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