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Session: Aventuras Para Ninos: Childhood Obesity Prevention in Latino Home and Community Environments
4219.0: Tuesday, November 9, 2004: 2:30 PM-4:00 PM
Aventuras Para Ninos: Childhood Obesity Prevention in Latino Home and Community Environments
This session describes an ongoing community trial to prevent childhood weight gain among elementary-aged Latino children in south San Diego County. The purpose of the study is to design, implement, and evaluate an environmentally-centered obesity prevention intervention for Latino children and their families targeting physical activity and dietary behaviors. The study is a 2X2 factorial design, with neighborhoods randomly assigned to one of four conditions: micro-environmental intervention only ("micro"); macro-environmental intervention only ("macro"); micro-environmental plus macro-environmental intervention ("micro + macro"); or a measurement-only control condition. The micro-environmental intervention targets structural aspects of the home and household rule setting delivered via promotoras and tailored to the needs of individual families. The macro-environmental intervention involves promotoras working in various environments to increase awareness about environmental influences and promote environmental change. The micro- and macro-environmental interventions, and their interaction, will be compared with a measurement-only control condition. The south San Diego County region has a population of 290,000, 60% of whom are Latinos. Primary study participants are approximately 900 Latino children enrolled in grades K through 2 in public schools. The child's primary caregiver is recruited for concurrent participation in measurement and home- and community-based intervention activities. The study's primary outcome is the body mass index of the K-2 participants, and will be measured at baseline, 12, 24, and 36 months. Secondary outcomes include observations and reported diet, exercise, and sedentary behavior and related environmental characteristics. Moderator variables include acculturation, socioeconomic status, and environmental markers using GIS (geographic information systems).
Learning Objectives: 1. Identify key strategies for developing research designs involving environmental changes at the home and community levels. 2. Discuss innovative and culturally appropriate evaluation strategies for a school and community environmental intervention in a predominantly Latino community. 3. Recognize cultural considerations regarding positioning of the study within schools and how the term obesity is used.
2:30 PMAventuras para niņos: Childhood obesity prevention in Latino home and community environments  [ Recorded presentation ]
Susan C Duerksen, BA, MPH(c), Barbara Baquero, BA, Nadia R. Campbell, MPH, John Elder, PhD, Elva M. Arredondo, PhD, Thomas McKenzie, Guadalupe X. Ayala, PhD, MPH
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by:Latino Caucus
Endorsed by:Community Health Workers SPIG; Socialist Caucus
CE Credits:Health Education (CHES), Nursing

The 132nd Annual Meeting (November 6-10, 2004) of APHA