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Published on: January 12, 2018
Community engagement approach: developing a culturally appropriate intervention for Hispanic mother-child dyads
Melinda S Bender1, Mary Jo Clark2, Sheila Gahagan3
1University of California, San Francisco, CA, USA melinda.bender@ucsf.edu.
Insights
This study details the Vida Saludable intervention, a culturally adapted program to combat childhood obesity in Hispanic preschoolers. Community engagement was key to its successful design and high participant satisfaction.
Area of Science:
- Public Health
- Pediatrics
- Health Disparities
Background:
- Childhood obesity is a significant public health issue, affecting 20% of U.S. preschool children.
- Hispanic preschool children exhibit particularly high rates of obesity, necessitating targeted interventions.
- Early prevention strategies are crucial for mitigating long-term health risks associated with childhood obesity.
Purpose of the Study:
- To describe the development and cultural adaptation of the Vida Saludable intervention.
- To improve maternal physical activity and reduce children's sugar-sweetened beverage consumption among low-income Hispanic families.
- To provide a template and scoring tool for culturally adapted interventions in diverse populations.
Main Methods:
- Collaborative partnership between academic institutions, a community health center, and stakeholders.
- Community-driven program design to ensure cultural relevance and appropriateness.
- Scoring and ranking of the intervention's cultural adaptations.
Main Results:
- The community-engagement approach contributed to improved participant health behaviors.
- Cultural adaptations received a high comprehensive rank, indicating successful tailoring.
- Postprogram evaluation demonstrated high participant satisfaction with the intervention.
Conclusions:
- Culturally adapted interventions, developed through community engagement, can effectively address childhood obesity.
- The Vida Saludable intervention provides a successful model for engaging diverse populations.
- The developed guidelines and tools can aid future research and implementation of culturally sensitive health programs.
Abstract:
Childhood obesity affects approximately 20% of U.S. preschool children. Early prevention is needed to reduce young children's risks for obesity, especially among Hispanic preschool children who have one of the highest rates of obesity. Vida Saludable was an early childhood obesity intervention designed to be culturally appropriate for low-income Hispanic mothers with preschool children to improve maternal physical activity and reduce children's sugar-sweetened beverage consumption. It was conducted at a large southwestern United States urban health center. Presented here are the methods and rationale employed to develop and culturally adapt Vida Saludable, followed by scoring and ranking of the intervention's cultural adaptations. An empowered community helped design the customized, culturally relevant program via a collaborative partnership between two academic research institutions, a community health center, and stakeholders. Improved health behaviors in the participants may be attributed in part to this community-engagement approach. The intervention's cultural adaptations were scored and received a high comprehensive rank. Postprogram evaluation of the intervention indicated participant satisfaction. The information presented provides investigators with guidelines, a template, and a scoring tool for developing, implementing, and evaluating culturally adapted interventions for ethnically diverse populations.
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