Online Program

Developing a Community-Based Diabetes Prevention Program in Jurupa Valley; Focus Group Findings

Tuesday, November 3, 2015

Kimberly Morones, MPH, CHES, School of Community & Global Health, Claremont Graduate University, Claremont, CA
Lucie Leung Liu, MHA, School of Community and Global Health, Claremont Graduate University, Claremont, CA
Patchareeya Kwan, PhD, MPH, CHES, School of Community and Global Health, Claremont Graduate University, Claremont, CA
Maggie Hawkins, MPH, CHES, Master of Public Health Program, Claremont Graduate University, Claremont, CA
Paula H. Palmer, PhD, School of Community and Global Health, Claremont Graduate University, Claremont, CA
C. Anderson Johnson, PhD, School of Community and Global Health, Claremont Graduate University, Claremont, CA
Nutrition related chronic diseases, such as obesity, heart disease, and diabetes, disproportionately affect Hispanic/Latino populations. According to the most recent NHANES data, nearly one-third of adult men and two-fifths of adult women of Mexican origin in the United States are obese. The City of Jurupa Valley, a predominantly Latino community, has a higher risk due to their socioeconomic make-up and limited access to healthy food. A community-based participatory research approach was used to identify resources and barriers to increase effectiveness of a behavioral intervention program in the community.

In collaboration with community leaders and the county public health department, researchers conducted 2 focus groups comprising 12 key informants to discuss their knowledge of diabetes as well as garner input to vital community resources and barriers to modifying healthy lifestyle behaviors. Questions were drawn from 5 main topics of interest: 1) illness perception; 2) illness concerns; 3) prevention; 4) community readiness; and, 5) program implementation. A response matrix was developed to highlight key responses, concerns and suggestions to each topic. Program success was contingent upon sessions being offered bilingually, as well as individual attention from a lifestyle coach, and accountability of the participants concerning their personal health behaviors. Potential barriers identified included environmental limitations for physical activity; transportation access to healthy foods; as well as, motivation and commitment to change behaviors. Data are currently undergoing further analysis through qualitative software to translate for community utilization in instituting health in all policies.

Learning Areas:

Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe the barriers to diet and lifestyle changes in a large rural community of Southern California. Articulate the procedure for analyzing qualitative data. Explain how a community-based participatory research approach can be used to change local government policy and planning.

Keyword(s): Community-Based Research (CBPR), Diabetes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: This project was part of my MPH internship associated with this project. I initiated, formulated and conducted the focus groups. I am also now the project manager for the larger study being conducted and am still actively working with the community leaders and target population that are addressed in this project.
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.