Source: KANSAS STATE UNIV submitted to
COMMUNITY-BASED PARTICIPATORY RESEARCH (CBPR) MODEL IN PREVENTING OVERWEIGHT AND OBESITY AMONG 6-8 GRADE YOUTH IN LOW-INCOME RACIAL/ETHNIC C
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
EXTENDED
Funding Source
AFRI COMPETITIVE GRANT
Reporting Frequency
Annual
Accession No.
0228630
Grant No.
2012-68001-19619
Project No.
KS602332
Proposal No.
2011-04573
Multistate No.
(N/A)
Program Code
A2101
Project Start Date
Aug 1, 2012
Project End Date
Jul 31, 2016
Grant Year
2015
Project Director
Kidd, T.
Recipient Organization
KANSAS STATE UNIV
(N/A)
MANHATTAN,KS 66506
Performing Department
Human Nutrition & Foods
Non Technical Summary
Childhood obesity has nearly tripled in over the past 30 years. There are significant racial and ethnic disparities in obesity prevalence among U.S. children and adolescents. In order to determine why the obesity rate is rising among youth, it is imperative that they be included in identifying the barriers to healthy eating and physical activity, and in designing and implementing strategies to overcome those barriers. This project proposes to use the Community-Based Participatory Research (CBPR) Model to engage youth, parents, teachers and other community members, in determining why pre-adolescent and early adolescent youth are overweight and obese, and planning and implementing strategies to address the barriers to healthy eating and physical activity. The benefit of the study is that the information will be used to help nutrition educators understand the nutrition and physical activity behavior, knowledge, and attitudes of the low-income racial/ethnic adolescent population; thus leading to the development of culturally and socially appropriate adolescent obesity prevention programs.
Animal Health Component
100%
Research Effort Categories
Basic
(N/A)
Applied
100%
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
7036010302050%
7036050302050%
Knowledge Area
703 - Nutrition Education and Behavior;

Subject Of Investigation
6010 - Individuals; 6050 - Communities, areas, and regions;

Field Of Science
3020 - Education;
Goals / Objectives
1. Identify behavioral and environmental factors that influence overweight and obesity in 6th-8th grade youth in selected low-income racial/ethnic communities; and 2. Engage selected communities in implementing effective and sustainable strategies to increase dietary intakes of fruits and vegetables; increase the variety of vegetables in the diet; decrease dietary intakes of foods high in solid fats and added sugars; and increase physical activity among 6th-8th grade youth. Objectives: Extension: 1. Extension professionals in six communities (two per state, one to be a control community and one to be an intervention community) will utilize a community partnership to address overweight and obesity among 6th-8th grade youth. 2. Six communities will create and implement a plan to prevent overweight and obesity among 6th-8th grade youth. 3. Six communities will identify at least one nutrition and one physical activity intervention to prevent overweight and obesity among 6th-8th grade youth. 4. The project team will disseminate results (best practices) via technology and through face-to-face local, state and national conferences. Research: 1. The project team will identify and/or develop community assessment tools that will be pilot-tested in selected communities. 2. The project team will test the hypothesis that the CBPR Model will assist communities in identifying factors that influence overweight and obesity in 6th-8th grade youth. 3. The project team will test the hypothesis that the CBPR Model will assist communities in creating an environment that will prevent overweight and obesity among 6th-8th grade youth. 4. The project team will test the hypothesis that the CBPR Model will result in greater change in the environment that will prevent overweight and obesity among 6th-8th grade youth. 5. The project team will assess the perceived value that the community group members place on using the CBPR Model to address overweight and obesity among 6th-8th grade youth.
Project Methods
This project proposes to use a quasi-experimental design to determine the effectiveness of the Community-Based Participatory Model (CBPR) to assist communities in identifying behavioral and environmental factors that influence overweight and obesity in 6th-8th grade youth in selected low income racial/ethnic communities; and engaging selected communities to implement effective and sustainable strategies to increase dietary intakes of fruits and vegetables; increase the variety of vegetables in the diet; decrease dietary intakes of foods high in solid fats and added sugars; and increase physical activity among 6th-8th grade youth. An intervention and control communities will be selected from each state to participate in this project. Each community will utilize the efforts of a community partnership to develop a strategic plan to prevent overweight and obesity among 6th-8th grade youth and to implement the plan. An assessment tool will be developed during the first year, which will provide each community with baseline data on the environmental factors that may impact overweight and obesity. The control communities will not be provided with additional training and on their own will choose and implement nutrition and physical activity approaches throughout the duration of the project. For the intervention communities, focus group moderator scripts will be developed for each of the identified segments of in the communities, including 6th-8th grade youth, parents, teachers, and other community members. Focus groups will be conducted, and data from the community assessments and focus groups will be provided to these communities. Additionally, the intervention communities will use the CBPR Model and work directly with the stakeholders in their community to identify and implement interventions.

Progress 08/01/14 to 07/31/15

Outputs
Target Audience: 6th-8th grade youth in selected low-income racial/ethnic communities Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided? Nothing Reported How have the results been disseminated to communities of interest? Kansas and South Dakota provided summaries of survey data to their respective control and intervention communities for general information and use during intervention planning. Ohio plans to share summarized data with thier respective communities. What do you plan to do during the next reporting period to accomplish the goals? Specific objectives for Year 4 include continued support with intervention planning and implementation as well as start beginning stages of post assessments.

Impacts
What was accomplished under these goals? Selected communities have idientified community partners and have formed community committees to address overweight and obesity among 6th-8th grade youth. Selected communities in Ohio and South Dakota have worked with thier respective committees to plan at least one nutrition and one physical activity intervention targeting 6th-8th grade youth. Kansas has planned and implemented at least one nutrition and one physical activity intervention targeting 6th-8th grade youth. Survey to measure perception and behavior of youth in the intervention and control communities surrounding their fruit and vegetable intake and physical activity level data have been collected and analyzed.

Publications

  • Type: Journal Articles Status: Accepted Year Published: 2015 Citation: Kumar J, Adhikari K, Li Y, Lindshield E, Muturi N, Kidd T. Identifying barriers, perceptions and motivations related to healthy eating and physical activity in 6th to 8th grade, rural, limited-resource adolescents. Health Education (Emerald)
  • Type: Journal Articles Status: Under Review Year Published: 2015 Citation: Remley DT, Leone RL, Zies S, Kidd T, Kattelmann, K. Assessing Physical Activity and Nutrition Socio-Ecological Determinants in an Urban Setting for Community-based Participatory Research. Preventing Chronic Disease
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2015 Citation: Kidd T, Lindshield E, Kattelmann K, Zies S, Adhikari K, Muturi N. Starting the Spark: An Updated Protocol for the Community-Based Participatory Research Model in the Prevention of Adolescent Obesity. Poster presentation given at the Society for Nutrition Education and Behavior Annual Conference, Pittsburgh, PA. July 2015.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2015 Citation: Li Y, Kidd T, Lindshield E, Adhikari K, Muturi N. Measurements of the Built Environment for Nutrition and Physical Activity in Rural Low-Income Ethnic Communities in Kansas. Poster presentation given at the Society for Nutrition Education and Behavior Annual Conference, Pittsburgh, PA. July 2015.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2014 Citation: Li Y, Kidd T, Lindshield E, Adhikari K, Muturi N, Kattelmann K, Zies S. Analyses of the built environments and the perceptions related to physical activity of adolescents in rural low-income ethnic communities. Poster presentation given at the Obesity Week 2014 Conference, Boston, MA. November 2014.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2014 Citation: Li Y, Kidd T, Lindshield E, Adhikari K, Muturi N, Kattelmann K, Zies S. (2014). Perceptions related to nutrition, physical activity, and youth development in 6th to 8th grade, rural, limited-resource adolescents. Poster presentation given at the Obesity Week 2014 Conference, Boston, MA. November 2014.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2015 Citation: Li Y, Kidd T, Lindshield E, Adhikari K, Muturi N, Kattelmann K, Zies S. Analyses of the Built Environment and Perceptions Related to Nutritious Foods in Rural Low Income Ethnic Communities in Kansas. Poster presentation at Food and Nutrition Conference and Exposition 2015, Nashville, TN. October 2015
  • Type: Journal Articles Status: Under Review Year Published: 2015 Citation: Kidd T, Lindshield E, Kattelmann K, Zies S, Adhikari K, Muturi N. Starting the Spark: A Protocol for the Community-Based Participatory Research Model in the Prevention of Adolescent Obesity. Journal of Nutrition Education and Behavior
  • Type: Journal Articles Status: Published Year Published: 2014 Citation: Kumar J, Kidd T, Li Y, Lindshield E, Muturi N, Adhikari K. Using the Community-Based Participatory Research (CBPR) Approach in Childhood Obesity Prevention. Int J Child Health Nutr. 2014; 3:170-178.


Progress 08/01/13 to 07/31/14

Outputs
Target Audience: 6th-8th grade youth in selected low-income racial/ethnic communities Changes/Problems: The team decided to administer the survey tool to serve as a pre-assessment in the control community. Originally, pre-assessment was only planned in the intervention community with planned post-assessment in both the control and intervention community. This was decided in order to evaluate any changes seen in the control community and to better support any findings/differences found in the intervention community. What opportunities for training and professional development has the project provided? 13 continuing professional education (CPE) units for those on the project team maintaining a Registered Dietitian credential was approved for trainings previously reported and offered in Year 1 (Community Based Participatory Research model, Nutrition Environment Measures Survey tool, Active Neighborhood Checklist tool, Physical Activity Resource Assessment tool). Professional development in Year 2 included a mini-seminar on working with youth provided by our youth development specialist on the project team. Access to this information and further resources remain available for reference. How have the results been disseminated to communities of interest? Baseline environmental assessment data were shared with intervention communities via oral presentations and written reports. Baseline environmental assessment data were shared with control communities via oral presentations and written reports in Kansas and Ohio, with planned sharing in the control community of South Dakota Fall 2014. Focus group data were shared with intervention communities in all states through oral presentation and written communication. What do you plan to do during the next reporting period to accomplish the goals? Specific objectives for Year 3 include the selected communities will build a core group of community members to help lead efforts related to addressing overweight and obesity among 6th-8th grade youth; results from environmental assessment, focus groups and pre—assessment tool will be shared with the community group to assist with planning and implementation of interventions to address overweight and obesity among 6th-8th grade youth; each community will plan and begin implementation of at least one nutrition and one physical activity intervention; and community members will decide and implement an evaluation component for the community-developed intervention.

Impacts
What was accomplished under these goals? Specific objectives completed include the selected communities initiated the process of identifying their community partners to address overweight and obesity among 6th-8th grade youth; environmental assessments were completed in all communities and focus groups were conducted in the intervention communities only; results from the environmental assessment and focus groups were analyzed and used to develop the pre-assessment tool, a survey to measure the perception and behavior of youth in the intervention and control communities surrounding their fruit and vegetable intake and physical activity level, and was administered in both the control and intervention communities.

Publications

  • Type: Conference Papers and Presentations Status: Published Year Published: 2014 Citation: Leone R, Hemmingson K, Remley D, Zies S, Kattelmann K, Li Y, Kidd T. (2014). An Evaluation of Restaurants in Low-income Communities Using the Nutrition Environment Measure Survey for Restaurants (NEMS-R). FASEB Journal, 28:1019.8.
  • Type: Conference Papers and Presentations Status: Published Year Published: 2014 Citation: Hemmingson K, Leone R, Remley D, Zies S, Lindshield E, Kidd T, Adhikari K, Muturi N, Kattelmann K, (2014). A Nutrition Environment Evaluation of Grocery and Convenience Stores in Low-income Communities Using the Nutrition Environment Measurement Survey for Stores (NEMS-S). FASEB Journal, 28:LB382.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2014 Citation: Kidd T, Lindshield E, Kattelmann K, Zies S, Adhikari K, Muturi N. (2014). Starting the Spark: A Protocol for the Community-Based Participatory Research Model in the Prevention of Adolescent Obesity. Poster presentation given at the Society for Nutrition Education and Behavior Annual Conference, Milwaukee, WI. June 2014.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2014 Citation: Muturi N, Kidd T, Adhikari K, Kumar J, Bono E, Li Y, Song X. (2014). Formative Research in Addressing Obesity among Adolescents in Hispanic Communities. Poster presentation given at the Society for Nutrition Education and Behavior Annual Conference, Milwaukee, WI. June 2014.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2014 Citation: Li Y, Kidd T, Lindshield E, Kattelmann K, Zies S, Adhikari K, Muturi N, Hemmingson K, Leone R. (2014). Measurement of Built Environment That Support Physical Activity In Low-Income Communities. Poster presentation given at the Society for Nutrition Education and Behavior Annual Conference, Milwaukee, WI. June 2014.
  • Type: Conference Papers and Presentations Status: Accepted Year Published: 2014 Citation: Muturi N, Kidd T, Adhikari K, Kumar J, Lindshield E, Li Y. (2014). Understanding Childhood Obesity among Ethnic Minorities through Participatory Action Research. Poster presentation given at the International Association for Media and Communication Research 2014 Conference, Hyderabad, India. July 2014.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2014 Citation: Li Y, Kidd T, Lindshield E, Adhikari K, Muturi N, Kattelmann K, Zies S. (Submitted). Analyses of the built environments and the perceptions related to physical activity of adolescents in rural low-income ethnic communities. Poster presentation given at the Obesity Week 2014 Conference, Boston, MA. November 2014.
  • Type: Conference Papers and Presentations Status: Submitted Year Published: 2014 Citation: Li Y, Kidd T, Lindshield E, Adhikari K, Muturi N, Kattelmann K, Zies S. (Submitted). Perceptions related to nutrition, physical activity, and youth development in 6th to 8th grade, rural, limited-resource adolescents. Poster presentation given at the Obesity Week 2014 Conference, Boston, MA. November 2014.
  • Type: Journal Articles Status: Under Review Year Published: 2014 Citation: Kumar J, Adhikari K, Li Y, Lindshield E, Muturi N, Kidd T. (Submitted). Identifying barriers, perceptions and motivations related to healthy eating and physical activity in 6th to 8th grade, rural, limited-resource adolescents. Health Education (Emerald)


Progress 08/01/12 to 07/31/13

Outputs
Target Audience: 6th-8th grade youth in selected low-income racial/ethnic communities Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided? Nothing Reported How have the results been disseminated to communities of interest? Nothing Reported What do you plan to do during the next reporting period to accomplish the goals? Group members are able to train the selected community members on the CBPR model.

Impacts
What was accomplished under these goals? Group members are able to train the selected community members on the CBPR model. Over the last year, which was the first year of the project, the multistate group trained on the Community Based Participatory Research (CBPR) principles and basic components in order to identify, relate and guide community members to work within the model as it relates to obesity prevention among adolescents; identified components of successful CBPR programs for the purpose of implementing components at the individual community level; and learned relationship building techniques and tools and steps critical to upholding CBPR principles in order to plan and implement successful and sustainable health promotion interventions to individual communities. The group also trained on several environmental assessment tools (Nutrition Environment Measures Survey, Active Neighborhood Checklist, Physical Activity Resource Assessment) to assist communities in identifying environmental factors to healthy eating and physical activity.

Publications