Fitness for Living- A School Based Intervention to address Diabetes and Healthier Living Presented by: Todd Choi, Maria Fraire-Morales, Chris Oliver Tacto, and Vernice Ward University of Southern California - Department of Preventive Medicine
Fitness for Living- A School Based Intervention to address Diabetes and Healthier Living
Presented by: Todd Choi, Maria Fraire-Morales, Chris Oliver Tacto, and Vernice WardUniversity of Southern California - Department of Preventive Medicine
Program GoalsDecrease body weight by 7% Increase physical activity by 120
minutes per week
Targeted Behavioral ChangeIncreasing physical activity:- exercises (hands-on)- games (promote
physical activity)
Improve nutritional knowledge:- hands on cooking
courses
Risk factors...
- High Cholesterol- High Blood Pressure- Early Heart Disease- Diabetes- Bone Problems
Targeted Population- School aged children
12-18 years old- Ethnically diverse
backgroundsPercentile Ranking Weight Status
85th percentile to less than 95th percentile
Overweight
Equal to or greater than the 95th percentile
Obese
After School Program with the Boys and Girls Club of East & South L.A.
This intervention will be implemented as an afterschool program for students in grades 7-12.
Program Details - Sessions
● 6 month program ○ considering academic schedule of holidays, winter break
● Keep students engaged in program throughout school year○ longer period of time= increased chance of maintaining
behavior modification
Activities ● Keep participants engaged in activities requiring their
participation ○ Zumba classes○ Flag football○ Dodgeball○ Aztec dancing and drumming class
Format of program ● Talk less, more hands-on activities● 30 minute workout activities, 30 minute workshop● Workshops
○ Risks of being physically inactive and sedentary lifestyle
○ Energy-density foods○ Cooking meals under $10○ Exercising at home with no equipment
Completion of Program ● Essentially, 8 month program
○ 6 month intervention, 2 months to evaluate
● Week 8 - $25 grocery gift card
● Completion of program- enter to win 4 tickets to
Disneyland (donation)
Staffing of Program ● Community organizing-important piece of intervention● Boys and Girls Club
○ East Los Angeles○ South Los Angeles
● Certified Zumba instructor (2)● Aztec dance community (4)
○ East Los Angeles○ South Los Angeles
● Registered Dietician/Nutrition● Health Educator (2)
Theories Applied to Intervention Health Belief Model
- Perceived Severity- Perceived Susceptibility- Perceived Barriers
Social Cognitive Theory- Observational
Learning/Modeling- Outcome Expectancies- Self-efficacy
Health Belief Model - Perceived Severity
Perceived Severity- Subjective assessment of
severity of diabetes
Workshop to address risk factors including:
- Obesity- Cardiovascular disease- Nerve Damage- And more!
Health Belief Model - Perceived Susceptibility
Perceived Susceptibility- Adolescent's assessment of
risk of developing diabetes
Workshop to address:- Lack of continuous exercise- Not managing nutritional
intake- Likely to develop
complications
Health Belief Model - Perceived Barriers
Perceived Barriers- Adolescent’s assessment of
the obstacles to behavior change
Barriers to address:- Personal- Environmental - Cultural
Social Cognitive Theory - ModelingModeling
- Learning that occurs through observing behavior of others
Peer Model Influences- “Hands-on” activities- Sports activities
Positive Reinforcement- Gift Cards- 4 Disneyland Tickets
Social Cognitive Theory - Outcome Expectancies
Outcome Expectancies- Potential outcomes of repeating
change of behavior
3 Levels of Outcome:- Initial
- Attendance, socialization- Intermediate
- Target behaviors- Ultimate
- Reduce health risks
Social Cognitive Theory - Self-Efficacy
Self-Efficacy- one’s confidence in one’s ability
to take steps necessary to conduct behavior change
Will Assess:- ability to increase physical
activity- ability to manage nutrition intake- using self-report surveys and
measurement scales
Logic Model
Thank You