Nutrition Communication for a Latino Community

Ayala, Guadalupe X.; Elder, John P.; Campbell, Nadia R.; Engelberg, Moshe; Olson, Susan J.; Moreno, Carmen; Serrano, Veronica

doi:10.1097/00003727-200110000-00009

Cited by 45 publications

(44 citation statements)

References 12 publications

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“…28 In addition, the use of multiple data collection methods during formative research has been recommended in this type of study. [29][30] We carefully selected several methods appropriate to the information gaps and needs of the trial. The use of methodological instruments and stakeholders' triangulation was useful to a) understand the problem from different points of view, b) better understand the school environment, c) corroborate and explain information within methods, d) develop a comprehensive matrix of the situation, e) guide the intervention selection, and g) to assess the feasibility and acceptability of the intervention by different stakeholders.…”

Section: Discussionmentioning

confidence: 99%

“…These and other advantages of using multiple methods in formative research, including the understanding of the cultural and ethnic diversity of the targeted audience, have been published elsewhere. [30][31] Our formative research showed that the school environment restricts opportunities for healthy eating, and enhances opportunities to consume highly energy dense foods and sugary beverages, promoting a positive energy imbalance. The important role of the school environment in sustaining energy imbalance that leads to overweight and obesity in school children has been documented.…”

Section: Discussionmentioning

confidence: 99%

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Contribution of formative research to design an environmental program for obesity prevention in schools in Mexico City

Bonvecchio¹,

Théodore²,

Safdie³

et al. 2013

Salud Publica Mex

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Contribution of formative research to design an environmental program for obesity prevention in schools in Mexico City. Salud Publica Mex 2014;56 suppl 2:S139-S147. AbstractObjective. This paper describes the methods and key findings of formative research conducted to design a schoolbased program for obesity prevention. Materials and methods. Formative research was based on the ecological model and the principles of social marketing. A mixed method approach was used. Qualitative (direct observation, indepth interviews, focus group discussions and photo-voice) and quantitative (closed ended surveys, checklists, anthropometry) methods were employed. Results. Formative research key findings, including barriers by levels of the ecological model, were used for designing a program including environmental strategies to discourage the consumption of energy dense foods and sugar beverages. Conclusion. Formative research was fundamental to developing a context specific obesity prevention program in schools that seeks environment modification and behavior change.Key words: interdisciplinary research; obesity; school feeding; environment; Mexico Bonvecchio A, Théodore FL, Safdie M, Duque T, Villanueva MA, Torres C, Rivera J. Contribución de la investigación formativa para el diseño de un programa para la prevención de obesidad en escuelas de la Ciudad de México. Salud Publica Mex 2014;56 supl 2:S139-S147. ResumenObjetivo. Describir los aspectos metodológicos y principales resultados de una investigación formativa realizada para diseñar un programa ambiental para la prevención de obesidad en escuelas. Material y métodos. La investigación formativa se basó en el modelo ecológico y los principios del mercadeo social. Se utilizó un enfoque de métodos mixtos: cualitativos (observación directa, entrevistas en profundidad, grupos de discusión y foto-voz) y cuantitativos (cuestionarios cerrados, inventarios de alimentos y bebidas, antropometría). Resultados. Los principales resultados de la investigación formativa, incluyendo las barreras identificadas en los niveles del modelo ecológico, fueron contemplados para el diseño del programa, que incluyó estrategias ambientales para desincentivar el consumo de alimentos de alta densidad energética y bebidas azucaradas. Conclusión. La investigación formativa fue fundamental para diseñar un programa de prevención de obesidad para la modificación del ambiente y cambios de comportamientos, factible y adaptado al contexto de las escuelas públicas de la Ciudad de México.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Contribution of formative research to design an environmental program for obesity prevention in schools in Mexico City

Bonvecchio¹,

Théodore²,

Safdie³

et al. 2013

Salud Publica Mex

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“…42 We used well-established qualitative intervention development methods to adapt the intervention materials to the target Baystate study population. 43,44 Specifically, modifications to the intervention materials were informed by the literature, the cultural expertise of the study team, and focus groups of participants recruited from the Baystate study population. The focus groups gathered data on contextual factors impinging on physical activity levels, facilitators of physical activity, and participant reactions to the intervention materials.…”

Section: Formative Development Of the Interventionmentioning

confidence: 99%

A Randomized Controlled Trial of Prenatal Physical Activity to Prevent Gestational Diabetes: Design and Methods

Chasan‐Taber

Marcus

Stanek

et al. 2009

Journal of Women's Health

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Background: Women diagnosed with gestational diabetes mellitus (GDM) are at substantially increased risk of developing type 2 diabetes and obesity, currently at epidemic rates in the United States. GDM, therefore, identifies a population of women at high risk of developing type 2 diabetes and provides an opportunity to intervene before the development of this disorder. It is well recognized that acute as well as chronic physical activity improves glucose tolerance in type 2 diabetes. To date, however, primary prevention trials have not been conducted to test whether an increase in physical activity reduces risk of developing GDM among women at high risk of this disorder. Methods: The aims of this study are to investigate the effects of a motivationally targeted, individually tailored 12-week physical activity intervention on (1) development of GDM, (2) serum biomarkers associated with insulin resistance, and (3) the adoption and maintenance of exercise during pregnancy. Women at high risk of GDM are recruited in early pregnancy and randomized to either an individually tailored exercise intervention or a comparison health and wellness intervention. Results: The overall goal of the exercise intervention is to encourage pregnant women to achieve the American College of Obstetricians and Gynecologists guidelines for physical activity during pregnancy through increasing walking and developing a more active lifestyle. Conclusions: The intervention takes into account the specific social, cultural, economic, and physical environmental challenges faced by pregnant women of diverse socioeconomic and ethnic backgrounds.

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“…Sussner and colleagues 10 found that immigrant Latina mothers face several barriers in the United States in preventing childhood obesity: larger portion sizes; increased access to unhealthy foods; attitudes supporting child overweight; and more time spent in sedentary activities. Cultural beliefs and norms may also influence the foods that Latina parents make available, [11][12][13][14][15][16] modeling of dietary behaviors and food-related parenting styles, 4,[17][18][19] beliefs about child weight, 5,16,20 and the meaning imparted to foods. 21 However, these behaviors and beliefs are likely rooted in more deeply held, underlying cultural values and norms, which are shaped by parents' cultures of origin as well as their immigration experiences and personal identities.…”

Section: Introductionmentioning

confidence: 99%

“It Hurts a Latina When They Tell Us Anything About Our Children”: Implications of Mexican-Origin Mothers' Maternal Identities, Aspirations, and Attitudes About Cultural Transmission for Childhood Obesity Prevention

et al. 2015

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Background: This qualitative study explored values, attitudes, and beliefs held by Mexican-origin mothers of preschool-aged children to enhance understanding of cultural influences on behaviors associated with childhood obesity risk.Methods: During face-to-face interviews, 39 Mexican-origin mothers of preschool-aged children discussed their hopes for their children, their image of the perfect mother, Mexican and American foods, why they taught their children about these foods, and their opinions about television (TV) viewing language.Results: Participants wanted their children to become successful, ''good'' people, which necessitated doing well in school. Mothers also wanted their children to know them, which required understanding the mothers' Mexican backgrounds. Mothers wanted their children to maintain Mexican values and identities. Some mothers viewed American culture as harmful. Many participants prepared their child for going to Mexico by exposing them to Mexican culture and foods. Some mothers fed their children American foods to prepare them for school. Perceptions of American foods generally reflected stereotypical unhealthy foods. TV helped teach children Spanish and English. Being a good mother was core to participants' identities; thus, hearing about child overweight made some mothers feel like failures.Conclusions: Health promotion programs may be more salient to mothers if they: underscore how a healthy weight can help children in school; teach mothers to prepare healthy American foods that their children will encounter in kindergarten; assist mothers in teaching their children about Mexico; and present information about childhood obesity in ways that reinforce what mothers are doing well, enhance mothers' self-efficacy, and allay feelings of failure.

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Nutrition Communication for a Latino Community

Cited by 45 publications

References 12 publications

Contribution of formative research to design an environmental program for obesity prevention in schools in Mexico City

Contribution of formative research to design an environmental program for obesity prevention in schools in Mexico City

A Randomized Controlled Trial of Prenatal Physical Activity to Prevent Gestational Diabetes: Design and Methods

“It Hurts a Latina When They Tell Us Anything About Our Children”: Implications of Mexican-Origin Mothers' Maternal Identities, Aspirations, and Attitudes About Cultural Transmission for Childhood Obesity Prevention

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