Seventy percent of Latinos in California are overweight or obese with a majority of them being Adolescents aged 12-17 years.1A strong correlation between socioeconomic, environmental, and cultural factors contribute to poor attitudes toward nutrition and physical activity among adolescent Latinos. Most low income Latino communities, specifically in California, lack access to chain supermarkets and safe parks and recreational facilities. In addition, many adolescent Latino’s come from highly acculturated families that don’t speak English so there are language and cultural barriers.2,3Studies have found healthier attitudes towards eating and body image among families in which there is greater closeness. In addition, social support from friends and family is related to increased physical activity among Latinos as well as all Americans. 2,3Current programs have failed to focus on family involvement, strengthening of social networks, and development of social support.
Long Term Objective:6 weeks post evaluation the target population will show a decrease inBMI compared to baseline, 6 weeks, and 12 weeks. Both qualitative and quantitative evaluation tools will be used to measure goals and objectives, including a diary for food and physical activity, surveys, quizzes, food demonstrations, height and weight measurements and subjective evaluation by program leaders.
This is an afterschool program held 3 times a week.Mondays teens meet with RD, Wednesdays they meet with the Certified Trainer, and Fridays they meet with the Behavioral Therapist. The therapy sessions are very important as the teens reflect on what they have learned about nutrition, physical activity, and contributing factors for the week. The therapists also provide counseling to the teens regarding the hardships they face. All materials and food provided is free. Parents are encouraged to attend at least 4 sessions (they receive free materials as well).
Evaluation of the program will be both qualitative and quantitative. Surveys will be administered pre, at the half way mark, and post intervention. BMI scoring will be compared to CDC growth charts. Diaries will be analyzed by instructors to see if they met goals and objectives of program regarding food, physical activity, and behaviors associated with them. Quizzes will be collected by instructors and analyzed for percentage right and wrong. Food demos, activities, and discussions will be objectively evaluated by instructors. At the end the KWL chart will be filled out subjectively by parents and teens and will be analyzed for future changes necessary.
Health Improvement Project for Low Income Latino Adolescents in California (HIPLAC)<br />Erica Eisenberg<br />NTR3115: Health Promotion/Disease Prevention, Summer ‘09<br />
Needs Assessment <br />Target Population<br />Low Income Latino Adolescents Aged 12-17 years in the State of California who are overweight or obese<br />Health Concerns<br />High rates of overweight/obesity among Hispanic adolescents <br />Health disparities among the target population<br />
Goals<br />To educate adolescent Latinos aged 12-17 years old in California and their parents about the benefits of a healthy lifestyle, including nutrition and physical activity.<br />To promote the adoption of healthy lifestyle habits among the target population and their families. <br />To increase awareness among the target population about overweight, obesity, and chronic diseases associated with them. <br />To increase awareness among the target population about easy and safe ways to obtain healthy ingredients.<br />To increase family involvement and support systems among the target population.<br />To educate the target population about the media’s influence on their habits.<br />
Objectives<br />1. The target population will show an understanding of the food guide pyramid and physical activity recommendations as shown by documented behaviors (i.e., food/physical activity diary and surveys) given throughout the 12 weeks. <br />2. The target population will report watching 1 hour less of TV time per day by the end of the 12 week period as measured by weekly diary entries.<br />3. The target population will show a decrease in BMI by the end of the 12 week period compared to the baseline and 6 week period. <br />4. The target population will choose fruits and vegetables over poor nutritional choices (i.e., potato chips or candy) at least 10% of the time by the half way point (6 weeks). <br />5. The target population will document increased family involvement in food and physical activity choices by the end of the 12 weeks. <br />6. The target population will be able to demonstrate healthy food choices and increased physical activity as measured by the Healthy Advocates (program leaders). <br /> <br />
Healthy People 2010 Objectives<br />19.3-19.3b. Reduce the proportion of adolescents aged 12-17 years who are overweight or obese.4<br />19.5-19.12. Increase the proportions of persons aged 2 years and older who consume at least two daily servings of fruit and at least 3 daily servings of vegetables, with at least one-third being dark green or orange vegetables.4<br />22-7. Increase the proportion of adolescents who engage in vigorous physical activity that promotes cardio-respiratory fitness 3 or more days per week for 20 or more minutes per occasion.5<br />
References<br />CDC/National Center for Health Statistics. NHANES Surveys:<br /> 1976-1980 and 2003-2006.<br /> http://www.cdc.gov/nchs/nhanes/nhanes_products.htm. Updated August 19, 2009. Accessed August 9, 2009. <br />Brindis CD, Driscoll AK, Biggs MA, Valderrama LT. Fact Sheet on Latino Youth: Health CareAccess. http://reprohealth.ucsf.edu/. Updated November 2002. Accessed August 12, 2009. <br />LCHC. Obesity in Latino Communities. http://www.cnr.berkeley.edu/cwh/PDFs/Obesity_in_Latino_Communities.pdf. Updated December 2006. Accessed August 12, 2009. <br />Healthy People 2010. Focus area 19: nutrition and overweight. http://www.healthypeople.gov/document/html/volume2/19nutrition.htm#_Toc490383122. Accessed August 2, 2009.<br />Healthy People 2010. Focus Area 22: Physical Activity and Fitness. http://www.healthypeople.gov/Document/HTML/Volume2/22Physical.htm#_Toc490380803. Accessed August 2, 2009. <br />