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"It's about being healthy"; a novel approach to the socio-ecological model using family perspectives within the Latinx community. BMC Public Health 2023 Jan 11;23(1):86

Date

01/12/2023

Pubmed ID

36631786

Pubmed Central ID

PMC9833868

DOI

10.1186/s12889-023-15005-2

Scopus ID

2-s2.0-85146140872 (requires institutional sign-in at Scopus site)   3 Citations

Abstract

BACKGROUND: The Latinx community is at risk for obesity, type 2 diabetes, and other chronic illnesses. Culturally appropriate, community facing physical activity (P.A.) and nutrition programs may provide the basis for families to improve their health status. Our objectives are as follows: 1. To investigate synergistic factors within this type of program that play a role in creating an environment for participants to learn and practice healthy behaviors. 2. To apply factors into a novel model of components that support health and wellness. 3. To design an intervention for future implementation and evaluation.

METHODS: A two-year P.A. and nutrition program, Families Inspired Together 4 Youth Empowered to Succeed (FIT 4 YES), took place in Milwaukee, WI. with Hispanic families from 2018 to 2020 through a community-academic partnership. A pair of interviewers spoke with families who provided insight into the impact of the program. A grounded theory qualitative approach to code the transcripts guided the team to identify overarching themes.

RESULTS: Twenty-four interviews were conducted. Common themes indicated that children had a stronger belief in their abilities and confidence in peer support. Parents noticed their children increasing self-directed healthy behaviors. All families grew in their implementation of health and wellness.

CONCLUSIONS: Three main components of FIT 4 YES contributed to its success: opportunities for engagement, supportive relationships, and the interplay of components that emerged from the interviews. Effective programs could include these components to make their outcomes more cohesive within the family. A novel model emerged that builds on the social-ecological model that emphasizes the dynamic interactions between these main components. Additional research is needed to evaluate the long-term effects and response by the community.

Author List

Korom B, Malloy M, Remmers C, Cevilla M, Dione K, Papanek P, Condit J, Nelson D

Authors

David A. Nelson PhD Professor in the Family Medicine department at Medical College of Wisconsin
Paula Papanek PhD, MPT, LAT, FACSM Associate Professor & Director of Exercise Science in the Exercise Science & Physical Therapy department at Marquette University




MESH terms used to index this publication - Major topics in bold

Adolescent
Child
Diabetes Mellitus, Type 2
Health Status
Humans
Obesity
Parents