1. Fitness for Living- A School
Based Intervention to address
Diabetes and Healthier Living
Presented by: Todd Choi, Maria Fraire-Morales, Chris
Oliver Tacto, and Vernice Ward
University of Southern California - Department of Preventive Medicine

2. Program Goals
Decrease body weight by 7% Increase physical activity by 120
minutes per week

3. Targeted Behavioral Change
Increasing physical
activity:
- exercises (hands-on)
- games (promote
physical activity)
Improve nutritional
knowledge:
- hands on cooking
courses

4. Risk factors...
- High Cholesterol
- High Blood Pressure
- Early Heart Disease
- Diabetes
- Bone Problems

5. Targeted Population
- School aged children
12-18 years old
- Ethnically diverse
backgrounds
Percentile Ranking Weight Status
85th
percentile to less
than 95th
percentile
Overweight
Equal to or greater
than the 95th
percentile
Obese

6. After School Program with the Boys and
Girls Club of East & South L.A.
This intervention will be implemented as an
afterschool program for students in grades 7-12.

7. Program Details - Sessions
● 6 month program
○ considering academic schedule of holidays, winter break
● Keep students engaged in program throughout school
year
○ longer period of time= increased chance of maintaining
behavior modification

8. Activities
● Keep participants engaged in activities requiring their
participation
○ Zumba classes
○ Flag football
○ Dodgeball
○ Aztec dancing and drumming class

9. Format of program
● Talk less, more hands-on activities
● 30 minute workout activities, 30 minute workshop
● Workshops
○ Risks of being physically inactive and sedentary
lifestyle
○ Energy-density foods
○ Cooking meals under $10
○ Exercising at home with no equipment

10. Completion of Program
● Essentially, 8 month program
○ 6 month intervention, 2 months to evaluate
● Week 8 - $25 grocery gift card
● Completion of program- enter to win 4 tickets to
Disneyland (donation)

11. Staffing of Program
● Community organizing-important piece of intervention
● Boys and Girls Club
○ East Los Angeles
○ South Los Angeles
● Certified Zumba instructor (2)
● Aztec dance community (4)
○ East Los Angeles
○ South Los Angeles
● Registered Dietician/Nutrition
● Health Educator (2)

12. Theories Applied to Intervention
Health Belief Model
- Perceived Severity
- Perceived Susceptibility
- Perceived Barriers
Social Cognitive Theory
- Observational
Learning/Modeling
- Outcome Expectancies
- Self-efficacy

13. Health Belief Model - Perceived Severity
Perceived Severity
- Subjective assessment of
severity of diabetes
Workshop to address risk
factors including:
- Obesity
- Cardiovascular disease
- Nerve Damage
- And more!

14. Health Belief Model - Perceived Susceptibility
Perceived Susceptibility
- Adolescent's assessment of
risk of developing diabetes
Workshop to address:
- Lack of continuous exercise
- Not managing nutritional
intake
- Likely to develop
complications

15. Health Belief Model - Perceived Barriers
Perceived Barriers
- Adolescent’s assessment of
the obstacles to behavior
change
Barriers to address:
- Personal
- Environmental
- Cultural

16. Social Cognitive Theory - Modeling
Modeling
- Learning that occurs through
observing behavior of others
Peer Model Influences
- “Hands-on” activities
- Sports activities
Positive Reinforcement
- Gift Cards
- 4 Disneyland Tickets

17. Social Cognitive Theory - Outcome Expectancies
Outcome Expectancies
- Potential outcomes of repeating
change of behavior
3 Levels of Outcome:
- Initial
- Attendance, socialization
- Intermediate
- Target behaviors
- Ultimate
- Reduce health risks

18. Social Cognitive Theory - Self-Efficacy
Self-Efficacy
- one’s confidence in one’s ability
to take steps necessary to
conduct behavior change
Will Assess:
- ability to increase physical
activity
- ability to manage nutrition intake
- using self-report surveys and
measurement scales

19. Logic Model

20. Thank You