Fundacion SHE, the FC Barcelona Foundation, the Neymar Foundation and the Inter-American Development Bank will develop and implement L!VE-Brazil, a school-based intervention program, fully integrated into the school curriculum, which utilizes new technologies and interactive activities to engage children and promote behavioral changes necessary to prevent the rise of CVD and other chronic conditions. L!VE-Brazil follows a comprehensive approach, incorporating lessons around the human body, diet, physical activity, and emotions, with a core focus on making activities fun and engaging for children.
L!VE Brazil will build off of the successful Program SI!, which has been implementing obesity-prevention strategies and materials in Colombian and Spanish classrooms. The L!VE-Brazil team, in partnership with Sesame Workshop, will develop culturally-sensitive materials and interventions, tailored to fit the specific needs of the Brazilian population. Improved materials will feature Sesame Street characters and will include: 1) Audio-visual: Muppet video segments for use in classrooms with a 'view and do' approach; 2) Print: Storybooks and interactive board games on healthy behaviors, flash cards on emotions and self-regulation, and a teacher's guide and 3) Smartphone application: Targeted at collaborative engagement with parents and their children.
L!VE-Brazil will be a two stage intervention, with the initial target population being preschoolers who, at the age of four, are the youngest population for whom school attendance is mandatory in Brazil. A trial program will be rolled-out in 5 schools in Santos and Rio de Janeiro, with an estimated 150 students per school, for 6 months. This qualitative study will be followed by a three-year intervention in 8 schools (4 intervention groups and 4 control groups, selected based on socio-demographic characteristics).
The program will raise the awareness of teachers to reduce sedentary behavior, promote an active life, and train the caretakers for the use of the methodology and provide materials for the schools to interact with families in order to change routines and habits.
L!VE-Brazil will also engage with the local administration, national policy makers in the health and education fields, school associations, and scientific associations, to efficiently implement the program as a high-impact scheme. The L!VE-Brazil research team will conduct evaluations of the effectiveness of the program on instilling healthy behaviors on children across Brazil, as well as cost-effectiveness assessments, which will be used to support adoption by the local administration.
Q2-Q4 2014: Content Adaptation and Development
- Development and presentation of framework proposal
- Adaptation, standardization and production of intervention materials (print and audiovisual)
- Translation and adaptation of training courses
- Development and launch of the LIVE! Website
Q1- Q4 2015: Training for LIVE! Team in Brazil, School Coordinators and teachers
Q1- Q2 2015: Demographic data compiled and schools for intervention selected
Q3 and Q4 of 2015: Trial intervention implemented in 5 schools. Qualitative evaluation conducted through focus groups and personal interviews
2016 - 2018: Intervention implemented in 8 schools. Quantitative evaluation conducted throughout the intervention through anthropometric measurements and lifestyle surveys (last evaluation conducted in Q4 2018)
Q1 & Q2 2019: Quality control analysis; Effectiveness and cost-effectiveness evaluation
Physical inactivity and poor eating habits are pervasive worldwide and contribute greatly to cardiovascular disease (CVD) and other non-communicable diseases (NCDs) including obesity, diabetes, and hypertension. These interrelated chronic conditions are an entirely preventable burden for families and communities.
CVD is the leading cause of death in Brazil. The CVD mortality rate in the country is among the highest in South America, at 286 per 100,000 people in 2004. In the U.S and U.K., the rates are 179 and 175 per 100,000, respectively.
While CVD is declining in Brazil, likely as a result of falling smoking rates and improved access to primary care, rising rates of obesity, diabetes, and hypertension threaten progress. As many as 22% of adults have hypercholesterolemia; for urban adults over 45, the rate is 33%. According to the World Health Organization, deaths attributed to diabetes in Brazil are projected to increase 82 percent between 2005 and 2015. One critical cause is the fact that Brazilians' physical activity dropped 6 percent in just five years and, by 2030, the decline will be more than 34 percent, according to Nike's 'Designed to Move' study.
NCDs are the main source of disease burden in Brazil, and these recent trends call for timely action, not just in the form of legislation and regulation to ensure quality chronic care, but also in the form of programs that can drive fundamental shifts in behavior, preventing the development of these diseases in the first place.
It is essential to implement lasting behavioral change before adolescence, when children's brains are hardwired to develop lifelong preferences and motivations. There is thus a critical need for high-quality, fun programming in health and physical education to engage children (and their parents and teachers) in healthy choices that can continue into adulthood.
The commitment makers seek financial resources to fully implement the program.
L!VE Brazil promoters offer expertise, best practice information, and innovative educational materials to promote healthy lifestyles and positive early experiences in sports.