Dataset Information

Participatory Video Influenced Behaviour and Social Environment of Ghanaian Female Adolescent Learners: A Most Significant Change Evaluation

ABSTRACT: Abstract

Objectives

Assess the perceived influence and value of a participatory video intervention among beneficiaries.

Methods

A 2019 cluster randomized control trial (clinicaltrials.gov NCT03704649) randomly selected 20 schools in one Ghanaian rural district and enrolled adolescent girls, 13–16 y old. All schools received a curriculum about adolescent nutrition. The 181 girls in the 10 intervention schools also received participatory video workshops to increase nutrition literacy. The Most Significant Change (MSC) method was used to involve adolescents in the intervention arm and local stakeholders to identify and evaluate the value of the participatory video experience. Project staff collected 116 stories of change from adolescents. The stories described shifts in 4 domains: participant, peer, and family behavior and structural changes in the school/community. The lead researcher and project staff developed and used a selection rubric to identify stories that reflected heightened nutrition literacy; 14 stories were chosen. Project staff then conducted in-depth interviews with the 14 adolescents to elaborate on story details and perceived resonance. Finally, a panel of local stakeholders reviewed and assessed the 14 stories and chose four MSC stories, one for each domain. A separate thematic analysis by the lead researcher identified emerging patterns of motivation and action across the 14 interviews.

Results

The 4 MSC stories revealed how an adolescent: 1) raised and saved money to buy herself iron-rich foods when parents would not comply, 2) encouraged neighbours to eat iron-rich foods 3) taught a father to weed around iron-rich foods on the farm, and 4) encouraged a sister to sell diverse foods at her school. Local stakeholders valued stories that addressed common community nutrition issues in a creative and sustainable way, whereas adolescents prioritized stories that showed a change in health outcomes.

Conclusions

Participatory evaluation highlights valuation of local stakeholders and beneficiaries, perceptions that are vital to better understand the influence and reach of interventions. The MSC technique can reveal unexpected benefits of an intervention.

Funding Sources

The Canadian Queen Elizabeth II Diamond Jubilee Scholarship, funded by IDRC and SSHRC

SUBMITTER: Ghadirian M

PROVIDER: S-EPMC8180660 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Project description:BackgroundUnderstanding the influence of participatory video-making on the nutrition-related behavior of video creators may help shape nutrition education interventions.ObjectivesThis study assessed the perceived value and influence of a participatory video intervention among participants and stakeholders.MethodsA 2018-2019 cluster randomized controlled trial (registered at clinicaltrials.gov as NCT03704649) selected 20 schools (10 intervention, n = 181; 10 control, n = 170) in 1 Ghanaian rural district, enrolled adolescent girls aged 13-16 y, and provided a nutrition curriculum. Each intervention school also participated in 2 series of activities designed to help adolescents plan, film, and screen 2 nutrition-related videos. The Most Significant Change method involved intervention participants and local stakeholders to assess the value and influence of the intervention - a secondary outcome of the trial. Project staff collected 116 stories of change from the adolescents. Stories described shifts in 4 domains: participant, peer, and family behavior, and structural changes in the school. The project team used a selection rubric to identify 14 stories that reflected heightened nutrition literacy. Staff conducted interviews with the 14 adolescents whose stories were selected to elaborate on details and perceived resonance. Finally, local stakeholders assessed the stories to identify the 4 most significant changes of the intervention - 1 per domain. A separate thematic analysis identified emerging patterns of motivation and action across the 14 interviews.ResultsThe chosen Most Significant Change stories revealed how adolescents found creative solutions to acquire iron-rich foods, encouraged neighbors to eat iron-rich foods, taught their family new agricultural practices, and promoted change in their school canteen. Local stakeholders valued stories that addressed common community nutrition issues in a creative and sustainable way, whereas adolescents prioritized stories that showed a change in health outcomes.ConclusionStories of change revealed that the intervention promoted a transformative influence; participants modified their eating habits, lifestyle, and their environment.

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