Methodological aspects and challenges of the Online Cohort on Food Behavior and Mental Health (COCASa) of university professors and students during the COVID-19 pandemic
DOI:
https://doi.org/10.33448/rsd-v10i17.24258Keywords:
Eating behavior; Mental health; COVID-19; Longitudinal study; Health surveys.Abstract
The social distance adopted to control COVID-19 forced universities to adhere to new strategies for carrying out academic activities and research which started to be developed in virtual spaces. The aim of this article is to describe the methodological aspects and main challenges faced for the implementation of the COCASa project, an online cohort study on eating behavior and mental health of professors and students of universities in Brazil. The study started in July 2020 and will follow participants for two years. Proportional stratified non-probabilistic sampling was adopted and to assess participants information scales, food surveys and structured questions prepared by the project team were used. Among the baseline participants, 4,074 students and 2,210 professors started the questionnaire and, respectively, 76.8% and 85.1% completed the questionnaire. In both groups, the highest participation was of women (professors: 66.7% and students: 76.2%) and residents in the Northeast (professors: 37% and students: 50.9%) and South (professors: 27.1% and students: 22.5%) of Brazil. The online survey expands the possibility of recruiting participants and reaches territorial limits with less demand for funding. During the COVID-19 pandemic, the use of the virtual environment became a viable and accessible strategy for the maintenance of research activities, constituting a likely trend to be adopted by the scientific community.
References
Ahuja, K. K., Khandelwal, A., & Banerjee, D. (2021). 'Weighty woes': Impact of fat talk and social influences on body dissatisfaction among Indian women during the pandemic. Int J Soc Psychiatry, 20764021992814.
American Psychiatry Association [APA]. (2006). Practice guideline for the treatment of patients with eating disorders (3rd ed.).
American Dietetic Association [ADA]. (2006). Position of the American Dietetic Association: Nutrition intervention in the treatment of anorexia nervosa, bulimia nervosa, and other eating disorders. Journal American Diet Association, 106(12), 2073-82.
Araujo, R. M., Amato, C. A. H., Martins, V. F., Eliseo, M. A. & Silveira, I. F. (2020). COVID-19, Mudanças em Práticas Educacionais e a Percepção de Estresse por Docentes do Ensino Superior no Brasil. Revista Brasileira de Informática na Educação, 28, 864-891.
Araújo, M. P. N., Barroso, R. R. F., Machado, M. L., Cunha, C. M., Queiroz, V. A. O., Martins, P. C. & Santana, M. L. P. (2021). Residência é residência, trabalho é trabalho: estudo quali-quantitativo sobre o trabalho remoto de professores universitários durante a pandemia da COVID-19. Research, Society and Development, 10(9), e24310918068.
Balanzá-Martínez, V., Atienza-Carbonell, B., Kapczinski, F., & De Boni, R. B. (2020). Lifestyle behaviours during the COVID-19 - time to connect. Acta Psychiatr Scand, 141(5):399-400.
Barroso, S. M., Andrade, V. S., Midgett, A. H. & Carvalho, R. G. N. (2016). Evidências de validade da Escala Brasileira de Solidão UCLA. Jornal Brasileiro de Psiquiatria, 65(1), 68-75.
Boni, R. B. Websurveys in the time of COVID-19. (2020). Cadernos de Saude Publica, 36(7), e00155820.
Brasil, Ministério da Saúde. (2020a). Plano de contingência nacional para infecção humana pelo novo Coronavírus 2019-nCoV: Centro de operações de emergências em saúde pública (COE-nCoV). http://portalarquivos2.saude.gov.br/images/pdf/2020/fevereiro/07/plano-contingencia-coronavirus-preliminar.pdf
Brasil, Ministério da Educação. (2020b). Portaria nº 343 de 17 de março de 2020. Dispõe sobre a substituição das aulas presenciais por aulas em meios digitais enquanto durar a situação de pandemia do Novo Coronavírus - COVID-19. Diário Oficial da União, 53(1), 39.
Brasil, Ministério da Educação. (2020c). Parecer CNE/CP nº 5/2020. Reorganização do Calendário Escolar e da possibilidade de cômputo de atividades não presenciais para fins de cumprimento da carga horária mínima anual, em razão da Pandemia da COVID-19.
Brasil, Ministério da Educação. (2020d). Orientações para condução de pesquisas e atividdaes dos CEP durante a pamdemia provocada pelo Coronavírus SARS-COV-2 (COVID). https://cep.ensp.fiocruz.br/sites/default/files/orientacao_conep_covid_geral.pdf
Brown, A., Flint, S. W., Kalea, A. Z., O’Kane, M., Williams, S., & Batterham, R. L. (2021). Negative impact of the first COVID-19 lockdown upon health-related behaviours and psychological wellbeing in people living with severe and complex obesity in the UK. EClinicalMedicine, 34:100796.
Buchanan, E. A. & Zimmer, M. (2021). Internet Research Ethics. In: Zalta EN. The Stanford Encyclopedia of Philosophy. https://plato.stanford.edu/entries/ethics-internet-research/
Callaway, E., Ledford, H., Viglione, G., Watson, T. & Witze, A. (2020, Dec). COVID and 2020: An extraordinary year for science. Nature, 588(7839), 550-552.
Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J. & Zheng, J. (2020, May). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, 287, 112934.
Cepeda-Benito, A., Gleaves, D. H., Fernández, M. C., Vila, J., Williams, T. L. & Reynoso, J. (2000, Nov). The development and validation of Spanish versions of the State and Trait Food Cravings Questionnaires. Behavior Research and Therapy, 38(11), 1125-38.
Cooper, M., Reilly, E. E., Siegel, J. A., Coniglio, K., Sadeh-Sharvit, S., Pisetsky, E. M., & Anderson, L. M. Eating disorders during the COVID-19 pandemic and quarantine: an overview of risks and recommendations for treatment and early intervention. Eat Disord. 2020 Jul 9:1-23. doi: 10.1080/10640266.2020.1790271.
Faleiros, F., Käppler, C., Pontes, F. A. R., Silva, S. S. C., Goes, F. S. N. & Cucick, C. D. (2016). Uso de questionário online e divulgação virtual como estratégia de coleta de dados em estudos científicos. Texto & Contexto Enfermagem, 25(4), e3880014.
Faro, A., Bahiano, M. A., Nakano, T. C., Reis, C., Silva, B. F. P. & Vitti, L. S. (2020). COVID-19 e saúde mental: a emergência do cuidado. Estudos de Psicologia, 37, e200074.
Ferreira, J. E. S. & Veiga, G. V. (2008). Confiabilidade (teste-reteste) de um questionário simplificado para triagem de adolescentes com comportamentos de risco para transtornos alimentares em estudos epidemiológicos. Revista Brasileira de Epidemiologia,11(3), 393-401.
Forster, H., Fallaize, R., Gallagher, C., O'Donovan, C. B., Woolhead, C., Walsh, M. C., Macready, A. L., Lovegrove, J. A., Mathers, J. C., Gibney, M. J., Brennan, L. & Gibney, E. R. (2014). Online dietary intake estimation: the Food4Me food frequency questionnaire. Journal of Medical Internet Research, 16(6), e150.
Fairburn, C. G. & Beglin, S. J. Assessment of eating disorder: interview or self-report questionnaire? Int J Eat Dis 1994;16(4):363-70.
Hay, P. (1998, May). The epidemiology of eating disorder behaviors: an Australian community-based survey. International Journal Eat Disorders, 23(4), 371-82.
Hewson, C. (2014). Research Methods on the Internet. In. Danowski, J. A. & Cantoni, L. Communication and technology. Handbooks of Communication Sciences series [HoCS], ed. by P.J. Schulz & P. Cobley. De Gruyter Mouton.
Huang, Y. & Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Research, 288,112954.
Instituto Nacional de Estudos e Pesquisas Educacionais Anísio Teixeira [INEP]. (2020). Resumo técnico do Censo da Educação Superior 2019. https://download.inep.gov.br/publicacoes/institucionais/estatisticas_e_indicadores/resumo_tecnico_censo_da_educacao_superior_2019.pdf
Interlenghi, G. S., Reichenheim, M. E., Segall-Corrêa, A. M., Pérez-Escamilla, R., Moraes, C. L. & Salles-Costa, R. (2018). Suitability of the eight-item version of the Brazilian Household Food Insecurity Measurement Scale to identify risk groups: evidence from a nationwide representative sample. Public Health Nutrition, 27, 1-9.
Joncew, C. C., Cendon, B. V. & Ameno, N. (2014).Websurveys como método de pesquisa. Informação & Informação, 19(3), 192 – 218.
Kaparounaki, C. K., Patsali, M. E., Mousa, D. V., Papadopoulou, E. V. K., Papadopoulou, K. K. K. & Fountoulakis, K. N. (2020). University students' mental health amidst the COVID-19 quarantine in Greece. Psychiatry Research, 290, 113111.
Keel, P. K., Gomez, M. M., Harris, L., Kennedy, G. A., Ribeiro, J., Joiner, T. E. Gaining "The Quarantine 15:" Perceived versus observed weight changes in college students in the wake of COVID-19. Int J Eat Disord. 2020 Nov;53(11):1801-1808. doi: 10.1002/eat.23375.
Leão, A. M., Gomes, I. P., Ferreira, M. J. M. & Cavalcanti, L. P. G. (2018). Prevalência e Fatores Associados à Depressão e Ansiedade entre Estudantes Universitários da Área da Saúde de um Grande Centro Urbano do Nordeste do Brasil. Revista Brasiliera de Educação Médica, 42(4), 55-65.
Lessard, L. M., Puhl, R. M. Adolescents. (2021). Exposure to and Experiences of Weight Stigma During the COVID-19 Pandemic. J Pediatr Psychol. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8344898/pdf/jsab071.pdf
Li, Y., Lv, M. R., Wei, J., Sun, L., Zhang, J. X., Zhang, H. G. & Li, B. (2017). Dietary patterns and depression risk: A meta-analysis. Psychiatry Research. 253,373-382.
Lipsky, L. M., Haynie, D. L., Hill, C., Nansel, T. R., Li, K., Liu, D., Iannotti, R. J. & Simons-Morton, B. (2019). Accuracy of Self-Reported Height, Weight, and BMI Over Time in Emerging Adults. American Journal of Preventive Medicine, 56(6), 860-868.
Lovibond, P. F. & Lovibond, S. H. (1995). The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research Therapy, 33(3),335-43.
Maia, B. R. & Dias, P. C. (2020). Ansiedade, depressão e estresse em estudantes universitários: o impacto da COVID-19. Estudos de Psicologia, 37, e200067.
Martins, B. G., da Silva, W. R., Maroco, J., Campos, J. A. D. B. (2019). Depression, anxiety, and stress scale: Psychometric properties and affectivity prevalence. Jornal Brasileiro de Psiquiatria, v. 68, n. 1, p. 32-41, 2019. http://hdl.handle.net/11449/189431
Masana, M. F., Tyrovolas, S., Kolia, N., Chrysohoou, C., Skoumas, J., Haro, J. M., Tousoulis, D., Papageorgiou, C., Pitsavos, C. & Panagiotakos, D. B. (2019). Dietary Patterns and Their Association with Anxiety Symptoms among Older Adults: The ATTICA Study. Nutrients, 11(6),1250.
Onis, M. D., Onyango, A. W., Borghi, E., Siyam, A., Nishida, C. & Siekmann, J. (2007). Development of a WHO growth reference for school - aged children and adolescents. Bulletin of the World Health Organization, 85(9), 660-7.
Organización Panamericana de la Salud [OPAS]. (2002). División de Promoción y Protección de la Salud (HPP). Encuesta Multicentrica salud beinestar y envejecimiento (SABE) em América Latina el Caribe: Informe Preliminar. In: XXXVI Reunión del Comité asesor de investigaciones em Salud. https://www1.paho.org/Spanish/HDP/HDR/CAIS-01-05.PDF
Ozamiz-Etxebarria, N., Santamaría, M. D., Mondragon, N. I., Santxo, N. B. (2021).Estado emocional del profesorado de colegios y universidades en el norte de España ante la COVID-19. Rev Esp Salud Publica. 15;95:e202102030.
Parker, R., & Berman, N. (2016). Planning Clinical Research (1rd ed.). Cambridge University Press.
Paslakis, G., Dimitropoulos, G. & Katzman, D.K. (2021, Jan 1). A call to action to address COVID-19-induced global food insecurity to prevent hunger, malnutrition, and eating pathology. Nutrition Reviews,79(1),114-116.
Queiroz de Medeiros, A. C., Pedrosa, L. F. C, Hutz, C. S. & Yamamoto, M. E. (2016, Oct 1). Brazilian version of food cravings questionnaires: Psychometric properties and sex differences. Appetite, 105, 328-33.
Rede Brasileira de Pesquisa em Soberania e Segurança Alimentar e Nutricional [Rede PENSSAN]. (2021). VIGISAN: Inquérito Nacional sobre Insegurança Alimentar no Contexto da Pandemia da COVID-19 no Brasil. http://olheparaafome.com.br/VIGISAN_Inseguranca_alimentar.pdf
Ribeiro, A. R. & Pena, S. G. (2020). Impacto na saúde de docentes e discentes em tempos de pandemia de covid-19. Rev Ed Foco, 1(1).
Ribeiro-Silva, R. C, Pereira, M., Campello, T., Aragão, E., Guimarães, J. M. M., Ferreira, A. J. F., Barreto, M. L. B., Santos, S. M. C. (2020). Implicações da pandemia COVID-19 para a segurança alimentar e nutricional no Brasil. Ciência & Saúde Coletiva, 25(9), 3421-3430.
Rodrigues, L. T. M., Lago, E. C., Almeida, C. A. P. L., Ribeiro, I. P. & Mesquita, G. V. (2020). Estresse e depressão em docentes de uma instituição pública de ensino. Enfermería Global, 19(57), 209-242.
Rosner, B. (2010). Fundamentals of Biostatistics (7a ed.). Brooks/Cole, Cengage Learning.
Rothnman, K. J., Greenland, S. & Lash, T. L. (2008). Modern Epidemiology. (3.ed.). Lippincott Williams and Wilkins.
Sabry, S. D., Carioca, A. A. F., Arruda, S. P. M., Adriano, L. S. & Sampaio, H. A. C. (2020). Adaptação transcultural e avaliação de propriedades psicométricas do Emotional Appetite Questionnaire em mulheres de língua portuguesa. Ciência & Saúde Coletiva, 25(7), 2633-2643.
Scagliusi, F. B., Alvarenga, M., Polacow, V. O., Cordás, T. A., de Oliveira Queiroz, G. K., Coelho, D., Philippi, S. T. & Lancha, A. H. Jr.(2006, Jul). Concurrent and discriminant validity of the Stunkard's figure rating scale adapted into Portuguese. Appetite, 47(1),77-82.
Sideli. L., Lo Coco, G., Bonfanti, R.C., Borsarini, B., Fortunato, L., Sechi, C., Micali, N. (2021). Effects of COVID-19 lockdown on eating disorders and obesity: A systematic review and meta-analysis. Eur Eat Disord. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8652707/pdf/ERV-29-826.pdf
Staniscuaski, F., Kmetzsch, L., Soletti, R. C., Reichert, F., Zandonà, E., Ludwig, Z. M. C., Lima, E. F., Neumann, A., Schwartz, I. V. D., Mello-Carpes, P. B., Tamajusuku, A. S. K., Werneck, F. P., Ricachenevsky, F. K., Infanger, C., Seixas, A., Staats, C. C. & de Oliveira, L. (2020, May). Gender, Race and Parenthood Impact Academic Productivity During the COVID-19 Pandemic: From Survey to Action. Frontiers in Psychology, 12, 12:663252.
Stunkard, A. J., Sørensen, T. & Schulsinger, F. (1983). Use of the Danish Adoption Register for the study of obesity and thinness. Association for Research in Nervous and Mental Disease, 60, 115-20.
Tang, W., Hu, T., Hu, B., Jin, C., Wang, G., Xie, C., Chen, S. & Xu, J. (2020). Prevalence and correlates of PTSD and depressive symptoms one month after the outbreak of the COVID-19 epidemic in a sample of home-quarantined Chinese university students. Journal Affect Disorders, 274, 1-7.
Vereecken, C. A., De Bourdeaudhuij, I. & Maes, L. (2010). The HELENA online food frequency questionnaire: reproducibility and comparison with four 24-h recalls in Belgian-Flemish adolescents. European Journal Clinical Nutrition, 64(5), 541-8.
Vignola, R. C. B, Tucci, A. M. (2014). Adaptation and validation of the depression, anxiety and stress scale (DASS) to Brazilian Portuguese. J Affect Disord, 155, 104-9.
Wathelet, M., Duhem, S., Vaiva, G., Baubet, T., Habran, E., Veerapa, E., Debien, C., Molenda, S., Horn, M., Grandgenèvre, P., Notredame, C. E. & D'Hondt, F. (2020, Oct). Factors Associated With Mental Health Disorders Among University Students in France Confined During the COVID-19 Pandemic. The Journal of the American Medical Association Network Open, 1, 3(10), e2025591.
World Health Organization [WHO]. (2000). Obesity: preventing and managing the global epidemic. Obesity Technical Report Series. World Health Organization.
World Health Organization [WHO]. (2021). Coronavirus disease 2019 (COVID-19) Situation Report – 138. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200606-covid-19-sitrep-138.pdf?sfvrsn=c8abfb17_4 19.pdf?sfvrsn=bc43e1b_2
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Copyright (c) 2021 Monica Leila Portela de Santana; Ana Marlúcia de Oliveira; Carla de Magalhães Cunha; Maria da Purificação Nazaré Araújo; Valterlinda Alves de Oliveira Queiroz; Poliana Cardoso Martins; Priscila Ribas de Farias Costa ; Carina Magalhães Nepomuceno ; Rosemary da Rocha Fonseca Barroso; Nedja Silva dos Santos Fonseca ; Lucivalda Pereira Magalhães de Oliveira ; Maria Ester Pereira Machado ; Martha Luísa Machado; Sandra Maria Chaves dos Santos; Karine Brito Beck da Silva; Helena Benes Matos da Silva ; Patrícia Fortes Cavalcanti de Macêdo ; Marília Villela de Carvalho ; Juliana Miranda Pereira
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