scholarly journals The Implementation of Evidence-Based Obesity Education Curricula to Prevent Cancer in a Predominantly Mexican–American Community on the U.S.-Mexico Border

2021 ◽  
Author(s):  
Roy Valenzuela ◽  
Alma Morales ◽  
Jon Sheen ◽  
Sylvia Rangel ◽  
Jennifer J. Salinas
Keyword(s):  
Physical Activity ◽  
Low Income ◽  
Mexican Americans ◽  
Weight Status ◽  
Cognitive Theory ◽  
Underserved Populations ◽  
Evidence Based ◽  
Community Based ◽  
Incidence And Mortality ◽  
Low Income Housing

Abstract Although cancer is the leading cause of death among Mexican-Americans, few community-based programs target obesity reduction as a way to reduce the prevalence of obesity-related cancer in underserved populations. Evidence suggests that obesity correlates with 13 types of cancer. The objective is to provide an overview of evaluation and selection of evidence-based content; details of the implementation process; modifications needed to tailor education programs to specific needs of different target audiences; and demonstrate challenges of implementing a community-based prevention program intended to reduce cancer incidence and mortality in Mexican-Americans. We used the Social Cognitive Theory (SCT) to develop a 10-topic menu of educational classes using elements of multiple evidence-based curricula. Outcome measures for physical activity and nutrition were determined using the International Physical Activity Questionnaire (IPAQ) and the Dietary Screener Questionnaire (DSQ). Weight status was determined using weight, body fat, and body mass index (BMI). To date, 2845 adults received wellness education from our program. Multiple delivery models were used to reach a larger audience; they included a 4-week model, 5-week model, employer model, low-income housing, 1- and 2-h sessions, and clinic encounters. Individuals were given education at multiple community locations including senior centers (14%), churches (0.6%), employers (17.6%), low-income housing (8.2%), community centers (16.6%), clinics (11.5%), and schools (32.5%). Our study indicates that our delivery model is feasible and can disseminate evidence-based obesity education. Further investigation is necessary to assess long-term behavioral change and to assess the most effective model for delivery.

My Quest, a Community-Based mHealth Intervention to Increase Physical Activity and Promote Weight Loss in Predominantly Rural-Dwelling, Low-Income, Alabama Women

2020 ◽  
Vol 43 (2) ◽  
pp. 131-140
Author(s):  
Jamie B. Griffin ◽  
Barb Struempler ◽  
Katie Funderburk ◽  
Sondra M. Parmer ◽  
Cecilia Tran ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Low Income ◽  
Community Based ◽  
Promote Weight Loss ◽  
Mhealth Intervention

scholarly journals Testing Social-Cognitive Theory to Explain Physical Activity Change in Adolescent Girls From Low-Income Communities

2013 ◽  
Vol 84 (4) ◽  
pp. 483-491 ◽  
Author(s):  
Deborah L. Dewar ◽  
Ronald C. Plotnikoff ◽  
Philip J. Morgan ◽  
Anthony D. Okely ◽  
Sarah A. Costigan ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Cognitive Theory ◽  
Adolescent Girls ◽  
Low Income ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Activity Change ◽  
Physical Activity Change

scholarly journals Pedometer-Determined Physical Activity among Multiethnic Low-Income Housing Residents

2006 ◽  
Vol 38 (4) ◽  
pp. 768-773 ◽  
Author(s):  
GARY G. BENNETT ◽  
KATHLEEN Y. WOLIN ◽  
ELAINE PULEO ◽  
KAREN M. EMMONS
Keyword(s):  
Physical Activity ◽  
Low Income ◽  
Low Income Housing

scholarly journals A Goal Setting Intervention Positively Impacts Adolescents’ Dietary Behaviors and Physical Activity Self-Efficacy

2012 ◽  
Vol 7 (4) ◽  
pp. 92-108 ◽  
Author(s):  
Mical Kay Shilts ◽  
Marilyn S. Townsend
Keyword(s):  
Physical Activity ◽  
Behavior Change ◽  
Youth Development ◽  
Goal Setting ◽  
Low Income ◽  
Self Efficacy ◽  
Repeated Measures ◽  
Goal Attainment ◽  
Cognitive Theory ◽  
Dietary Behaviors

The efficacy of a youth development intervention on improving eating and physical activity(PA) self-efficacy, goal attainment scaling, goal effort, and behaviors was examined in a repeated measures, quasi-experimental field trial. Ethnically diverse students (n=64) from a low-income middle school participated in the 10-session intervention driven by the Social Cognitive Theory with a Goal Setting Theory emphasis. Participants, 13-14 years old, made significant changes in dietary behaviors (P=0.03) and PA self-efficacy (P=0.02) after receiving the intervention. Self-efficacy did not mediate dietary behavior change but did mediate the small changes made in PA. Goal effort was not a mediator of behavior change. After the intervention, more participants rated themselves as making one lasting improvement in eating (P

Do You Hear What I Hear? Overweight Children’s Perceptions of Different Physical Activity Settings

2011 ◽  
Vol 30 (4) ◽  
pp. 393-409 ◽  
Author(s):  
Karen S. Meaney ◽  
Melanie A. Hart ◽  
L. Kent Griffin
Keyword(s):  
Physical Activity ◽  
Physical Education ◽  
Low Income ◽  
Cognitive Theory ◽  
After School ◽  
Summer Program ◽  
Activity Settings ◽  
Children's Perceptions ◽  
Children’S Perceptions ◽  
American Children

Social-Cognitive Theory (Bandura, 1986, 1999) served as the framework to explore overweight children’s perceptions of different physical activity settings. Participants were children (n = 67) enrolled in an after-school and summer program for overweight African-American and Hispanic-American children from low-income families. To gain insight into the children’s thoughts encompassing their participation in both the after school/summer program and their physical education classes at their respective elementary schools, all of the children individually participated in semistructured interviews. Children enjoyed their involvement in the after-school/summer program and described social, physical, and cognitive benefits related to their participation. Interview data also revealed children’s ideas and suggestions for adapting physical education to enhance participation in physical activity. Based on these results, instructional and management strategies focusing on promoting a nurturing environment in physical activity settings for all children (overweight and nonoverweight) are presented and discussed.

Effect of Nutrition and Physical Activity Training with Mexican Americans

2003 ◽  
Vol 1 (2) ◽  
pp. 176-182
Author(s):  
Debra M. Harris
Keyword(s):  
Physical Activity ◽  
Low Income ◽  
Mexican Americans ◽  
Mexican American ◽  
Exercise Habits ◽  
Diet And Exercise ◽  
Health Related Behaviors ◽  
Health Related ◽  
Nutrition And Physical Activity ◽  
Poor Nutrition

Health related behaviors are of concern in the Mexican American community because of the prevalence of disease, such as diabetes, hypertension and cancer. Poor nutrition and a lack of physical activity are behaviors which contribute to these diseases. Training regarding health related behaviors associated with nutrition and physical activity was attended by 11 individuals from low income areas who were Mexican American. Results indicate most did understand the importance of diet and exercise in controlling these diseases. Most were motivated to change their eating and exercise habits as a result of the training they attended. / Comportamientos relacionados con la salud son de gran preocupación en la comunidad Mexicana por la alta ocurrencia de enfermedades como diabetes, hipertensión y cáncer. Pobre nutrición y la falta de actividad física son ejemplos de comportamientos responsables por estas enfermedades. Once individuos de áreas de bajo ingreso que eran Mexicano Americanos atendieron un entrenamiento referente a comportamientos relacionados con la salud que son asociados con la nutrición y actividad física. Los resultados indican que la mayoría entendieron la importancia de la dieta y ejercicios para controlar estas enfermedades. La mayoría de ellos fueron motivados a cambiar sus hábitos de comer y ejercicios como resultado del entrenamiento que asistieron.

Abstract 070: Community-based, Cluster Randomized Controlled Trial Increases Physical Activity In Diverse, Low Income Older Adults Over 2-year Period

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Katie Crist ◽  
Fatima Tuz Zahra ◽  
Kelsie M Full ◽  
Marta M Jankowska ◽  
Loki Natarajan
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Randomized Controlled Trial ◽  
Depressive Symptoms ◽  
Low Income ◽  
Controlled Trial ◽  
Community Based ◽  
Randomized Controlled ◽  
Income Status ◽  
Cluster Randomized

Objective: Older adults are the least active population group in the U.S. Low income and ethnically diverse communities have fewer physical activity (PA) related resources and facilities, which contributes to lower PA levels and disparities in cardiovascular (CVD) risk factors and disease outcomes. This study assessed the hypothesis that low income and diverse older adults participating in the multilevel Peer Empowerment Program 4 Physical Activity (PEP4PA) would increase moderate-to-vigorous PA (MVPA), improve blood pressure (BP), perceived quality of life (PQoL), and depressive symptoms to a greater extent than older adults receiving usual senior center programming. Methods: In a cluster-randomized controlled trial (RCT) in 12 senior centers, 476 older adults (mean age 71.4 years, 76% female, 60% low income, 38% minority) were assigned to a PA intervention (n=267) or control (n=209) condition. The peer-led intervention included individual self-monitoring and counseling, group walks and social support, and community advocacy to improve walking conditions. Outcomes included minutes of MVPA per day (7-day accelerometer), systolic and diastolic BP (automatic cuff), PQoL (PQoL-20) and depressive symptoms (CES-D 10) at baseline, 6, 12, 18 and 24 months. To account for multiple measurement days and clustering of participants within senior centers, mixed effects regression models with random effects estimated the intervention effects on all outcomes between groups over time. Models were adjusted for imbalanced baseline covariates. A three-way interaction term assessed whether intervention effects differed by income status. Results: Compared to the control group, intervention participants significantly increased MVPA from baseline at 6, 12, 18 and 24 months by 8, 11, 9 and 9 minutes/day respectively (p<0.001), with increases remaining statistically significant across the 2-year period. The intervention group significantly increased mean PQoL scores from 7.2 at baseline to 7.6 (p<0.001), 7.8 (p=0.008) and 7.7 (p<0.001) at 12, 18 and 24 months, compared to control participants. No significant effects were observed for BP or depressive symptoms. Low income participants decreased minutes of MVPA, compared to higher income participants, at 12 and 24 months (β=-7.9, p=0.008 and β=-10.8, p=0.001). Conclusions: The multilevel RCT achieved sustained increases in MVPA and QoL in a diverse cohort of older adults across 2 years of follow up. The peer-led, community-based intervention provides a sustainable model to improve health behaviors related to CVD in an at-risk and often difficult to reach aging population. Further exploration is needed to understand what components of the intervention may be modified to address the differential effects by income status.

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