{
  "abstract": "Background Children and adolescents in Chihuahua often fail to reach optimal development in rural and marginalized urban areas due to structural barriers limiting access to healthy food, psychological support, quality education, and sports and cultural activities.Objectives To assess, from the perspective of children aged 3–15, the impact of the ADN Model on their educational, physical, and psychosocial development.Methods The intervention provided healthy meals, psychological care, and cultural, sports, and academic workshops for four hours daily, Monday to Friday. A non-experimental, cross-sectional design was used. A structured questionnaire was administered at the beginning and end of the 2023–2024 school year in 27 communities with 4,666 children. A paired t-test was applied, with significant changes defined as p < 0.05.Results Fruit consumption increased from 4.14 → 4.38 (Δ=+0.24, p=0.022); handwashing before meals from 4.41 → 4.52 (Δ=+0.11, p=0.029); daily physical activity (60 min) from 3.28 → 3.57 (Δ=+0.29, p=0.000); perception of smoking risk from 3.63 → 4.02 (Δ=+0.39, p=0.018); homework completion from 4.06 → 4.21 (Δ=+0.15, p=0.011); teacher motivation from 4.30 → 4.40 (Δ=+0.10, p=0.047); conflict resolution without harming others from 3.96 → 4.11 (Δ=+0.15, p=0.022). Screen time decreased (2.53 → 2.40, Δ=–0.13, p=0.07). Resistance to negative influences also improved (3.95 → 4.09, Δ=+0.14, p=0.051).Conclusions The ADN Model demonstrated a positive impact on health habits, physical activity, school environment, and social support among children in Chihuahua.",
  "authors": [
    {
      "affiliations": [
        "Fundación del Empresariado Chihuahuense A. C., Juárez, Mexico"
      ],
      "name": "Paula Ortega"
    },
    {
      "affiliations": [
        "Fundación del Empresariado Chihuahuense A. C., Cuauhtémoc, Mexico"
      ],
      "name": "Sonia Murillo"
    },
    {
      "affiliations": [
        "Fundación del Empresariado Chihuahuense A. C., Chihuahua, Mexico"
      ],
      "name": "Julio Figueroa"
    }
  ],
  "title": "187 Impact of the Ampliando El Desarrollo De La Niñez (ADN) model on the educational, physical, and psychosocial wellbeing of children in Chihuahua",
  "uid": "d36a0210-9635-558c-b1d0-5eba7664eab0"
}