Pilot Study of Culturally Sensitive Intervention to Promote Healthy Lifestyle in Hispanic Adolescents

2.50
Hdl Handle:
http://hdl.handle.net/10755/243306
Category:
Abstract
Type:
Presentation
Title:
Pilot Study of Culturally Sensitive Intervention to Promote Healthy Lifestyle in Hispanic Adolescents
Author(s):
Gance-Cleveland, Bonnie; Stevens, Carol
Author Details:
Gance-Cleveland, Bonnie, PhD, RNC, PNP, FAAN, bonnie.gance-cleveland@asu.edu; Stevens, Carol, PhD, RN;
Abstract:
Purpose: Obesity in Hispanic youth has reached alarmingly high levels, increasing the risk of type 2 diabetes, hyperlipidemia, hypertension, and cardiovascular disease. In Mexican American children ages 6-11 years, 41.7% are overweight and obese, 24.7% are obese and 19.6% have a Body Mass Index (BMI) greater than the 97th percentile (Ogden et al., 2010). Personal, behavioral, and environmental factors contribute to these high rates. The purpose of the study was to conduct a pilot study of a theory-based healthy eating and activity intervention (Sabor con Salud Latino para los Niños [SSLN]).

Methods:  A pilot, one-group, pre- and post-test, quasi-experimental design used a community-based participatory research (CBPR) method to test a culturally adapted, 8-week intervention. Social Cognitive Theory (SCT) was used to guide the intervention. Measurements included process measures nutrition and physical activity [PA] knowledge, attitude and behaviors, perceived confidence and social support; and outcome variables (BMI z-score, waist circumference and BP percentile). Analysis included paired t-tests and effect sizes.

Results: Seventeen participants aged 11-14 years enrolled in the study. SSLN completers (n=16) attended 88.1% of the sessions. Retention strategies such as texting reminders for class, raffle prizes and phone calls to parents increased attendance and strengthened communication between parents, adolescents and the SSLN Instructors.  Participants reported that the curriculum was fun (M = 4.63, SD = .72) and they learned about nutrition (M = 3.81, SD = 1.42) and PA (M = 4.25, SD = 1.13). The preliminary effects on adolescent nutrition and PA behaviors showed mixed results with small-to-medium effect sizes for nutrition knowledge and attitude, PA and sedentary behavior.

Conclusion: These findings suggest a culturally specific healthy eating and activity program for adolescents was feasible and acceptable and warrants further investigation, since it may fill a gap in existing obesity programs designed for Hispanic youth.

Keywords:
Hispanic youth; Childhood obesity; CBPR
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titlePilot Study of Culturally Sensitive Intervention to Promote Healthy Lifestyle in Hispanic Adolescentsen_GB
dc.contributor.authorGance-Cleveland, Bonnieen_GB
dc.contributor.authorStevens, Carolen_GB
dc.author.detailsGance-Cleveland, Bonnie, PhD, RNC, PNP, FAAN, bonnie.gance-cleveland@asu.edu; Stevens, Carol, PhD, RN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243306-
dc.description.abstract<b>Purpose: </b>Obesity in Hispanic youth has reached alarmingly high levels, increasing the risk of type 2 diabetes, hyperlipidemia, hypertension, and cardiovascular disease. In Mexican American children ages 6-11 years, 41.7% are overweight and obese, 24.7% are obese and 19.6% have a Body Mass Index (BMI) greater than the 97<sup>th</sup> percentile (Ogden et al., 2010). Personal, behavioral, and environmental factors contribute to these high rates. The purpose of the study was to conduct a pilot study of a theory-based healthy eating and activity intervention (Sabor con Salud Latino para los Ni&ntilde;os [SSLN]). <p><b>Methods: </b>&nbsp;A pilot, one-group, pre- and post-test, quasi-experimental design used a community-based participatory research (CBPR) method to test a culturally adapted, 8-week intervention. Social Cognitive Theory (SCT) was used to guide the intervention. Measurements included process measures nutrition and physical activity [PA] knowledge, attitude and behaviors, perceived confidence and social support; and outcome variables (BMI z-score, waist circumference and BP percentile). Analysis included paired t-tests and effect sizes. <p><b>Results: </b>Seventeen participants aged 11-14 years enrolled in the study. SSLN completers (n=16) attended 88.1% of the sessions. Retention strategies such as texting reminders for class, raffle prizes and phone calls to parents increased attendance and strengthened communication between parents, adolescents and the SSLN Instructors.&nbsp; Participants reported that the curriculum was fun (<i>M </i>= 4.63, <i>SD</i> = .72) and they learned about nutrition (<i>M</i> = 3.81, <i>SD</i> = 1.42) and PA (<i>M</i> = 4.25, <i>SD</i> = 1.13). The preliminary effects on adolescent nutrition and PA behaviors showed mixed results with small-to-medium effect sizes for nutrition knowledge and attitude, PA and sedentary behavior. <p><b>Conclusion: </b>These findings suggest a culturally specific healthy eating and activity program for adolescents was feasible and acceptable and warrants further investigation, since it may fill a gap in existing obesity programs designed for Hispanic youth.en_GB
dc.subjectHispanic youthen_GB
dc.subjectChildhood obesityen_GB
dc.subjectCBPRen_GB
dc.date.available2012-09-12T09:20:24Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:20:24Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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