209131 A Formative Evaluation of a Community Healthcare Intervention to Promote Dietary, Nutrition Health, and Physical Activity in Hispanic Youth

Monday, November 9, 2009

John J. Byrne, MPH , School of Public Health/Graduate School of Biomedical Sciences, University of Texas School of Public Health/UT Health Science Center in San Antonio, San Antonio, TX
Camerino I. Salazar, MS , Department of Outcomes and Evaluation, University Center for Community Health/Texas Diabetes Insitute, San Antonio, TX
Consuelo Soria , Health Education, Texas Diabetes Institute, University Center for Community Health, San Antonio, TX
Daniel Hale, MD , Department of Pediatrics, University of Texas Health Science Center in San Antonio, San Antonio, TX
Issues: The prevalence of overweight and obese children in the United States remains a major public health concern. Hispanic youth when compared to other racial and ethnic groups are more likely to be overweight and/or obese. To target this group of the Hispanic population, a community healthcare initiative established by the University Health System Bexar County, named Youth in Motion (YiM), has been developed. YiM responds to this public health concern by educating Hispanic youth (ages 6-17) and their respective caregivers on the importance of adopting a healthy lifestyle at an early age.

Description: An evaluation of YiM assessed programmatic processes associated with the implementation, delivery and evaluation of this 16-week intervention. The mix-method approach included before/after anthropometric measurements, key informant interviews and focus groups in order to identify the efficacy of the program.

Lessons Learned: This assessment reveals that the effectiveness of the program was impacted by socioeconomic issues, school policy, and distance of the intervention from home. The classroom analysis showed that 88% of the participants were Hispanic (n=277), with a mean age of 12.21 (SD= 2.55). Preliminary findings proved self-reported fast food consumption to be one to two times per week for 48%, one soda per day for 43%, and limited physical activity during the course of a week for 77%.

Recommendations: Additional analysis will compare pre- and post-intervention differences in both behavior and clinical outcomes; broader evaluation of YiM will guide future development, implementation, and assessment of interventions targeting high-risk adolescent populations.

Learning Objectives:
-Identify need for evidence-based initiatives for at-risk populations Mexican-American youth. -Describe methodological approach to intervention (qualitative and quantitative). -Provide insight (lessons learned or recommendations) for implementation and assessment/fidelity of interventions targeting nutrition.

Keywords: Adolescent Health, Latino Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: This work had been completed during my practicum for my Masters in Public Health degree.
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.