179348 Taekwondo at Wellness Works: A Community-Campus Initiative to Reduce Childhood Obesity in Rural Georgia

Monday, October 27, 2008

Alison Scott, PhD , Community Health/Health Behavior, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA
Tara Cramer, BS , East Georgia Health Cooperative, Sandersville, GA
Phyllis Isley, PhD , Georgia Intellectual Capital Partnership Program, Georgia Southern University, Statesboro, GA
Jeremy Hill, BS , Water Policy Center, Georgia Southern University, Statesboro, GA
Eliyana Regmi, DMD , Community Health/Health Behavior, Georgia Southern University, Statesboro, GA
Background: Over one-third of children in Georgia are overweight or obese, with low-income and African American children at especially high risk. In the rural southeast Georgia county involved in this study, 30% of children live in poverty and over half the population is African American. There is a dearth of community-based fitness opportunities. Taekwondo at Wellness Works (TKWW), a subsidized fitness program for children, was initiated by a community-campus partnership in response to this need. A joint research and service endeavor, TKWW aims to serve as a model for developing rural obesity-reduction programs.

Purpose: This study evaluates the implementation of the program, with a focus on the community-campus partnership, perceptions of stakeholders involved, and early impact on participating children.

Methods: Evaluation was conducted using surveys, focus groups, interviews, and observations. Results were shared with the Community Board and program staff.

Results: Children and parents report increases in overweight and obese children's self-confidence, self-discipline, and physical activity. Parents appreciate the ‘structure' the program provides their children, whose lives are often unstable. Staff and Community Board members also view the program positively, but face struggles over facilities, resources, staff turnover, and transport. The community-campus partnership obtained funding, but is strained over issues of control and the relative priority of research versus fitness class delivery. Lack of oversight and communication regarding BMI and fitness assessments has led to concerns over early data quality.

Conclusions: TKWW provides an excellent case study of both the challenges and rewards of campus-community programs to reduce childhood obesity.

Learning Objectives:
1. Describe the implementation of a community-based physical activity program to reduce overweight and obesity amongst rural, low-income children in southeast Georgia. 2. Evaluate the successes and barriers faced by a community-campus partnership implementing an obesity-reduction intervention for rural children in southeast Georgia.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I completed this study as an outside evaluator, and the program in question is not-for-profit.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.