I have been struggling with an eating disorder for the past few years. I am afraid to eat and afraid I will gain weight. The fear is unjustified as I was never overweight. I have weighed the same since I was 12 years old, and I am currently nearing my 25th birthday. Yet, when I see my reflection, I see somebody who is much larger than reality.
I told my therapist that I thought I was fat. She said it was 'body dysmorphia'.
She explained this as a mental health condition where a person is apprehensive about their appearance and suggested I visit a nutritionist. She also told me that this condition was associated with other anxiety disorders and eating disorders. I did not understand what she was saying as I was in denial; I had a problem, to begin with. I wanted a solution without having to address my issues.
Upon visiting my nutritionist, he conducted an in-body scan and told me my body weight was dangerously low.
I disagreed with him.
I felt he was speaking about a different person than the person I saw in the mirror. I felt like the elephant in the room- both literally and figuratively. He then made the simple but revolutionary suggestion to keep a food diary to track what I was eating.
This was a clever way for my nutritionist and me to be on the same page. By recording all my meals, drinks, and snacks, I was able to see what I was eating versus what I was supposed to be eating. Keeping a meal diary was a powerful and non-invasive way for my nutritionist to walk in my shoes for a specific time and understand my eating (and thinking) habits.
No other methodology would have allowed my nutritionist to capture so much contextual and behavioural information on my eating patterns other than a daily detailed food diary.
However, by using a paper and pen, I often forgot (or intentionally did not enter my food entries) as I felt guilty reading what I had eaten or that I had eaten at all.
I also did not have the visual flexibility to express myself through using photos, videos, voice recordings, and screen recordings. The usage of multiple media sources would have allowed my nutritionist to observe my behaviour in real-time and gain a holistic view of my physical and emotional needs.
I confessed to my therapist my deliberate dishonesty in completing the physical food diary and why I had been reluctant to participate in the exercise. My therapist then suggested to my nutritionist and me to transition to a mobile diary study.
Whilst I used a physical diary (paper and pen), a mobile diary study app would have helped my nutritionist and me reach a common ground (and to be on the same page) sooner rather than later.
As a millennial, I wanted to feel like journaling was as easy as Tweeting or posting a picture on Instagram. But at the same time, I wanted to know that the information I provided in a digital diary would be as safe and private as it would have been as my handwritten diary locked in my bedroom cabinet.
Further, a digital food diary study platform with push notifications would have served as a constant reminder to log in my food entries as I constantly check my phone. It would have also made the task of writing a food diary less momentous by transforming my journaling into micro-journaling by allowing me to enter one bite at a time rather than the whole day's worth of meals at once.
Mainly, the digital food diary could help collect the evidence that I was not the elephant in the room, but rather that the elephant in the room was my denied eating disorder.
The elephant in the room
In 2019, over 1500 young people globally voiced their concerns through a survey, "Health & Technology: What young people really think: calling for the integration of meaningful youth engagement into development strategies that affect the livelihood and wellbeing of young people. When policymakers initiate decision-making processes such as education, health, employment, and climate change, young people want to be consulted. Youth-led research stands out as a promising approach to supporting young people to be involved in various stages of decision-making processes. It positions the youth beyond the traditional "volunteer role" to become active contributors to policy, thereby meaningfully shaping their narrative. It follows the slogan "Nothing About Us Without Us!" with the ultimate goal of shifting power and knowledge generation to the youth.
Youth-led research is a youth engagement strategy mainly used by not-for-profit organisations to elevate youth voices when influencing policies.
This strategy is a programmatic approach that engages young people, typically 15-29 years old, in decision-making, teaching them leadership skills, and building relationships with community members. The aim is to train and mentor young people to collect evidence and document the needs, aspirations, and challenges of the youth. Youth-led research serves a purpose that traditional research can not; it does not serve advanced research needs such as baselines, in-depth assessments, or evaluations. Instead, the approach is based on listening, participatory action, and learning through interviews and data collection, where findings are used to influence policymakers and make recommendations for policy change.
A Youth-led research initiative offers value in several ways. It has the potential to benefit youth researchers, communities, and youth projects.
It changes the youth's role in their communities by improving their access to community leaders. It empowers the youth with new skills and knowledge, enhancing relationships with elders and others, and creating opportunities for them to address problems and conflicts.
It produces new and useful knowledge that enables young people to understand community issues better and leads to more effective and relevant programming for youth issues.
It is a flexible approach designed to achieve various outcomes such as challenging assumptions and misconceptions in the community to increasing interaction between youth groups and generating recommendations for community problems.
It provides young people with the opportunity to share research findings with the community and relevant decision-makers (local government, programs funders, etc.). This collaboration helps establish the youth researchers' credibility in their communities and lays the foundation for continuous dialogue between decision-makers and young people.
A 2018 World Youth Report revealed that the Sustainable Development Goals' success hinges on meaningfully engaging young people in decision-making processes that impact their lives. Despite this revelation, Young people globally are not at the center of decision making even though almost half the world's population is under 30 years old. The COVID-19 pandemic has unveiled the vulnerability of the youth who are at risk of being left behind in their education, health, wellbeing, and the inevitable rates of unemployment post-COVID-19. As governments and development agencies plan recovery efforts for the next decade, they must recognize young people's role as a critical element.
We must recognize that youth participation is not only good practice but a necessity for sustainable development
These efforts include moving beyond the youth as purely health promoters to meaningfully engaging them in the youth-led research. This process aims to inform policy and other decision-making processes that affect their lives. We must recognize that youth participation is not only good practice but a necessity for sustainable development. Current approaches to developing evidence-based youth policies on health, education, and unemployment should be backed by youth-led research.
Restless Development is one of few organizations proactively enhancing youth research efforts to inform youth program design, influence development policy and practice, and broaden perspectives on young people's role in local, national, regional, and international decision-making spaces. In 2018, one of their hallmark youth research initiatives, the Youth Power Accountability Advocates Ghana, was the United Nations Global Festival of Action winner. The project used a youth-research approach to gather reproductive health data from young people to influence the Ghana Adolescent Health Policy and Strategy. In 2019, Restless Development commissioned a Youth Think Tank project that used a youth-led research approach to generate evidence on livelihoods and employment. This project aimed to inform and influence decision making processes in six other countries in Sub-Saharan Africa (Kenya, Tanzania, Rwanda, Malawi, Zambia and Ghana).
West African Lead, ALMA Youth Advisory Council/Zero Malaria Champion
Build fully customizable data capture forms, collect data wherever you are and analyze it with a few clicks — without any training required.
Build fully customizable data capture forms, collect data wherever you are and analyze it with a few clicks — without any training required.
While youth-led research maximizes young people's leadership potential and prepares them as future experts, the ultimate measure of success hinges on how data collected is harnessed to impact policy. That is why young people need the support to ask the right questions relevant to their priorities, the tools to capture better data, and the ability to generate better insights that can inform various advocacy and decision-making processes.
Between 2015 to 2018, three young Accountability Advocates from Ghana used data from eight regions to influence adolescent health policy to meet young people's demographic needs. Their work reviewed existing gaps and generated new data on maternal health and sexual reproductive health and rights information and services. These young people were able to capture valuable data to elucidate the issues facing the community. In order to influence the decision-making processes, young people need to know the relevant and appropriate data to capture within a given timeframe. But to generate useful and reliable data, young people must be empowered with the requisite knowledge, skills, and research tools.
The effect of youth-led research is powerful when young people are supported to incorporate their different perspectives, lived experiences, and priorities on the issues that matter most to them. It is not enough for young people to gather their own data; they must be equipped with the skills and tools to analyze existing official data and make comparisons and inferences where necessary to generate their meaning into data collected.
Secure and easy-to-use data collection platforms, like Teamscope, make it possible for youth activists to capture high-quality research data, even in settings with no internet connection. Furthermore, using real-time data visualization, researchers generate graphs that can be used in publications and presentations to provide insight and develop a better understanding. By using Teamscope, young researchers stand a chance to validate their findings from policymakers better. The application provides a step by step process leading to better documentation on how data is collected, stored, and analyzed. This ensures that collected data is processed transparently, accurately, and reliably, enabling high quality and useful data.
Lastly, networking, meaningful opportunities to participate, and platforms to share data are essential to youth-led research. Young people must be supported to participate in high-level decision-making spaces. By doing so, they can use their data to hold governments accountable and inform national and international debates. The successful case of the Accountability Advocates from Ghana shows a connection between data dissemination and policy influence. By sharing insights from research and their findings at regional, national, and international forums, the advocates gained attention from appropriate institutions and policymakers. Their participation at the 72nd United Nations General Assembly and presentations at the 7th African Conference on Sexual and Reproductive Health Right in 2018 paved the way for use of granular and context-specific data in policy review and integrated processes. Supporting young people to convene national stakeholder forums to connect, share data, and develop mutual partnership and joint commitment is an indispensable ingredient to the success of youth-led research.
As echoed by the "Youth and the 2030 Agenda for Sustainable Development" report, young people's engagement in sustainable development efforts is central to inclusive and stable societies. For young people to be active architects in the SDGs, their opinions and contributions must be valued in all implementations, follow-ups, and reviews. Taking action will mean supporting young people to generate their own evidence to inform decision making within their communities.
Research findings from young people can drive critical discussions with policymakers. Young people need to be given access and support with resources to amplify their voices and become thought leaders who can meaningfully inform and influence policy. Youth-led research, where successful, demonstrates how young people can lead and partner with others to monitor and implement the Sustainable Development Goals.
Dear Digital Diary,
I realized that there is an unquestionable comfort in being misunderstood. For to be understood, one must peel off all the emotional layers and be exposed.
This requires both vulnerability and strength. I guess by using a physical diary (a paper and a pen), I never felt like what I was saying was analyzed or judged. But I also never thought I was understood.
Paper does not talk back.Using a daily digital diary has required emotional strength. It has required the need to trust and the need to provide information to be helped and understood.
Using a daily diary has needed less time and effort than a physical diary as I am prompted to interact through mobile notifications. I also no longer relay information from memory, but rather the medical or personal insights I enter are real-time behaviours and experiences.
The interaction is more organic. I also must confess this technology has allowed me to see patterns in my behaviour that I would have otherwise never noticed. I trust that the data I enter is safe as it is password protected. I also trust that I am safe because my doctor and nutritionist can view my records in real-time.
Also, with the data entered being more objective and diverse through pictures and voice recordings, my treatment plan has been better suited to my needs.
No more elephants in this room