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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

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

childhood obesity epidemiology
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.

childhood obesity in virginia
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

incidence by ethnicity and age nhanes 2007 2008
Incidence by Ethnicity and AgeNHANES 2007-2008

Obese children ages 6 to 11 years

OBESE CHILDREN AGES 12-19 YEARS

changing behavior an expectancy value approach
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

slide7

SALUD study design

Family

Child

Parent

slide8

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

slide9

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

slide10

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
slide11

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

slide12

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

slide13

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

salud implementation
SALUD: Implementation
  • Recruitment:
    • Community Leader
  • Setting:
    • Covenant School
  • Workforce:
    • Student volunteers
summary of findings
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