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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.