2.50
Hdl Handle:
http://hdl.handle.net/10755/335294
Category:
Full-text
Type:
Presentation
Title:
Cultural Relevance of the Healthy Choices Intervention Program
Other Titles:
Symposium: Working with Communities to Address Obesity Across the Lifespan
Author(s):
Jacobson, Diana L.
Lead Author STTI Affiliation:
Beta Upsilon
Author Details:
Diana L. Jacobson, PhD, RN, PNP-BC, diana.jacobson@asu.edu
Abstract:
Session presented on Saturday, July 26, 2014: Background: The burden of obesity and its health consequences disproportionately affects Hispanic children and families. In Arizona, nearly 18% of the state's children and adolescents are obese (up from 12.2% in 2003) with the rate rising by nearly 46% between 2003 and 2007. Researchers have determined that multi-component; comprehensive obesity interventions are feasible in the primary care setting. In addition, it has become evident that intervention effectiveness is improved when obesity interventions are individualized to address the family's social and cultural influences on health. Purpose: The purpose of this study was to determine the acceptability, applicability and cultural relevance of the Healthy Choices Intervention (HCI) program for underserved, Hispanic overweight and obese 9 to 12 year old children and their parents who utilize the healthcare services at an inner city pediatric primary care clinic. This study was funded by a 2012 Sigma Theta Tau International Small Grant. Methods: Research Design: Phase 1. The preliminary efficacy of the HCI with overweight and obese 9-12 year old Hispanic children (N=20) and their parents/legal guardians (N=20), recruited from a clinic that delivers health care to the medically underserved was evaluated utilizing a quasi-experimental design. Phase 2. A descriptive qualitative design, utilizing parent and child focus groups, informed as to the acceptability and cultural relevance of the HCI. Outcomes Measured Demographics, anthropometrics and self-reported measures of beliefs, behaviors and psychosocial functioning were obtained. Results: The parents and children reported high acceptability and applicability of the HCI. Parental feedback included recommendations pertaining to the cognitive skills building activities and nutritional content of the intervention. Conclusion: Incorporating feedback from the participants strengthened the HCI. The HCI has been now been adapted, not only to be culturally relevant to the Hispanic families, but also addresses the current recommendations for comprehensive obesity management in primary care settings.
Keywords:
primary care interventions; children; cultural relevance
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14H09
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleCultural Relevance of the Healthy Choices Intervention Programen
dc.title.alternativeSymposium: Working with Communities to Address Obesity Across the Lifespanen
dc.contributor.authorJacobson, Diana L.en
dc.contributor.departmentBeta Upsilonen
dc.author.detailsDiana L. Jacobson, PhD, RN, PNP-BC, diana.jacobson@asu.eduen
dc.identifier.urihttp://hdl.handle.net/10755/335294-
dc.description.abstractSession presented on Saturday, July 26, 2014: Background: The burden of obesity and its health consequences disproportionately affects Hispanic children and families. In Arizona, nearly 18% of the state's children and adolescents are obese (up from 12.2% in 2003) with the rate rising by nearly 46% between 2003 and 2007. Researchers have determined that multi-component; comprehensive obesity interventions are feasible in the primary care setting. In addition, it has become evident that intervention effectiveness is improved when obesity interventions are individualized to address the family's social and cultural influences on health. Purpose: The purpose of this study was to determine the acceptability, applicability and cultural relevance of the Healthy Choices Intervention (HCI) program for underserved, Hispanic overweight and obese 9 to 12 year old children and their parents who utilize the healthcare services at an inner city pediatric primary care clinic. This study was funded by a 2012 Sigma Theta Tau International Small Grant. Methods: Research Design: Phase 1. The preliminary efficacy of the HCI with overweight and obese 9-12 year old Hispanic children (N=20) and their parents/legal guardians (N=20), recruited from a clinic that delivers health care to the medically underserved was evaluated utilizing a quasi-experimental design. Phase 2. A descriptive qualitative design, utilizing parent and child focus groups, informed as to the acceptability and cultural relevance of the HCI. Outcomes Measured Demographics, anthropometrics and self-reported measures of beliefs, behaviors and psychosocial functioning were obtained. Results: The parents and children reported high acceptability and applicability of the HCI. Parental feedback included recommendations pertaining to the cognitive skills building activities and nutritional content of the intervention. Conclusion: Incorporating feedback from the participants strengthened the HCI. The HCI has been now been adapted, not only to be culturally relevant to the Hispanic families, but also addresses the current recommendations for comprehensive obesity management in primary care settings.en
dc.subjectprimary care interventionsen
dc.subjectchildrenen
dc.subjectcultural relevanceen
dc.date.available2014-11-17T13:49:02Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:49:02Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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