Health promotion for young Brazilian and Portuguese university students in terms of self-perception and self-image: Instagram profile
DOI:
https://doi.org/10.17533/udea.iee.v43n3e07Keywords:
health education, young adults, social network, self-perception, self-image, social networkingAbstract
Objective. To build a scientific content profile with validity evidence on the Instagram social network, focusing on health promotion for Brazilian and Portuguese university students regarding self-perception and self-image.
Methods. A multi-method study based on Design Thinking in four stages: Knowledge Building (1st Review with 26 studies and Documentary Study with 962 forms); Product Definition (2nd Review with 50 studies and Focus Group with 13 participants); Development (Profile Prototyping); and Evaluation and Delivery (with evidence of usefulness, ease, and acceptability assessed by seven users).
Results. It was evidenced in 42.3% of the studies that young people have difficulties with the use of alcohol and drugs; among technologies for intervention, multimedia campaigns and social networks were highlighted. The majority (53.8%) of the records expressed the young people's desire to change something about their bodies. The focus group understood the need to intervene in the self-perception and self-image of young people through Instagram. The profile @multi.brasilportugal was created with content about the promotion of self-care, links for theoretical depth, and professional referrals. Regarding usefulness, ease, and acceptability, users considered it extremely likely to be useful for achieving the objective, extremely easy to operate the profile, and quite likely in terms of the clarity and understanding of the interaction with the technology.
Conclusion. Design Thinking encouraged the creation of an Instagram profile with interaction and the possibility of using scientific content for education and health promotion, especially to improve body positivity and self-esteem.
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References
1. United Nations Population Fund. The power of 1.8 billion: adolescents, youth and the transformation of the future. State of World Population 2014. New York: UNFPA; 2014. Available from: https://www.unfpa.org/swop-2014
2. Brazil. Ministry of Health. Health Care Secretariat. Adolescent and Youth Health Area. Legal framework: health, an adolescent right. Series A. Normas e Manuais Técnicos. 2007. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/07_0400_M.pdf
3. Santos Monteiro Machado A, Benevides Soares A. Review systematic literature on socio-emotional skills interventions for university students. Revista Pesquisa Qualitativa. 2024; 12(32):353–76
4. Peron S, Neufeld CB. Health promotion for adolescents: Specific characteristics of group programs. Revista Psicologia: Teoria e Prática. 2022; 24(2):ePTPCP13479
5. Kemp S. Digital 2024: Global overview report. DataReportal. 2024. Available from: https://datareportal.com/reports/digital-2024-global-overview-report
6. Ku B, Lupton E. Health design thinking: Creating products and services for better health. Cooper Hewitt; 2020
7. Paiva ED, Zanchetta MS, Londoño C. Innovation in thinking and scientific action: the method of design thinking for nursing. Escola Anna Nery. 2020; 24(4):e20190304
8. Silva SLFR. Mhealth technology to support the promotion of mental health in young university students [dissertation]. Fortaleza: Unifor; 2022
9. Oliveira GS, Cunha AMO, Cordeiro EM, Saad NS. Focus group: a data collection technique in qualitative research? Cadernos FUCAMP. 2020; 19(41):14–23
10. Davis FD. Perceived usefulness, perceived ease of use, and user acceptance information technology. MIS Quarterly. 1989; 13(3):319–340
11. Albuquerque RN, Oliveira A. Vitiligo and the impact on women's image. Disciplinarum Scientia. 2021; 22(1):353–68
12. Peres-Neto L, Pereira GA. Ethics, freedom of expression and gender hate speech on social networking sites. In: E-Compós. 2019. Available from: https://e-compos.org.br/e
13. Do Vale AMO, Elias LR. Eating disorders: a behavior-analytic perspective. Revista Brasileira Terapia Comportamental e Cognitiva. 2011; 13(1):52–70
14. Martelli A, Teixeira VM, Oliveira RC, Oliveira JRL, Oliveira HFR, Silio LF, et al. Challenges to the healthy balance between self-esteem and body image. Rev CPAQV-Centro de Pesquisas Avançadas em Qualidade de Vida. 2022; 14(3):1–8
15. Nascimento MLV, Caniato ÂMP. Adolescence and youth in contemporary times: reflections from a psychopolitical approach. Brazilian Journal of Development. 2019; 5(11):22664–84
16. Dourado CS, Fustinoni SM, Schirmer J, Brandão-Souza C. Body, culture and meaning. Journal of Human Growth and Development. 2018; 28(2):206–12
17. Nascimento KS, Cezar LC, Santos LF. Beauty standards disseminated on Instagram and their influences on the self-esteem and consumption behavior of university students. Revista Brasileira de Marketing. 2024; 23(2):844–900
18. Suárez Gómez M, Pisco Costa R. The potential of WhatsApp in a qualitative study on eating practices in the millennial generation. Revista Pesquisa Qualitativa. 2021; 9(21):392–409
19. World Health Organization. M-health: new horizons for health through mobile technologies [Internet]. Geneva: WHO; 2015 [cited 2025 Mar 5]. Available from: http://www.who.int/goe/publications/goe_mhealth_web.pdf
20. Slater H, Campbell JM, Stinson JN, Burley MM. End user and implementer experiences of mHealth technologies for noncommunicable chronic disease management in young adults: systematic review. Journal of Medical Internet Research. 2017; 19(12):406–501
21. Drake C, Cannady M, Howley K, Shea C, Snyderman R. An evaluation of mHealth adoption and health self-management in emerging adulthood. AMIA Annual Symposium Proceedings. 2020:1022–30
22. Medeiros RA, Leite CRM, Guerreiro AMG, Rosa SSRF. MHealth: Definition, interests, challenges and future. In: Leite CRM, Rosa SSRF, editors. New technologies applied to health: Integration of areas transforming society. EDUERN; 2017. p.107–22. Available from: http://repositorio2.unb.br/jspui/bitstream/10482/38824/1/CAPITULO_M-HealthDefinitionInterests.pdf
23. Lucena TFR, Bueno GR, Velho APM. MHealth and health promotion: possibilities and approaches to the use of mobile technologies. In: Leite CRM, Rosa SSRF, editors. New technologies applied to health: Integration of areas transforming society. EDUERN; 2017. p.123–48. Available from: https://iris.paho.org/handle/10665.2/56003
24. Brazil. Ministry of Health. Health Care Secretariat. Department of Programmatic and Strategic Actions. Protecting and caring for the health of adolescents in primary care. 2017. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/proteger_cuidar_adolescentes_atencao_basica.pdf
25. Rahman MO, et al. Technology-based innovative healthcare solutions for improving maternal and child health outcomes in low-and middle-income countries: A network meta-analysis protocol. Nursing Open. 2023; 10(1):367–76
26. Jácome Unias AC, Barroso ELFN, Farias BER, Costa MCO, Magalhães FJ. Digital entrepreneurship in maternal and child nursing: a netnographic study using Instagram [Internet]. XXIX Semana Universitária UECE: inclusão e interdisciplinaridade na produção do conhecimento. 2024 [cited 2025 Aug 22]. Available from: file:///C:/Users/ferna/Downloads/867777919-RES07092024-183659%20(2).pdf
27. Carvalho KM, Silva CRDT, Figueiredo MLF, Nogueira LT, Andrade EMLR. Educational interventions for the health promotion of the elderly: integrative review. Acta Paulista de Enfermagem. 2018; 31(4):446–54
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