263586 Tulsa Healthy Lifestyle program: A program to reduce obesity among urban American Indian children

Monday, October 29, 2012 : 8:50 AM - 9:10 AM

Janis Campbell, PhD , Department of Biostatistics and Epidemiology, The University of Oklahoma Health Sciences Center, Oklahoma City, OK
Nancy O'Banion, MS , Health Education and Wellness, Indian Health Care Resource Center, Inc, Tulsa, OK
Jennifer Howard, MS , Health Education and Wellness, Indian Health Care Resource Center, Inc, Tulsa, OK
Alison Forsythe, MS , Health Education and Wellness, Indian Health Care Resource Center, Inc, Tulsa, OK
Tim Shadlow, BS , Health Education and Wellness, Indian Health Care Resource Center, Inc, Tulsa, OK
Kevin Heeney, BS , Health Education and Wellness, Indian Health Care Resource Center, Inc, Tulsa, OK
Courtney Clymer, BS , Health Education and Wellness, Indian Health Care Resource Center, Inc, Tulsa, OK
Background: The Tulsa Healthy Lifestyles Program (THLP) is funded by the Oklahoma Tobacco Settlement Endowment Trust (TSET) to the Indian Health Care Resource Center, Inc (IHCRC). IHCRC was charged with planning and implementing THLP in three years. IHCRC proposed THLP to promote physical activity, good nutrition and tobacco-free (PANT) lifestyles in the Tulsa area through the provision of after school and spring break/summer wellness camp programming that incorporate use of the evidence-based CATCH and tobacco prevention. The presentation focuses on the result of the afterschool program implemented in 2009-2011.

Methods: We used several of the tools for the afterschool program: attendance sheets; pre/posttests of knowledge and behavior; the CATCH After School Student Questionnaire (CASS); and the Presidents Fitness Challenge. A two-tailed paired-samples t-test was conducted to compare the pre and posttests. We used an alpha level of .05 for all statistical tests.

Results: There have been 826 days of afterschool programming offered to an average of 24 students each day. With one exception, all of the pre/posttests among the afterschool program students show significant improvement in knowledge concerning good nutrition, the impact of tobacco and appropriate physical activity. There was a significant increase in the participation in moderate/vigorous activity. Self-efficacy to make healthy food choices and to participate in physical activity showed significant improvement. There were also significant decreases in BMI and in the timed mile run.

Conclusions: The CATCH based PANT afterschool program is effective among AI children as implemented by IHCRC.

Learning Areas:
Chronic disease management and prevention
Diversity and culture
Epidemiology
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe the attributes of a multi-component health education program designed for Urban American Indian children. Discuss the components of a multi-component health education program designed for Urban American Indian children. Discuss successful evaluation strategies within the context of a multi-component health education program designed for Urban American Indian children.

Keywords: American Indians, Obesity

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Dr. Campbell is an Assistant Professor of Research at the University of Oklahoma, College of Public Health, Biostatistics and Epidemiology Department. She performed the primary analysis of this study as program evaluator for the Indian Health Care Resource Center project for three years.
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.

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