Online Program

336250
Public Health meets Clinical Care: Multi-year Interventions for adolescent obesity prevention at 3 SBHCS


Monday, November 2, 2015 : 1:10 p.m. - 1:30 p.m.

Naomi Schapiro, RN, PhD, CPNP, Department of Family Health Care Nursing,, University of California, San Francisco, San Francisco, CA
Mizan Alkebulan-Abakah, MPH, Roosevelt Middle School Health Center, La Clinica de la Raza, Oakland, CA
Atziri Rodriguez, BS, United For Success Health Center, Native American Health Center, Oakland, CA
Jyu-lin Chen, RN, PhD, FAAN, Family Health Care Nursing, University of California, San Francisco, San Francisco, CA
Working with middle and high school students to encourage healthy diet and activity habits and to decrease BMI is labor-intensive and can be frustrating. Individual medical and health education visits seem to have limited impact, and population level interventions in school settings are costly to run and difficult to evaluate. Health inequities in the accessibility of healthy food, safe places to exercise and protection from toxic stress make these efforts even more difficult in schools serving the poor. Three middle school health centers serving primarily African American, Latino and Asian youth in medically underserved East Oakland have implemented a model for group health education and medical visits with the support of the County Health Department, a local university, and three different grant mechanisms. The panel will share the multidisciplinary components and the results of this program as it evolved over two school years. Clinicians and researchers in these projects are participating in the APHA’s Center for School, Health and Education’s Public Health Capacity Assistance for School Health Care Leaders and have used this support to develop innovative ways to link clinic visits with interventions that address social determinants of overweight and obesity.  Changes in physical outcomes, self-efficacy, overall utilization of the SBHC and connections to the school over 19 months will be presented.  The benefits of a University-community partnership and implications for long-term sustainable projects addressing overweight and obesity will be discussed.

Learning Areas:

Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Implementation of health education strategies, interventions and programs

Learning Objectives:
Discuss the impact of SBHC group obesity treatment models on changes in diet, activity and physical outcomes over a 19 month period. Analyze the connection of the group model to overall use of the SBHC and school attendance by participants Assess the benefits of linking individual clinical and public health approaches on self efficacy, social support, the built environment and food access. Evaluate the benefits of a University-Community partnership in delivering a comprehensive approach to obesity in a medically underserved community

Keyword(s): Children and Adolescents, Obesity

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked with youth and families in immigrant and underserved communities as a nurse and nurse practitioner for over 30 years, 10 in school-based health. I have been Project Director or PI for three grants supporting interdisciplinary academic-community partnerships to improve school health outcomes, including a currently active HRSA Advanced Nursing Education grant. I have presented at over 10 national conferences, authored 8 peer-reviewed articles and 17 book chapters on child and adolescent topics.
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.