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salud : S tarting a l ifestyle u n d efeated a latino community family intervention

salud : S tarting a l ifestyle u n d efeated a latino community family intervention. Diane Whaley, PhD Associate Professor, Curry School of Education Amy Boitnott, DNP, FNP-BC Assistant Professor, School of Nursing Mark DeBoer, MD, MPH Assistant Professor, School of Medicine.

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salud : S tarting a l ifestyle u n d efeated a latino community family intervention

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  1. salud:Starting alifestyle undefeateda latino community family intervention Diane Whaley, PhD Associate Professor, Curry School of Education Amy Boitnott, DNP, FNP-BC Assistant Professor, School of Nursing Mark DeBoer, MD, MPH Assistant Professor, School of Medicine

  2. Childhood Obesity:Epidemiology Incidence has increased 33% over the past 30 years. In 1980 only 6.5% of children in all age groups were overweight or obese.

  3. Childhood Obesity in Virginia * 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

  4. Incidence by Ethnicity and AgeNHANES 2007-2008 Obese children ages 6 to 11 years OBESE CHILDREN AGES 12-19 YEARS

  5. Childhood Obesity & Associated Co-Morbidities

  6. Changing Behavior: An Expectancy-Value Approach Parent’s perceptions of child’s competence Child’s Expectancies for success Child’s Behaviors Child’s Value for the behavior Parent role modeling

  7. SALUD study design Family Child Parent

  8. SALUD study design Family dinner Nancy Kechner Parental counseling program Physical activity curriculum Quickstart Tennis Family Amy Boitnott Ellen Markowitz Child Parent Nutrition curriculum Growing up Healthy Discussion forum Amy Boitnott Gloria Rockhold Angie Hasemann

  9. SALUD study design Hypotheses 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. 1. 2. Overweight/ obese children Normal weight children BMI z-score * Competence * Normal weight children Overweight/ obese children

  10. SALUD study design Southwood • Southwood Mobile Home Park • Owned by Habitat for • Humanity • >50% Spanish Speaking • ~350 children <12 years old • >1/3 of children overweight/ • obese

  11. SALUD study design Initial session Data collection: Height, weight, BMI Family size Parents Surveys: Competency eval Quality of life (child) Intervention: Parental counseling Data collection: DOB, grade Ht, wt, BMI %tile Children Surveys: Competency eval Quality of life Intervention: Quickstart Tennis Growing-Up-Healthy Family Healthy meal

  12. SALUD study design Initial session Monthly sessions (x4) Data collection: Height, weight, BMI Family size Data collection: Attendance Parents Surveys: Competency eval Quality of life (child) Intervention: Parental counseling Intervention: Parental counseling Data collection: DOB, grade Ht, wt, BMI %tile Data collection: Attendance Ht, wt, BMI %tile Children Surveys: Competency eval Quality of life Intervention: Quickstart Tennis Growing-Up-Healthy Intervention: Quickstart Tennis Growing-Up-Healthy Family Healthy meal Healthy meal

  13. SALUD study design Initial session Monthly sessions (x4) Final session Data collection: Height, weight, BMI Family size Data collection: Attendance Data collection: Height, weight, BMI Family size Parents Surveys: Competency eval Quality of life (child) Surveys: Competency eval Quality of life (child) Intervention: Parental counseling Intervention: Parental counseling Intervention: Parental counseling Data collection: DOB, grade Ht, wt, BMI %tile Data collection: Attendance Ht, wt, BMI %tile Data collection: DOB, grade Ht, wt, BMI %tile Children Surveys: Competency eval Quality of life Surveys: Competency eval Quality of life Intervention: Quickstart Tennis Growing-Up-Healthy Intervention: Quickstart Tennis Growing-Up-Healthy Intervention: Quickstart Tennis Growing-Up-Healthy Family Healthy meal Healthy meal Healthy meal

  14. SALUD: Implementation • Recruitment: • Community Leader • Setting: • Covenant School • Workforce: • Student volunteers

  15. An evening of SALUD

  16. The SALUD program

  17. Summary of Findings • 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

  18. Questions?

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