224452 Youth Health Promotion Challenge: Using a CBPR approach to address functional health literacy and type 2 diabetes prevention in African American and Latino adolescents

Wednesday, November 10, 2010 : 9:00 AM - 9:15 AM

Melissa A. Valerio, PhD , Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI
Edith Parker, DrPH , Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI
Gloria Palmisano, BS, MA , REACH-Detroit Partnership, Detroit, MI
Alfonso Bermea Jr., MEd, LPC , Latino Family Services, Detroit, MI
Celia Williams , Communities in Schools of Detroit, Inc., Detroit, MI
Rachel Garcia , University of Michigan School of Public Health, Ann Arbor, MI
Zachary Rowe , Friends of Parkside, Detroit, MI
Yolanda Hill-Ashford, MSW , Detroit Department of Health and Wellness Promotion, Detroit, MI
Cheryl Tannas , School of Medicine, University of Michigan, Ann Arbor, MI
Richard Trice , Alkebu-lan Village, Detroit, MI
Angela Reyes, MPH , Detroit Hispanic Development Corporation, Detroit, MI
Robert McGranaghan, MPH , School of Public Health, University of Michigan, Ann Arbor, MI
African American and Latino youth are at high risk for type 2 diabetes. Preventive behaviors have been proven to delay/prevent onset of diabetes, however, many do not adopt these behaviors due to psychosocial factors and their level of functional health literacy. Inadequate functional health literacy reduces the ability of adolescents to understand their risk for diabetes. The Youth Health Promotion Challenge (YHPC) was developed and conducted to increase health literacy and promote diabetes prevention in this population. Using a CBPR approach, the project's steering committee members were directly involved in the development, recruitment, retention, delivery and assessment of the YHPC. We used a pre/post randomized pilot study design to test the YHPC program. Forty-six African Americans and Latinos aged 14-17 years with a family history of diabetes were enrolled. The 6-session YHPC addressed: family history and risk for diabetes, health disparities, prevention of diabetes (e.g. physical activity and nutrition), diabetes etiology, and communication with family/health providers. Surveys assessed pre/post changes between the intervention and comparison groups at baseline and post program. The study retention rate was 84% at post-interview. Thirty-eight percent (38%, (n=16) of participants had a blood glucose reading >100 mg/dl and 61% of adolescents had a BMI-for-age and sex percentile of 85% or greater. At post-test, participants had higher mean scores in diabetes knowledge (4.52 vs. 4.00); self-efficacy (69.00 vs. 65.31); and health literacy (REALM Teen) (59.16 vs. 57.05). We believe the CBPR approach we used was a significant contribution to these successful results.

Learning Areas:
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
1. Define functional health literacy and its potential role in prevention of type 2 diabetes. 2. Describe the impact of a program on behavioral and clinical measures associated with type 2 diabetes prevention. 3. Identify ways which a CBPR approach may assist with the recruitment and retention of program participants.

Keywords: Adolescents, Disease Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I serve as the Principal Investigator of the research conducted and am an Assistant Professor of Health Behavior and Health Education at the University of Michigan School of Public Health. My research focuses on functional health literacy and chronic disease.
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.