Health Improvement Project

for Low Income Latino

Adolescents in California

(HIPLAC)

Erica Eisenberg

NTR3115: Health Promotion/Disease

Prevention, Summer ‘09

Needs Assessment

Target Population

◦ Low Income Latino Adolescents Aged 12-

17 years in the State of California who are

overweight or obese

Health Concerns

◦ High rates of overweight/obesity among

Hispanic adolescents

◦ Health disparities among the target

population

Goals1. To educate adolescent Latinos aged 12-17 years old in California and

their parents about the benefits of a healthy lifestyle, including nutrition and physical activity.

2. To promote the adoption of healthy lifestyle habits among the target population and their families.

3. To increase awareness among the target population about overweight, obesity, and chronic diseases associated with them.

4. To increase awareness among the target population about easy and safe ways to obtain healthy ingredients.

5. To increase family involvement and support systems among the target population.

6. To educate the target population about the media’s influence on their habits.

Objectives1. The target population will show an understanding of the food

guide pyramid and physical activity recommendations as shown by documented behaviors (i.e., food/physical activity diary and surveys) given throughout the 12 weeks.

2. The target population will report watching 1 hour less of TV time per day by the end of the 12 week period as measured by weekly diary entries.

3. The target population will show a decrease in BMI by the end of the 12 week period compared to the baseline and 6 week period.

4. The target population will choose fruits and vegetables over poor nutritional choices (i.e., potato chips or candy) at least 10% of the time by the half way point (6 weeks).

5. The target population will document increased family involvement in food and physical activity choices by the end of the 12 weeks.

6. The target population will be able to demonstrate healthy food choices and increased physical activity as measured by the Healthy Advocates (program leaders).

Healthy People 2010

Objectives 19.3-19.3b. Reduce the proportion of

adolescents aged 12-17 years who are overweight or obese.4

19.5-19.12. Increase the proportions of persons aged 2 years and older who consume at least two daily servings of fruit and at least 3 daily servings of vegetables, with at least one-third being dark green or orange vegetables.4

22-7. Increase the proportion of adolescents who engage in vigorous physical activity that promotes cardio-respiratory fitness 3 or more days per week for 20 or more minutes per occasion.5

Intervention: Week Nutrition (mondays) Physical Activity

(wednesdays)

Behavioral Therapy (fridays)

1 Inside My Pyramid: The Basics of The

Food Guide Pyramid and Physical Activity

Recommendations

Icebreakers

Activity: Label The Food Pyramid

Introduction to Active Lifestyle

Fitness Program; students

choose from soccer, football,

and basketball

Discuss Diet and Exercise

Habits of the Latino culture

Goal Setting for food guide

pyramid and physical activity

2 Get Moving: The Importance of Physical

Activity!

Activity: Play Soft, Play Hard

Teens will circle the room, dancing to a CD

until the music stops, at which point players

go to the nearest activity card and act out

that activity when the music plays again.

Group Soccer Game Discuss Healthy Literacy and

Overall Literacy of the Latino

Population plus ways to

overcome barriers

Goal Setting for physical

activity

Intervention3 Healthy and Unhealthy fats:

Watch out For Those Trans-

Fats!

Demo: Healthy Fats; each

student will get a chance to

try recipes prepared by the

RD. The recipes include low

fat guacamole and

homemade peanut butter

Choice of cardio-tennis,

circuit training, or field

hockey

Discuss Obesity Epidemic

and Effects of Being

Overweight or Obese

Goal Setting for Healthy and

Unhealthy fats and Physical

Activity

4 Supermarket Shopping Day

in which each participant finds

modified items for traditional

Latino recipes.

Discussion: How are these

Ingredients Healthier?

Group field hockey Discuss Acculturation

Goal setting for Physical

Activity

Intervention5 Whole Grains

Demo: Whole Grain vs.

White; RD will prepare a

whole grain quesadilla for

the teens to try and rate

Choice of Track and Field,

Volleyball, or Walking

Discuss Family Influences

Goal Setting for Whole

Grains and Physical Activity

6 Healthy Snacking

Food Demo: RD will create a

sample snack and have the

teens create their own healthy

snack (from ingredients

available)

Group Volleyball game Discuss Gender influences

Goal Setting for Healthy

Snacking and Physical Activity

Intervention7 Reduce Screen Time

Activity: While I Was

Watching TV

discuss activities you could

be doing while watching TV

such as going for a walk

2 Mile Jog outside Discuss Motivators; what

excites the youth, bores them,

angers them, etc. Goal Setting

for Reducing Screen Time and

Physical Activity

8 Adapting Traditional Latino

Foods to Become Less

Calorically Dense (A Potluck

Dinner)

Food Demo: RD will

demonstrate lesson and show

healthy substitutions. Family

and Community members invited

to partake in modification of

traditional recipes with the teens.

Potluck will be served to all!

Teens partake in beginners

Pilate class taught by Trainer

Discuss Environment and

Access to healthy foods/physical

activity in Latino neighborhoods

Goal setting for Physical Activity

Intervention9 Fruits and Veggies – Mix it Up!

Activity: Color Your Plate

Healthy

Choice of 2 Mile Jog or

beginners Pilate

Discuss Attitudes about

nutrition and exercise

Goal setting for Fruits and

Veggies and Physical Activity

10 Fast Food Nation

Activity: How We’re Being

Played by Fast Food

Companies

Choice of Three Dance Classes

including Hip Hop, B-Boying,

and Popping

http://dancemasterz.net/?cat=1

Discuss Body Image and Size

Among Latino Culture

Goal setting for Fast Foods and

Physical Activity

Intervention11 Eliminating Sugar Sweetened

Drinks!

Demo: show the amount of

sugar in 8, 16, and 24 ounces

of soda (using test tubes)

3 Mile Walk Outside Discuss Stress Management /

Ways to Handle Stress

Goal Setting for Sugar

Sweetened Drinks and

Physical Activity

12 Selected Topic Chosen by

Teen Vote

Discussion: Parents and

extended family members are

invited to ask any questions

they might still have regarding

the topics throughout the 12

weeks

3 Mile Jog Outside Wrap Up: Summarize

everything discussed in 12

weeks session

Discuss current attitudes,

beliefs, and behaviors

Set Goals for future diet and

exercise and long term

maintenance

Evaluations Pre, middle, and post surveys

BMI scoring

Physical Fitness Scoring

Quizzes

Food Diary

Food Demos

Activities

Discussions

KWL chart

References

1. CDC/National Center for Health Statistics. NHANES Surveys:

1976-1980 and 2003-2006.

http://www.cdc.gov/nchs/nhanes/nhanes_products.htm. Updated August

19, 2009. Accessed August 9, 2009.

2. Brindis CD, Driscoll AK, Biggs MA, Valderrama LT. Fact Sheet on Latino

Youth: Health CareAccess. http://reprohealth.ucsf.edu/. Updated November

2002. Accessed August 12, 2009.

3. LCHC. Obesity in Latino Communities.

http://www.cnr.berkeley.edu/cwh/PDFs/Obesity_in_Latino_Communities.pdf.

Updated December 2006. Accessed August 12, 2009.

4. Healthy People 2010. Focus area 19: nutrition and overweight.

http://www.healthypeople.gov/document/html/volume2/19nutrition.htm#_Toc49

0383122. Accessed August 2, 2009.

5. Healthy People 2010. Focus Area 22: Physical Activity and Fitness.

http://www.healthypeople.gov/Document/HTML/Volume2/22Physical.htm#_To

c490380803. Accessed August 2, 2009.