Sara Bahena BSN RN Intervention 8 participants Spanish education sessions once a week for 2 weeks Narrative cartoon videos and handouts Emphasis on water consumption fruit and veggie intake exercise sugar sweetened beverages ID: 1043028
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1. Culturally Tailored Interventions for Childhood Obesity in Mexico Sara Bahena, BSN, RNIntervention:8 participants Spanish education sessions once a week for 2 weeks Narrative cartoon videos and handoutsEmphasis on ↑ water consumption, ↑ fruit and veggie intake, ↑ exercise, ↓ sugar sweetened beverages Data Collection: Pre and post surveysData Analysis: Paired t-tests, Wilcoxon signed rank test on each item, & qualitative questionsProblem Childhood Obesity leads to child and adolescent diabetes, cardiovascular disease, cancer, depression, thyroid disease, fatty liver, and/or other chronic diseases. SignificanceMexico has highest prevalence of overweight children globally (Turbull et al., 2019)33.2% of children are overweight or obese in Mexico (Pérez-Herrera & Cruz-López, 2018). Obesity prevalence is higher in lower income and underserved communitiesEvidence SynthesisNutrition and exercise education, together, are effective in decreasing BMI (Ash et al., 2017)Culturally tailored educational content enhances outcomes (Heerman et al., 2019)Family and community-based programs increase quality of life, strengthen sense of well-being, & enhance self-efficacy (Ash etal., 2017; Brown et al., 2019; Gupta & White, 2017; Soltero et al., 2018).SummaryNarrative exercise and nutrition education is a promising intervention to help decrease risk factors associated with childhood obesityImplicationsNutrition and exercise education are keyEducation should be tailored to fit population’s needsFuture RecommendationsLonger intervention to last at least 6 weeks and measure outcomesPaired t tests & Wilcoxon: no significant difference for knowledge or behaviorSelf Efficacy was significant based on an alpha value of .05, t(38) = -2.24, p = .031Qualitative data: “This program was perfect”“I liked everything and I want to learn more”“It was interesting & well explained with everything you need”All participants would recommend to a family member or friendA special thanks to mentor, Dr. Diana Jacobson, and site champions, Lupita Sanchez and Tom Carlson.Contact Information: swcavala@asu.eduTo implement nutrition and exercise education into an underserved border community clinic in MexicoStrengths/FacilitatorsParticipants open to and motivated to learnContent designed for sustainability by the inclusion of community promotoras in the delivery of the educationLimitations/BarriersMultiple border closures due to COVID-19 pandemicShortened intervention from 6 weeks to 2 weeksBackgroundMethodsDiscussionConclusionsResultsProject PurposeAcknowledgementsInstitutional Review Board: ASU exempt status approval 12/2021Setting: Wellness clinic in a northern border community in Mexico Serves to benefit the minds and bodies of people with limited resources Population: parents or caregivers of children at risk for obesityRecruitment by word of mouth and community flyers