dimensions. This necessitates exploring how individual patient experiences relate to the broader context of nutrition and food education in the Latin American region.
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Liguori J, Trübswasser U, Pradeilles R, et al. How do food safety concerns affect consumer behaviors and diets in low- and Middle-income countries? A systematic review. Glob Food Sec. . [Internet]. 2022; [Acessado em 01 março de 2023] 32:100606. Disponível em: https:// doi:10.1016/J.GFS.2021.100606
Murimi MW, Kanyi M, Mupfudze T, Amin MR, Mbogori T, Aldubayan K. Factors influencing efficacy of nutrition education interventions: a systematic review. J Nutr Educ Behav. . [Internet].2017; [Acessado em 01 março de 2023]49(2):142-165.e1. Disponível em: https:// doi:10.1016/j.jneb.2016.09.003
Leme ACB, Fisberg RM, Mello AV, Sales CH, Ferrari G, Haines J, et al. Food sources of shortfall nutrients among latin americans: Results from the latin american study of health and nutrition (elans). Int J Environ Res Public Health. . [Internet].2021; [Acessado em 01 março de 2023]18(9). Disponível em: https://doi:10.3390/ijerph18094967
FAO, IFAD, PAHO, UNICEF, WFP. Regional Overview of Food Security and Nutrition – Latin America and the Caribbean 2022: Towards Improving Affordability of Healthy Diets.; . [Internet].2023. [Acessado em 20 fev 2024] Disponível em: https:// doi:10.4060/ cc3859en
Contento IR, Koch PA. Nutrition Education: Linking Research, Theory, and Practice: Linking Research, Theory, and Practice . 4th ed. Burllington: Jones & Bartlett Learning; 2020.
Fuentes S, Estrada B. Alimentación escolar y educación alimentaria: tendencias recientes en la investigación en América Latina entre 2005 y 2021. Rev Educ. . [Internet].2023[Acessado em 20 fev 2024]; 47(1):1-15. Disponível em: https://https://doi.org/10.15517/ revedu.v47i1.51724
Alzate TY. Desde la educación para la salud: Hacia la pedagogía de la educación alimentaria y nutricional. Perspectivas de nutrición humana, 2006; 16 (1): 21–40.
Clark-Barol M, Gaddis JE, Barrett CK. Food agency in low-income households: A qualitative study of the structural and individual factors impacting participants in a community-based nutrition program. Appetite. . [Internet]. 2021[Acessado em 01 março de 2023];158. Disponível em: https:// 10.1016/j.appet.2020.105013
Billing-Bullen G, Nielsen D, Wham C, Kruger R. Enablers and barriers to prevent weight-regain post bariatric surgery – A qualitative enquiry. Eat Behav. . [Internet].2022[Acessado em 20 fev 2024];47. Disponível em: https://doi:10.1016/J.EATBEH.2022.101677
McHugh P, Smith M, Wright N, Bush S, Pullon S. If you don’t eat meat… you’ll die. A mixed-method survey of health-professionals’ beliefs. Nutrients. . [Internet]. 2019; [Acessado em 20 fev 2024]11(12):3028. Disponível em: https://doi:10.3390/NU11123028
Paterson BL, Thorne SE, Connie C, Jillings C. Meta-Study of Qualitative Health Research: A Practical Guide to Meta-Analysis and Meta-Synthesis. Thousand Oaks. Sage Publications Inc; 2001. 162p.10.
Booth A, Noyes J, Flemming K, Gerhardus A, Wahlster P, van der Wilt GJ, et al.. Guidance on Choosing Qualitative Evidence Synthesis Methods for Use in Health Technology Assessments of Complex Interventions . [Internet].].; 2016.[Acessado em 01 março de 2020]. Disponível em: http://www.integrate-hta.eu/downloads/
Siddaway AP, Wood AM, Hedges L V. How to Do a Systematic Review: A Best Practice Guide for Conducting and Reporting Narrative Reviews, Meta-Analyses, and Meta-Syntheses. Annu Rev Psychol. .2019;70:747-770.
Aguirre RTP, Bolton KMW. Why do they do it? A qualitative interpretive Meta-Synthesis of crisis volunteers’ motivations. Soc Work Res. 2013;37(4):327-338.
Burns N. Standards for qualitative research. Nurs Sci Q. . 1989;2(1):44-52.
Saldaña J. The Coding Manual for Qualitative Researchers. 1st ed. London. Sage Publications Ltd; 2009. 240p.16.
Rodrigues ÉM, Boog MCF. Problematização como estratégia de educação nutricional com adolescentes obesos. Cad Saude Publica. 2006;22(5):923-931.
Yonamine GH, Contim D, Castro APBM, Jacob CMA, Pastorino AC. Percepção dos familiares de pacientes com alergia ao leite de vaca em relação ao tratamento. J Hum Growth Dev. . 2013;23(1):58.
Giaretta AG, Ghiorzi A da R. Cuidado nutricional: olhar sensível, interdisciplinar, para as famílias de pessoas com síndrome de down. Rev Enferm UERJ. . [Internet]. 2010 [Acessado em 29 abril de 2017];18(5):610-615. Disponível em: http://www.facenf.uerj. br/v18n4/v18n4a18.pdf
Moreira LN, de Barros DC, Baião MR, Cunha MB. “Quando tem como comer, a gente come”: fontes de informações sobre alimentação na gestação e as escolhas alimentares. Physis Rev Saúde Coletiva. . [Internet]. 2018 [Acessado em 29 abril de 2017];28(3): e280321. Disponível em: https://doi:10.1590/S0103-73312018280321
Jürgensen LP, Daniel NVS, da Costa Padovani R, Juzwiak CR. Impact of a nutrition education program on gymnasts’ perceptions and eating practices. Mot Rev Educ Física. . [Internet].2020; [Acessado em 29 abril de 2017]26(1). Disponível em: https:// doi:10.1590/S1980-6574202000010206
Ribeiro AG, Cotta RMM, Silva LS da, Ribeiro MR, Dias CMGC, Mitre SM, et al. l. Hipertensão arterial e orientação domiciliar: o papel estratégico da saúde da família. Rev Nutr. 2012;25(2):271-282.
Caicedo Martínez NS, Carrillo Pineda M, Gómez Dávila JG. Breastfeeding Education: disagreement of meanings. Investig y Educ en Enfermería. . [Internet].2016; [Acessado em 29 abril de 2017]34(2):396-404. Disponível em: https://doi:10.17533/UDEA.IEE. V34N2A20
Recine E, Porto EBS, Fernandez PM, Pereira MR. Analysis of nutrition (and food) education syllabus of nutrition undergraduate courses. Rev Nutr. . 2016;29(6):885-897.
Dodou HD, Oliveira TDA de, Oriá MOB, Rodrigues DP, Pinheiro PN da C, Luna IT. Educational practices of nursing in the puerperium: social representations of puerperal mothers. Rev Bras Enferm..2017;70(6):1250-1258.
Greene M, Houghtaling B, Sadeghzadeh C, De Marco M, Bryant D, Morgan R, et al. African Americans’ Perceptions of Nutrition Interventions: A Scoping Review. Nutr Res Rev. 2023; 36: 320–339.
Machado RCM, Baião MR, Líbera B Della, Saunders C, Santos MMADS. The symbolic dimension of prenatal nutrition care in diabetes Mellitus. Rev Nutr. 2017;30(6):703-711. Disponível em: https:// doi:10.1590/1678-98652017000600003
Champlin S, Walker LO, Mackert M. Beliefs, Attitudes, and Practices of Latinas Related to Gestational Weight Gain: A Qualitative Meta-Synthesis. Matern Child Health J. . [Internet].2021; [Acessado em 29 junho de 2023];25(1):107-117. Disponível em: https:// doi:10.1007/S10995-020-03092-1
Rivera RL, Maulding MK, Eicher-Miller HA. Effect of Supplemental Nutrition Assistance Program-Education (SNAP-Ed) on food security and dietary outcomes. Nutr Rev. . [Internet].2019 [Acessado em 29 junho de 2023];77(12):903-921. Disponível em: https:// doi:10.1093/NUTRIT/NUZ013
Atoloye AT, Savoie-Roskos MR, Guenther PM, Durward CM. Effectiveness of Expanded Food and Nutrition Education Program in Changing Nutrition-Related Outcomes Among Adults With Low Income: A Systematic Review. J Nutr Educ Behav. . [Internet].2021 [Acessado em 29 junho de 2023];53(8):691-705. Disponível em: https:// doi:10.1016/J.JNEB.2021.03.006
Perera C, Bakrania S, Ipince A, et al. Impact of social protection on gender equality in low- and middle-income countries: A systematic review of reviews. Campbell Syst Rev. . [Internet]. 2022; [Acessado em 29 junho de 2023]18(2). Disponível em: https:// doi:10.1002/CL2.1240
Awad A. The determinants of food insecurity among developing countries: Are there any differences? Sci African. . [Internet].2023[Acessado em 20 fev 2024];19. Disponível em: https://doi:10.1016/J.SCIAF.2022.E01512
Braunstein N, Guerrero M, Liles S, Germann A, Kuppich M, Martin H, et al. Medical Nutrition Therapy for Adults in Health Resources & Services Administration-Funded Health Centers: A Call to Action. J Acad Nutr Diet. . [Internet].2021; [Acessado em 29 junho de 2023]121(10):2101-2107. Disponível em: https:// doi:10.1016/J.JAND.2020.10.023
Davis AM, Affenito SG. Interprofessional Education to Create and Sustain High-Performance Teams to Support Our Transforming Health Care System and Future Educational Model: How Nutrition and Dietetics Can “Weigh-in.” J Acad Nutr Diet. .. 2017;117(12):1871- 1876.
Van Meijl H, Shutes L, Valin H, Stehfest E, Van Dijk M, Kuiper M, et al. Modelling alternative futures of global food security: Insights from FOODSECURE. Glob Food Sec. . [Internet].2020; [Acessado em 29 junho de 2023]25:100358. Disponível em: https:// doi:10.1016/J.GFS.2020.100358
López-Giraldo LA, Franco-Giraldo Á. Revisão de enfoques das políticas alimentares: entre a segurança e a soberania alimentar (2000-2013) . Cad. Saúde Pública . [Internet].2015; [Acessado em 20 maio 2024] 31(7):1355-1369. Disponível em: https:// doi:10.1590/0102-311X00124814
Almeida GM, Recine E, Fagundes A. Objectives and Competencies in Food and Nutrition Education in the Brazilian Undergraduate Nutrition Program. J Nutr Educ Behav..2020;52(4):385-393.
Moisey LL, A. Campbell K, Whitmore C, Jack SM. Advancing qualitative health research approaches in applied nutrition research. J Hum Nutr Diet. . [Internet].2022; [Acessado em 20 de maio 2024]35(2):376-387. Disponível em: https:// doi: 10.1111/jhn.12989
Ashman AM, Brown LJ, Collins CE, Rollo ME, Rae KM. Factors Associated with Effective Nutrition Interventions for Pregnant Indigenous Women: A Systematic Review. J Acad Nutr Diet. . [Internet].2017[Acessado em 20 de maio 2024];117(8):1222-1253.e2. Disponível em: https://doi.org/10.1016/j.jand.2017.03.012
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