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Using PRECEDE to develop a weight management program for disadvantaged young adults.

Jennifer R Walsh1, Adrienne A White2, Kendra K Kattelmann3

  • 1Department of Family, Youth and Community Sciences, University of Florida, Gainesville, FL.

Journal of Nutrition Education and Behavior
|January 25, 2014
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Summary
This summary is machine-generated.

A needs assessment identified key weight management challenges for low-income young adults, including obesity and low physical activity. Findings will inform a tailored weight management program.

Keywords:
community-based approachlife satisfactionlow incomeweight managementyoung adults

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Area of Science:

  • Public Health
  • Health Behavior
  • Community Health

Background:

  • Low-income young adults face unique challenges in weight management.
  • Developing effective, community-specific programs requires a thorough needs assessment.

Purpose of the Study:

  • To conduct a needs assessment using the PRECEDE model for a weight management program.
  • To identify determinants and modifiable factors influencing weight in low-income young adults.

Main Methods:

  • Employed a four-phase approach utilizing qualitative (focus groups, interviews) and quantitative (surveys) methods.
  • Convenience sample of 203 low-income young adults (18-24 years) at a vocational center.
  • Content and descriptive analyses, including Student t-tests, were performed.

Main Results:

  • 57% of participants were overweight or obese; 58% reported low physical activity.
  • Inadequate fruit and vegetable intake (<2.5 cups/day) and self-image/discrimination were key issues.
  • Environmental factors needing improvement included walking/biking accessibility and healthy food availability.

Conclusions:

  • The PRECEDE model effectively identified community concerns and priorities for weight management.
  • Findings highlight modifiable behavioral factors (exercise, sleep, stress management) and environmental changes needed.
  • Results will enhance the relevancy and effectiveness of a targeted weight management program.