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Physical Activity Intervention in School Settings (1)

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Physical Activity Intervention in School Settings (1)

  1. 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. 2. Program Goals Decrease body weight by 7% Increase physical activity by 120 minutes per week
  3. 3. Targeted Behavioral Change Increasing physical activity: - exercises (hands-on) - games (promote physical activity) Improve nutritional knowledge: - hands on cooking courses
  4. 4. Risk factors... - High Cholesterol - High Blood Pressure - Early Heart Disease - Diabetes - Bone Problems
  5. 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. 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. 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. 8. Activities ● Keep participants engaged in activities requiring their participation ○ Zumba classes ○ Flag football ○ Dodgeball ○ Aztec dancing and drumming class
  9. 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. 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. 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. 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. 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. 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. 15. Health Belief Model - Perceived Barriers Perceived Barriers - Adolescent’s assessment of the obstacles to behavior change Barriers to address: - Personal - Environmental - Cultural
  16. 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. 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. 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. 19. Logic Model
  20. 20. Thank You

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