salud : S tarting a l ifestyle u n d efeated a latino community family intervention
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Transcript of salud : S tarting a l ifestyle u n d efeated a latino community family intervention
Diane Whaley, PhDAssociate Professor, Curry School of Education
Amy Boitnott, DNP, FNP-BCAssistant Professor, School of Nursing
Mark DeBoer, MD, MPHAssistant Professor, School of Medicine
Incidence has increased 33% over the past 30 years.
In 1980 only 6.5% of children in all age groups were overweight or obese.Children’s
AgePercentage clinically defined as Obese in
2008
2 to 5 years 11
6 to 11 years 19.6
12 to 19 years
18.1
* 25th heaviest state in the nation* 23rd heaviest children in the nation* 30% of Virginia’s youth are overweight or obese* 38% of children in Charlottesville are overweight or
obese
OBESE CHILDREN AGES 6 TO 11 YEARS
OBESE CHILDREN AGES 12-19 YEARS
0
10
20
30
Black White Latino
17.2 16.9
25.624.8
15.6 16.6
Percen
t
Ethnicity
MalesFemales
0
10
20
30
Black White Latino
19.816.7
26.829.2
14.517.5
Percen
t
Ethnicity
MalesFemales
Organ System
Condition
Cardiovascular HypertensionDyslipidemiaHeart disease
Endocrine Type 2 diabetes mellitusMetabolic syndrome
Pulmonary Obstructive Sleep Apnea Syndrome
Musculoskeletal
Slipped capital-femoral epiphysisBlount’s Disease (tibia vara)
Psychosocial DepressionRelationship impairmentAlterations in Quality of LifeBody dissatisfactionLow self-esteem
Child’s Behavior
s
Child’s Behavior
s
Child’s Expectancie
s for success
Child’s Value for
the behavior
Parent’s perceptions
of child’s competence
Parent’s perceptions
of child’s competence
Parent role modeling
Parent role modeling
SALUD study designSALUD study design
Family
Child Parent
Family
Child Parent
Physical activity curriculum
Nutrition curriculum
Parental counseling program
Discussion forum
Family dinner Nancy Kechner
Quickstart Tennis
SALUD study designSALUD study design
Ellen Markowitz
Angie Hasemann
Amy Boitnott
Amy BoitnottGloria Rockhold
Growing up Healthy
SALUD study designSALUD study designHypotheses
1. A multi-faceted, community-based intervention targeting overweight/ obese children and their parents individually (SALUD) will result in improved competence and value:
a) of parents, with respect to their ability to help their child be physically active and lose weight, and
b) of children, with respect to their ability to exercise and make healthy food choices.
2. This community-based intervention will result in improved body-mass index and activity levels among the overweight/obese children.
Overweight/obese childrenC
om
pet
ence
*
Normal weight children
Overweight/obese children
BM
I z-
sco
re*
Normal weight children
1. 2.
SALUD study designSALUD study design
Southwood
Southwood Mobile Home ParkSouthwood Mobile Home Park
• Owned by Habitat for Owned by Habitat for HumanityHumanity
• >50% Spanish Speaking>50% Spanish Speaking
•~350 children <12 years old ~350 children <12 years old
•>1/3 of children overweight/ >1/3 of children overweight/ obeseobese
SALUD study designSALUD study designInitial session
Parents
Children
Family
Data collection: Height, weight, BMIFamily size
Surveys: Competency evalQuality of life (child)
Intervention: Parental counseling
Data collection: DOB, gradeHt, wt, BMI %tile
Surveys: Competency evalQuality of life
Healthy meal
Intervention: Quickstart TennisGrowing-Up-Healthy
SALUD study designSALUD study designInitial session
Parents
Children
Family
Data collection: Height, weight, BMIFamily size
Surveys: Competency evalQuality of life (child)
Intervention: Parental counseling
Data collection: DOB, gradeHt, wt, BMI %tile
Surveys: Competency evalQuality of life
Healthy meal
Intervention: Quickstart TennisGrowing-Up-Healthy
Data collection: Attendance
Intervention: Parental counseling
Data collection: AttendanceHt, wt, BMI %tile
Healthy meal
Intervention: Quickstart TennisGrowing-Up-Healthy
Monthly sessions (x4)
SALUD study designSALUD study designInitial session
Parents
Children
Family
Data collection: Height, weight, BMIFamily size
Surveys: Competency evalQuality of life (child)
Intervention: Parental counseling
Data collection: DOB, gradeHt, wt, BMI %tile
Surveys: Competency evalQuality of life
Healthy meal
Intervention: Quickstart TennisGrowing-Up-Healthy
Data collection: Attendance
Intervention: Parental counseling
Data collection: AttendanceHt, wt, BMI %tile
Healthy meal
Intervention: Quickstart TennisGrowing-Up-Healthy
Data collection: Height, weight, BMIFamily size
Intervention: Parental counseling
Data collection: DOB, gradeHt, wt, BMI %tile
Healthy meal
Intervention: Quickstart TennisGrowing-Up-Healthy
Surveys: Competency evalQuality of life
Surveys: Competency evalQuality of life (child)
Final sessionMonthly sessions (x4)
Recruitment: Community Leader
Setting: Covenant School
Workforce: Student volunteers
Parent’s and children’s BMI decreased slightly However, heaviest participants dropped out
Parent’s perceptions of their child’s sport competence and their modeling of healthy behaviors improved (p=.1)
Children’s sport & healthy eating competence did not improve, nor did children’s fruit & veggie consumption