Physical Activity Intervention in School Settings (1)
1 like775 views
This document describes a school-based intervention program aimed at decreasing body weight by 7% and increasing physical activity by 120 minutes per week in ethnically diverse children ages 12-18. The 6-month afterschool program, implemented through the Boys and Girls Club, uses hands-on activities like Zumba, sports, and cooking classes along with workshops on health risks and nutrition to promote behavioral changes around physical activity and nutrition using Social Cognitive Theory and the Health Belief Model. Program completion is rewarded with gift cards and Disneyland tickets to increase participation and maintenance of healthy behaviors.
Physical Activity Intervention in School Settings (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. 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