142nd APHA Annual Meeting and Exposition

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308130
“One Life, One Body, One You”: Engaging and empowering girls to make positive choices throughout their lifespan

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 11:30 AM - 11:50 AM

Cindy Tso, MPH , County of San Diego Health and Human Services Agency, Public Health Services, Maternal, Child, and Family Health Services, San Diego, CA
Amethyst Cureg, MD, MPH, FAAP , County of San Diego Health and Human Services Agency, Public Health Services, Maternal, Child, and Family Health Services, San Diego, CA
Rhonda Freeman, MPH , County of San Diego Health and Human Services Agency, Public Health Services, Maternal, Child, and Family Health Services, San Diego, CA
Kym Hodge, MPH , County of San Diego Health and Human Services Agency, Public Health Services, Maternal, Child, and Family Health Services, San Diego, CA
Sutida Jariangprasert, MPH , County of San Diego Health and Human Services Agency, Public Health Services, Maternal, Child, and Family Health Services, San Diego, CA
Wendy Martinez, MPH, CPH , Maternal, Child, and Family Health Services, County of San Diego Health and Human Services Agency, Public Health Services, San Diego, CA
Jessica Canlas, BS , County of San Diego Health and Human Services Agency, Public Health Services, Maternal, Child, and Family Health Services, San Diego, CA
Melissa Nagatsuka, MPH , County of San Diego Health and Human Services Agency, Public Health Services, Maternal, Child, and Family Health Services, San Diego, CA
Background: Because of low health literacy and poor health behaviors among girls aged 11-18, preconception health education is critical. Informed by the Life Course Perspective and funding by March of Dimes, the interactive, user-friendly ‘Being Healthy Teen Wheel (BHTW)’ tool was developed. The BHTW was culturally/linguistically tailored to engage girls in conversation about health and to empower them to optimize their health.

Methods: Preconception messages were developed using focus groups, surveys, and stakeholder input. Standardized protocols ensured appropriate dissemination of wheels. Over 5,500 girls received a wheel through 44 schools/clinics/organizations.  Of these partners, 27 had the capacity to incorporate wheel education into their programs and distributed 2,736 questionnaires for girls to measure knowledge and behavior change; 40 staff received surveys to determine usability.  

Results: Of girls, 88% reported they would try and use tips from the wheel; 89% strongly agreed/agreed they learned new information about taking care of themselves. The most popular topics were nutrition and physical activity, both 91%. Of staff, 88% stated they were able to incorporate the wheel into routine activities; 100% strongly agreed/agreed the wheel helped with discussion about healthy behaviors/lifestyle choices; 92% strongly agreed/agreed the wheel was culturally appropriate for the target population. (N=699 girls; 24 staff.)

Conclusions: Results indicate the BHTW can be effective in increasing knowledge about healthy lifestyle choices among girls and is a promising practice that can be replicated and incorporated into various settings.  Since research shows tailoring enhances acceptance of health communication, material is being developed for adolescent boys.

Learning Areas:

Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe the effectiveness of utilizing a culturally appropriate interactive preconception tool to increase knowledge and promote behavior change among adolescent girls in an effort to address overall health over the life course.

Keyword(s): Adolescents, Health Promotion and Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the co-lead and worked directly with community partners, schools, and clinics to implement and evaluate the effectiveness of the "One Life, One Body, One You" project. I am involved in assessing community needs, conducting focus groups, and developing surveys. I provide expertise in health education for the development of curricula/materials for the maternal, child, and adolescent health (MCAH) population and implement evaluation methods to measure results to meet MCAH priorities and objectives.
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.