Progress 11/15/23 to 11/14/24
Outputs
Target Audience: The intervention targets Latino youth between the ages of 10-13, living in the City of Long Beach. Inclusion criteria include: 1) Hispanic/Latino heritage (based on self-identification); 2) between the ages of 10-13 years old; and 3) resident of the City of Long Beach. Secondary participants are parents/caregivers of primary participants. Inclusion criteria for parents/caregivers includes: 1) 18 years of age or older; 2) resident of the City of Long Beach; and 3) not pregnant or planning to become pregnant in the next six months. Exclusion criteria for youth and parents includes: 1) having participated in a formalized nutrition/physical activity program within the last three months; and 2) planning to move outside of Long Beach within the next six months. During Year 4 (11/15/23-11/14/24), we outreached to 106 families in the city of Long Beach and 46 families enrolled in our intervention with varying levels of completion. This number is lower than prior years because we stopped recruiting families in July of 2024 to allow for completion of all study families' 3-month follow-up data collection which needed to be completed by the project end date of November 14, 2024. Other participants are the Community Advisory Board. The inclusion criteria included: 1) 18 years of age or older, 2) part of the project community advisory board, and 3) representative from a local community organization. The advisory board participated in two advisory board meeting this reporting period. Changes/Problems:There have been no major problems in this last reporting period. However, one approved change that the research team requested was a one-year no cost extension. This made the project's new end date 10/2025 as opposed to 11/2024. The reason for this request was to provide more time to complete the dissemination long-term goal 5. Due to a delayed start due to COVID-19 restrictions, fewer families than anticipated participated per cohort and additional cohorts were added to the year 2024. The study team needed more time to reach the 174 youth, clean through the data that had been collected, and thus the analysis had to be pushed back to a later date which will be used to complete the dissemination long-term goal 5. What opportunities for training and professional development has the project provided?During this reporting period, research fellows gained hands-on research experience through the implementation ande evaluation of the intervention. A total of 8 students also received training in the development of an abstract and research poster presentation using study data.Additionally, there were 11 training workshops provided to research fellows for their professional development. The workshops ended in July 2024 because that was the last month of the fellows' 10-month fellowship. All workshops and trainings are listed below: EPG Survey Data Collection (1/11/2024) EPG Accelerometer Data Collection (1/12/2024) EPG Anthropometric Data Collection (1/12/2024) Writing an Abstract (1/19/2024) Qualitative Methods (2/9/2024) Introduction to Research Poster Development (3/18/2024) Graduate School Panel (3/22/2024) Research Poster Presentations (4/19/2024) Resume/CV (5/9/2024) Motivational Interviewing (7/5/2024) Fellowship Final Presentations (7/15/2024) How have the results been disseminated to communities of interest?Preliminary study findings were presented at the Society for Nutrition Education and Behavior Conference. Abstract titled "Preliminary Results of Eat, Play, Go! Integrated Transdisciplinary Research, Education and Extension Project to Prevent Latino Youth Obesity" was published in the Journal of Nutrition Education and Behavior, Volume 56, Issue 8 and the corresponding research poster was presented at the Society of Nutrition Education and Behavior Conference in July 2024. What do you plan to do during the next reporting period to accomplish the goals?As objectives 1, and 5-12 have all been met, the only remaining objectives are those that correspond to the long-term dissemination goal 5. This next year the principal investigator and project manager will be focusing on finalizing the databases, and data analysis which will be needed to complete the YouTube video, research presentations and posters at public health conferences, and the manuscript to disseminate the intervention results. The research team is also working on a manuscript to publish the curriculum development process.
Impacts
What was accomplished under these goals?
Long-term goal 1 and 4: We enrolled 187 Latino families with 223 children into our program. We successfully met our goal of working with 174 youth as there were 185 children. There were 157 accompanying adults who also completed the health education sessions. During this reporting period, the project provided health education sessions to 52 children and 46 adults. We provided valuable nutrition and physical activity health education to Latino families and made the sessions more accessible by hosting them at parks and community organizations near participant homes, and via zoom. In terms of reducing overweight and obesity in this study population, among children, we did not observe significant changes in BMI percentile. However, we did observe significant changes in waist circumference from pre-intervention (M=31.48, SD=6.66) to post-intervention (M=30.51, SD=6.64) among child participants. Although not statistically significant, a reduction in body fat mass was also observed among children from pre- to post-intervention. In terms of adherence to healthier lifestyles, we observed higher levels of physical activity as family from pre-intervention (M=2.38, SD=1.77) to post-intervention (M=2.70, SD=1.93), as well lower consumption of sugar sweetened drinks from pre-intervention (M=1.53, SD=1.6) to post-intervention (M=1.09, SD=1.26) among child participants (p<.00). Long-term goal 2: The last 2 research fellows for this project (1 undergraduate research fellow and 1 graduate research fellow) completed their fellowship in July 2024. Additionally, 16 interns worked on our community-based research intervention during this reporting period. We have successfully met this goal. Long-term goal 3: The last 2 Community Advisory Board meetings were held in 2024, and this goal was successfully met. Objective 1: From11/15/23 - 11/14/24 we enrolled 46 families into our intervention.This objective was successfully met as 223 youth and 187 adults were enrolled in the EPG intervention. The number of children and adults who successfully completed their participation in the intervention is found in objective 10. Objective 2: The final youth sample analyzed to review dietary changes from pre-to-post was 183 participants.Findings show increases in fruit and vegetable intake from pre-to-post intervention. Daily fruit intake significantly increased from pre-intervention (M=2.57, SD=.83) to post-intervention (M=3.05, SD=.95) among youth participants (t(181)=6.02, p<.001).Increases in vegetable consumption were also observed among youth participants.Daily vegetable intake significantly increased among youth from pre-intervention (M=2.63, SD.98) to post-intervention (M=2.82, SD=1.02), t(181)= 2.54, p<.05.Intervention findings also demonstrate a decrease in the consumption of sugar sweetened beverages from pre-intervention (M=8.18, SD=6.75) to-post intervention (M=6.80, SD=6.80, SD=5.27), t(181)=-3.28, p<.01.Similarly, fast food consumption per week decreased from pre-intervention (M=1.78, SD=1.3) to post-intervention (M=1.52, SD=1.17) for youth participants, t(183)=-2.60, p<.05 Objective 3: Final sample analyzed to review changes in physical activity from pre-to-post using ActivPal data was 99 youth. The remaining participant data was removed due to missing or invalid data. Preliminary findings show no significant changes in physical activity from pre-to-post intervention. The average stepping time in minutes from pre-intervention (M=117.04, SD=143.18) to post-intervention (M=116.16, SD=40.74): t(99)=-0.26, p=0.79. Objective 4: Final sample analyzed to review changes in sedentary behavior from pre-to-post using ActivPal data was n=99 youth. The remaining participant data was removed due to missing or invalid data. Preliminary findings show no significant changes in sedentary behavior from pre-to-post intervention. The average sedentary time in minutes from pre-to-post slightly decreased as observed from the following pre-intervention (M=705.23, SD=128.18) to post-intervention (M=685.00=, SD=138.77) findings t(99)=-1.34, p=0.18. Objective 5: During this reporting period the last 2 fellowships were completed in July, 2024.This objective was successfully met as there were a total of 12 fellowships provided over the course of the entire study period (2020-2024.) Objective 6: During the reporting period 11/15/23-11/14/2024, the trainings given to the fourth cohort of research fellows included various workshops throughout the year and ended the last month of their fellowship.This objective was successfully completed and the workshop topics for community-engaged research are below: Objective 7: Weekly team meetings and individual check-in meetings were held with the program manager and each research fellow to allow for guidance and mentorship. The PI also held monthly meetings with the students guided by an Individua Development Plan. Meeting agenda items included: project tasks, career planning, research opportunities, plans after graduation, campus resources, and student well-being. There were also 11 trainings provided to research fellows throughout the year that supported their professional development. A few of the topics were: motivational interviewing, resume/CV, introduction to research poster development, writing an abstract, data collection on surveys, anthropometric, and Activpal accelerometers, and fellowship final presentations.This objective was successfully met. Objective 8: The last 2 Community Advisory Board meetings were held on 3/19/2024 and 9/10/2024. In these meetings, project updates were given, the CAB had an opportunity to provide feedback, and the research team thanked them for their support over the last four years.This objective was successfully met. Objective 9: Outcome was reported in Y1 Annual Report and this objective was successfully met. Objective 10: There were 185 Latino youth and 157 adults who successfully completed the 4 classes of the Eat, Play, Go! intervention.This objective was successfully met. Objective 11: For this reporting period, there were 152 booster sessions completed: 72 of which were Booster Call #1, and 80 of which were Booster Call #2. Objective 12: The 185 Latino youth and their families who completed the health education sessions received weekly text messages sent by research team members. Participants did not always respond but the weekly text messages provided reinforcement of the Eat, Play, Go! intervention content.This objective was successfully met. Objective 13: With the conclusion of the intervention health education sessions, the principal investigator and project manager are working on the analysis needed for this YouTube video. The video will be published to the public in 2025. Objective 14: Preliminary findings of the EPG intervention have been presented at the Society for Nutrition Education and Behavior conference in July of 2024. The Principal Investigator will be presenting final results and best practices at future public health conferences in 2025 after all intervention data has been analyzed. Objective 15: Two manuscripts will be developed. An initial manuscript focused on the health educational curriculum has begun to be developed and the research study team anticipates submitting it for publication in 2025.
Publications
|
Progress 11/15/22 to 11/14/23
Outputs
Target Audience: The intervention targets Latino youth between the ages of 10-13, living in the City of Long Beach. Inclusion criteria includes: 1) Hispanic/Latino heritage (based on self-identification); 2) between the ages of 10-13 years old; and 3) resident of the City of Long Beach. Secondary participants includeparents/caregivers of primary participants. Inclusion criteria for parents/caregivers includes: 1) over 18 years of age; 2) resident of the City of Long Beach; and 3) not pregnant or planning to become pregnant in the next six months. Exclusion criteria for youth and parents includes: 1) having participated in a formalized nutrition/physical activity program within the last three months; and 2) planning to move outside of Long Beach within the next six months. During Year 3 (11/15/22-11/14/23), we have outreached to 384 families in the city of Long Beach and 59 families have enrolled in our intervention. Changes/Problems:No changes or problems to report this period. What opportunities for training and professional development has the project provided?During this reporting period, there were 13trainings provided to research fellows that aid in their professional development. All workshops and trainings are listed below: EPG Accelerometer Data Collection (1/4/2023) EPG Anthropometric Data Collection (1/4/2023) EPG Survey Data Collection (1/5/2023) Nutrition 101 (2/8/2023) Working with Children (3/8/2023) Nutrition Questions on Sugar (4/25/2023) Motivational Interviewing (5/15/2023) Intervention Project Management (6/1/2023) IRB (9/13/2023) Budgeting for Interventions (9/27/23) Developing Interventions & Programs (10/17/23) Reviewing a Funding Announcement (11/7/23) Working with the Community (12/19/23) How have the results been disseminated to communities of interest?Preliminary results have been presented to scientific audiences at three different conferences including the Society of Behavioral Medicine (April 2023), Society of Nutrition and Education Behavior (July 2023), and the American Public Health Association (November (2023). Preliminary results have also been shared with the Community Advisory Board (September 2023). What do you plan to do during the next reporting period to accomplish the goals?We continue to recruit and engage study participants to the intervention and data collection. We will also continue to train the current research fellows and provide them with mentorship and professional development opportunities.
Impacts
What was accomplished under these goals?
Objective1: To enroll 174 Latino youth and their families to participate in the Eat, Play, Go! intervention. To date, 147youth and theirfamilies have been enrolled in the intervention. We are on track to meet our objectve of reaching 174 youth and their families. Objective 2: To assess dietary changes (increases in fruit and vegetable intake/ decreases in sugars weetened beverages and fast food consumption) among youth from pre-to-post intervention. In preliminary analysis, among youth participants (n=130), we observed significant increases in average number of vegetables consumed from baseline (mean=2.63) to post intervention (mean=2.86), t(129)=2.73, p<.05. Significant decreases in fast food comsumption were also observed from baseline (mean=1.74) to post intervetnion (mean=1.46), t(133)=-2.78, p<.05. No significant increases in fruit consumption were observed between baseline and post analysis. Similarly, no decreases in sugar sweetened beverages were observed. Objective 3: To assess changes in physical activity among youth from pre-to-post intervention. In preliminary analysis, there were no signifcant changes in physical activity time from pre-to-post intervention. Objective4: To assess changes in sedentary behavior among youth from pre-to-post intervention. In preliminary analysis, signicant decreases in self-reported hours of sedentary time were observed from baseline (mean=4.70) to post intervention (mean=4.44), t(132)=-2.05, p<.05. Also, with objective measures a decrease in sedentary time was observed although significance was not achieved. Objective 5: To provide six (6) graduate and six (6) undergraduate students with an experiential learning fellowship. Two to four (2-4) fellowships will be provided each year. A total of 11students were recruited and selected as research fellows, one graduate student from year 1 was approved by the project officer to completean additional year to allow for addiitonal training delayed during COVID-19 restrictions. Objective 6: To train fellows in community-engaged research, health promotion, and implementation. During this past year, a total of 6 fellows received training as well 12 additional students. A total of 13 trainings were delivered. Objective 7: To provide fellows with mentorship, career guidance, and professional development. During the past year, fellows met with the PI on monthly basis and weekly the project manager. The topics discussed included career planning, professional development, research, and training needs. Objective 8: To engage a Community Advisory Board to provide ongoing guidance and direction for the content and delivery of the Eat, Play, Go! intervention. A total of three meetings were held this reporting period (November 2022, March 2023, and September 2023). The topics including project progress, discussion for recruitment and guidance on content delivery. Objective 9: To engage community stakeholders in six (6) focus groups of 8-10 participants to inform the design and implementation of the Eat, Play, Go! intervention. Six virtual focus groups were held during year 1 of the project. A total of 14 children and 18 adults participated in panel focus groups to provide feedback on study design, implementation plans, and intervention content. Objective 10: To engage 174 Latino youth and their families in the Eat, Play, Go! intervention including four group sessions (two in-home sessions, one grocery store tour, and one physical activity session). To date, there have been 147 Latino youth and their families who successfully completed the four EPG sessions. Objective 11: To provide support to 174 Latino youth and their families in the Eat, Play, Go! with two telephone booster sessions. During this reporting period, a total of 185 boosters were completed, 98 for booster call 1 and 87 for booster call 2. Objective 12: To provide reinforcement of the Eat, Play, Go! intervention content through automated text messages to 174 youth and their families. To date, the 147 Latino youth and their families have received text messages to reinforce content from the intervention sessions.
Publications
- Type:
Conference Papers and Presentations
Status:
Published
Year Published:
2023
Citation:
Trinidad, P., Martinez, P., Velazquez, G., & Garcia, M. (2023, November 12-15).?Preliminary changes in Latino childrens BMI and consumption of unhealthy snack foods in eat, play, go! obesity prevention study.?[Poster Presentation] American Public Health Association Conference, GA, United States.
- Type:
Conference Papers and Presentations
Status:
Published
Year Published:
2023
Citation:
Garcia, M., *Luna, A., *Vel�squez, G., & Trinidad, P. (2023). Eat, Play, Go! Integrated Transdisciplinary Research, Education, and Extension Project to Prevent Latino Youth Obesity. Journal of Nutrition Education and Behavior, 55(7S).
- Type:
Conference Papers and Presentations
Status:
Published
Year Published:
2023
Citation:
Trinidad, P., Gatdula, N., *Rojas, K., & Garcia, M. (2023). Assessing pilot pre and post consumption of unhealthy foods and beverages in an obesity prevention study among Latino children. Annals of Behavioral Medicine, 57(1): S1-S646
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Progress 11/15/21 to 11/14/22
Outputs
Target Audience: The intervention targets Latino youth between the ages of 10-13, living in the City of Long Beach. Inclusion criteria includes: 1) Hispanic/Latino heritage (based on self-identification); 2) between the ages of 10-13 years old; and 3) resident of the City of Long Beach. Secondary participants will be parents/caregivers of primary participants. Inclusion criteria for parents/caregivers includes: 1) over 18 years of age; 2) resident of the City of Long Beach; and 3) not pregnant or planning to become pregnant in the next six months. Exclusion criteria for youth and parents includes: 1) having participated in a formalized nutrition/physical activity program within the last three months; and 2) planning to move outside of Long Beach within the next six months. During Year 2 (11/15/21-11/14/22), we have outreached to 220 families in the city of Long Beach and 66 families have enrolled in our intervention with varying levels of completion. Changes/Problems:With the persistence of COVID-19, we continue to include an option for holding intervention health education sessions virtually. If adults are not fully vaccinated for COVID-19 they may still participate if they provide proof of a negative COVID result before attending any in-person session. Much of the adults in this study population were still not fully vaccinated, thus the negative test result provided a solution to allow them to still participate. The screening scripts for eligibility have been updated to match these changes. We have also changed the booster texts to be delivered after the intervention as opposed to during and after the intervention. This change was implemented so as to not overwhelm the families with too frequent communication. The last change has been to include fitbits as an alternative to the ActivPAL accelerometer to measure physical activity. We have had to include fitbits as an accelerometer option for a variety of reasons including, children losing the ActivPAL, skin irritation with the ActivPAL bandages, and water damage to the ActivPALs which result in no data being collected.? What opportunities for training and professional development has the project provided? During this reporting period, there were 17 trainings provided to research fellows that aid in their professional development. All workshops and trainings are listed below: • EPG Survey Data Collection (1/25/2022) • EPG Accelerometer Data Collection Training (2/1/2022), • Introduction to Research Posters (2/8/2022) • Motivational Interviewing (2/15/2022) • Digestive System (2/22/2022) • Anthropometric Measures (2/22/2022) • SPSS Database Development and Data Management (3/1/2022) • Recruitment Practices (3/8/2022) • Elevator Speeches (3/8/2022) • Professional Development (4/11/2022) • Fast Food Strategies Workshop (5/16/2022) • ActivPAL & Anthro Data Collection (5/20/2022) • Carbohydrates Nutrition (7/11/2022) • My Leadership Self (9/9/2022) • Data Entry into SPSS (9/15/2022) • Teamwork & Communication (10/14/2022) • Resume and CV Workshop (11/18/2022) How have the results been disseminated to communities of interest?The intervention has not been completed thus no results have been disseminated. However, an abstract to present on consumption of unhealthy foods and beverages titled "Assessing Pilot Pre and Post Consumption of Unhealthy foods and beverages in an Obesity Prevention Study Among Latino Children" has been accepted for presentation at the Society of Behavioral Medicine's Annual Conference in April 2023. What do you plan to do during the next reporting period to accomplish the goals?We will continue recruiting participants for the Eat, Play, Go! intervention and will continue providing the workshops and trainings for the research fellows.We will also continue with evaluatione efforts.
Impacts
What was accomplished under these goals?
Although the project is not yet completed, the impact has been on the 57 Latino families we have enrolled into our program and provided health education classes to. We have provided valuable nutrition and physical activity health education to Latino children and their families in order to reduce overweight and obesity in this study population. Objective 1: To enroll 174 Latino youth and their families to participate in the Eat, Play, Go! Intervention.From 11/15/21 - 11/14/22 we have enrolled 57 families into ourintervention. This objective is on track for successful completion. Objective 2: To assess dietary changes (increases in fruit and vegetable intake/ decreases in sugar sweetened beverages and fast food consumption) among youth from pre-to-post intervention.Final sample analyzed to review dietary changes from pre-to-post was n=59 youth (two families enrolled 2 children). The following pre-test and post-test mean scores were observed: Fruit Intake (Pre 2.49 to Post 2.07) (M=.43, SD=1.6): t(58)=2.02, p=0.05) and Vegetable Intake (Pre 2.92 to Post 2.67) (M=.25, SD=2.4): t(58)=.81, p=.42). Additionally, when asked how many times you eat fruit on an average day, 75% (n=44) reported at least 2 times per day at pre compared to 68% (n=40) at post. Lastly, 47% (n=28) reported eating vegetables at least 2 times per day on an average day at pre compared to 61% (n=36) at post.Although a decrease in the consumption of sugar sweetened beverages is observed from pre-to-post intervention, the change in mean scores from pre-to-post was not significant (Pre .69 to Post .56) (M=.13, SD=.56): t(58)=1.76, p=.08). With this small sample, it may be difficult to observesignificant changes at this time.Finally, the frequency in fast food consumption per week decreased from pre-to-post. At pre, 49% (n=29) of youth reported eating from a fast food restaurant less than 2 days per week compared to 66% (n=39) at post. Objective 3: To assess changes in physical activity among youth from pre-to-post intervention.Final sample analyzed to review changes in physical activity from pre-to-post using ActivPal data was n=39 youth. The remaining participant data was removed due to missing or invalid data. The average stepping time in minutes from pre-to-post decreased slightly as observed from the following mean scores (Pre 118.9 to Post 113.8) (M=5.2, SD=27.0: t(38)=1.19, p=.24). No signiticance detected at this time. Objective 4: To assess changes in sedentary behavior among youth from pre-to-post intervention.Final sample analyzed to review changes in sedentary behavior from pre-to-post using ActivPal data was n=39 youth. The remaining participant data was removed due to missing or invalid data.The average sedentary time in minutes from pre-to-post increased slightly(Pre 728.0 to Post 734.8) (M=-6.8, SD=129.6: t(38)=-.33, p=.75).Furthermore, self-report data from participant surveys showed that the majority of youth (74%, n=43) spent at least 2 hours per day watching shows or movies on TV or on an electronic device at pre and at post. Additionally, decreases in time spent playing video or computer games were observed. Aproximately 64.4% (n=38) of participants reported playing video or computer games or using a computer for something that is not school work for at least 2 hours per day at pre, compared to 57.6% (n=34) at post. Objective 5: To provide six (6) graduate and six (6) undergraduate students with an experiential learning fellowship. Two to four (2-4) fellowships will be provided each year.In January 2022 we granted 4 fellowships and in August 2022 we granted 2 more fellowships. Two of the fellowships have gone to graduate students and four of the fellowships have gone to undergraduates. This objective is on track for successful completion. Objective 6: To train fellows in community-engaged research, health promotion, and implementation.During the reporting period 11/15/21-11/14/2022, the trainings that have been given to the second cohort of research fellows include a 3-day Orientation (January 10-12th,2022) and 16workshops throughout the year . This objective is on track for successful completion and some examples of workshop topics for areSurvey Data Collection; Accelerometer Data Collection; Digestive System. Objective 7: To provide fellows with mentorship, career guidance, and professional development.Weekly team meetings and individual check-in meetings are held with the program manager and each research fellow to allow for guidance and mentorship. The PI also holds monthly meetings with the students guided by an Individual Development Plan. Meeting agenda items include: project tasks, career planning, research opportunities, plans after graduation, campus resources, and student well-being. There were also 17 trainings provided to research fellows throughout the year that aid in their professional development. A few of the topics were: Elevator speeches, motivational interviewing, resume/CV, introduction to research poster development, data collection on surveys, anthropometric, and activpal accelerometers, recruitment Practices, SPSS data entry, Teamwork and Communication, and Nutrition topics. Objective 8: To engage a Community Advisory Board to provide ongoing guidance and direction for the content and delivery of the Eat, Play, Go! Intervention.There have been 3 Community Advisory Board meetings held (2/11/22, 5/13/22, 8/12/22) where project updates were given and the CAB had an opportunity to provide feedback. Due to members' limited availability, the meetings have been moved to twice per year as opposed to quarterly. Objective 9: To engage community stakeholders in six (6) focus groups of 8-10 participants to inform the design and implementation of the Eat, Play, Go! Intervention.Six (6) virtual focus groups were held over Zoom to receive feedback and suggestions for the content and delivery methods of the intervention. The six (6) focus groups were divided into two sets. The first set of focus groups took place in June 2021 and provided the research team with information and suggestions on the appropriate content to meet the needs of the Latino target population. This information was subsequently used in the development of the curriculum. The second set of focus groups occurred in August 2021 to allow the groups to review and provide feedback on the drafted intervention curriculum. The first set included 3 focus groups, one per distinct group of participants, and the second set had the same structure. Our three distinct groups of participants were: 1) Community Advisory Board Members, 2) Parents of children between the ages 10-13 years old, and 3) Children between the ages of 10-13 years old. We successfully recruited the target participants through email, organization websites, social media and by encouraging the snowball method. The number of participants included 14 children and 18 adults. Objective 10: To engage 174 Latino youth and their families in the Eat, Play, Go! intervention including four group sessions (two in-home sessions, one grocery store tour, and one physical activity session).There have been 59 Latino youth and their families who have successfully completed the 4 classes of the Eat, Play, Go! intervention. This objective is on track for successful completion. Objective 11: To provide support to 174 Latino youth and their families in the Eat, Play, Go! with two telephone booster sessions.For this reporting period, there were 142 booster sessions completed: 79 of which were Booster Call #1 and 63 of which were Booster Call #2. Objective 12: To provide reinforcement of the Eat, Play, Go! intervention content through automated text messages to 174 youth and their families.The 63 Latino youth and their families have received the text messages to provide reinforcement of the Eat, Play, Go! intervention content. This objective is on track for successful completion.
Publications
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Progress 11/15/20 to 11/14/21
Outputs
Target Audience: For the focus groups needed to inform the development of the intervention curriculum, three distinct groups of participants were targeted. Group 1 was the Community Advisory Board. The inclusion criteria included: 1) 18 years of age or older, 2) part of the project community advisory board, and 3) representative from a local community organization. Group 2 consisted of Parents of children between the ages of 10-13 years old. The inclusion criteria included: 1) self-identify as Hispanic/Latino, 2) 18 years of age or older, and 3) parents of a child between 10-13 years old, 4) residing in Los Angeles County. Group 3 consisted of Children between the ages of 10-13 years old. The inclusion criteria included: 1) self-identify as Hispanic/Latino, 2) between the ages of 10-13 years old, and 4) residing in Los Angeles County. The intervention targets Latino youth between the ages of 10-13, living in the City of Long Beach. Inclusion criteria includes: 1) Hispanic/Latino heritage (based on self-identification); 2) between the ages of 10-13 years old; and 3) resident of the City of Long Beach. Secondary participants will be parents/caregivers of primary participants. Inclusion criteria for parents/caregivers includes: 1) over 18 years of age; 2) resident of the City of Long Beach; and 3) not pregnant or planning to become pregnant in the next six months. Exclusion criteria for youth and parents includes: 1) having participated in a formalized nutrition/physical activity program within the last three months; and 2) planning to move outside of Long Beach within the next six months. Changes/Problems:Due to COVID-19, intervention health education sessions had to be modified to a virtual-delivery format. However, we continue to provide participants with the same curriculum information needed to meet project goals and appropriately evaluate the intervention. Additionally, the eligibility criteria and recruitment/intervention protocols have been updated to follow COVID-19 guidelines set forth by the health department and CDC to minimize risk of exposure. Moving forward, parents of youth participants will be required to be fully vaccinated for COVID-19 and all participants, youth and adults, will be required to wear masks for any in-person interaction. What opportunities for training and professional development has the project provided?Each student research fellow begins with an intensive three-day orientation and training (See Table 2). The purpose of the training is to provide research fellows with an understanding of the research process, specifically, CBPR as it relates to nutrition and Latino health and responsible and ethical conduct of research. Table 2. Training and Orientation Overview Day 1: Project overview, introduction to obesity related conditions in Latino children, and nutrition-related chronic diseases. Day 2: Introduction to mixed methods research including quantitative and qualitative data, effective research methods for working with Latinos including Community-Based Participatory Research and Community Health Workers. Day 3: Culturally responsive nutrition education among Latinos including cultural and linguistic competence and appropriate services (CLAS), intervention curriculum overview, and data collection protocols and procedures. After the orientation and initial training, fellows continue to be trained in: Various aspects of research (ex. Data collection, intervention curriculum) through attending workshops by guest-speakers Professional development through workshops on networking and elevator speeches, resumes and curriculum vitae, professional etiquette, interviewing techniques, job/salary negotiation, graduate school preparation, and a professional panel. One-on-one mentorship meetings with faculty and staff where fellows are encouraged to create a research abstract to submit to free local conferences, apply for scholarships, programs, graduate school, and jobs. Collaborating in weekly team project meetings. Individualized focus areas based on their interests to further their preparation and training. Focus area topics include curriculum development, motivational interviewing, data entry and management, manual of procedures, intervention implementation, social media campaign, and peer-led education workshops. 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?We are on track to continue meeting the project goals and objectives. The new group of research fellows will be implementing 2-3 cohorts per month to reach the 174 youth participants and their families. Due to COVID-19, the virtual delivery format will be offered to intervention participants in addition to an in-person delivery format. We do not anticipate any issues with recruiting for either type of delivery format. We will also continue to provide students with training, mentorship, and development opportunities.
Impacts
What was accomplished under these goals?
Objective 1: To enroll 174 Latino youth and their families to participate in the Eat, Play, Go! Intervention. The enrollment of participant youth and their families has not commenced as COVID-19 required alteration to the intervention in the form of a virtual delivery format. To prepare for implementation, we are conducting pilot sessions for training purposes and to identify areas for refinement. The first pilot with a virtual delivery format included 3 youth and their families. The second and final pilot with virtual delivery format is currently underway and includes 4 youth and their families. We will commence holding 2-3 groups of participants each month to reach the goal of 174 families. Objective 2: To assess dietary changes (increases in fruit and vegetable intake/ decreases in sugar sweetened beverages and fast food consumption) among youth from pre-to-post intervention. This has yet to be evaluated with intervention participants as we have only piloted the intervention up to this point. Objective 3: To assess changes in physical activity among youth from pre-to-post intervention. This has yet to be evaluated with intervention participants as we have only piloted the intervention up to this point. Objective 4: To assess changes in sedentary behavior among youth from pre-to-post intervention. This has yet to be evaluated with intervention participants as we have only piloted the intervention up to this point. Objective 5: To provide six (6) graduate and six (6) undergraduate students with an experiential learning fellowship. Two to four (2-4) fellowships will be provided each year. In the first year, one graduate student and one undergraduate student were onboarded as research fellows. We are currently in the second year and have added one more graduate student and two more undergraduate students as research fellows. This objective is on track for successful completion. Objective 6: To train fellows in community-engaged research, health promotion, and implementation. This is currently underway with two graduate students and three undergraduate student research fellows. The trainings that have been given to the first cohort of research fellows include: 3-day Orientation (March 1-3rd , 2021), Focus Groups (June, 2021), Survey Administration (September 7, 2021), and Motivational Interviewing (September 17, 2021). The trainings that have been given to the second cohort of research fellows include: 3-day Orientation (January 10-12th,2022), , EPG Survey Data Collection Training (January 25th , 2022), EPG Accelerometer Data Collection Training (February 1st,2022), and Introduction to Research Posters (February 8, 2022). This objective is on track for successful completion. Objective 7: To provide fellows with mentorship, career guidance, and professional development. Weekly team meetings and individual check-in meetings are held with the program manager and each research fellow to allow for guidance and mentorship. The professional development trainings that have been provided to research fellows include the topics: Elevator speeches, motivational interviewing, resume/CV, introduction to research poster development. The PI also holds monthly meetings with the students guided by an Individua Development Plan. Meeting agenda items include: career planning, research opportunities, requirements for graduate programs, campus resources, and student well-being. Objective 8: To engage a Community Advisory Board to provide ongoing guidance and direction for the content and delivery of the Eat, Play, Go! Intervention. Community Advisory Board meetings are held every three months to receive feedback and provide updates on the intervention. Each meeting has been held virtually on the dates: 2/12/21, 5/14/21, 8/19/21, 11/19/21, and 2/11/22. The community advisory board has 9 members: Eva Martinez - Long Beach Department of Health and Human Services Community Health Worker Sheila Grantham - Adventures to Dream Non-profit Director Patricia Barreto - Pediatrician Nubia Flores Cedeno - LB Forward Non-profit Lead Parent Organizer Selena Nguyen Rodriguez - California State University of Long Beach Health Science Professor Lance Holliday - Boys & Girls Club Non-profit Director of Program Development Evelyn Anaya - Long Beach Parent Lucia Muro - Los Angeles County Health Educator Hanna Stribling - Healthy Active Long Beach Program Coordinator Objective 9: To engage community stakeholders in six (6) focus groups of 8-10 participants to inform the design and implementation of the Eat, Play, Go! Intervention. Six (6) virtual focus groups were held over Zoom to receive feedback and suggestions for the content and delivery methods of the intervention. The six (6) focus groups were divided into two sets. The first set of focus groups took place in June 2021 and provided the research team with information and suggestions on the appropriate content to meet the needs of the Latino target population. This information was subsequently used in the development of the curriculum. The second set of focus groups occurred in August 2021 to allow the groups to review and provide feedback on the drafted intervention curriculum. The first set included 3 focus groups, one per distinct group of participants, and the second set had the same structure. Our three distinct groups of participants were: 1) Community Advisory Board Members, 2) Parents of children between the ages 10-13 years old, and 3) Children between the ages of 10-13 years old. We successfully recruited the target participants through email, organization websites, social media and by encouraging the snowball method. The number of participants included 14 children and 18 adults. Objective 10: To engage 174 Latino youth and their families in the Eat, Play, Go! intervention including four group sessions (two in-home sessions, one grocery store tour, and one physical activity session). Due to COVID-19, the in-person/in-home sessions were postponed and instead a virtual delivery format is currently being piloted. In-person/in-home sessions are expected to begin in April with a continuation of virtual and in-person delivery formats being offered to participants. Objective 11: To provide support to 174 Latino youth and their families in the Eat, Play, Go! with two telephone booster sessions. This has yet to be done with intervention participants as we have only piloted the intervention up to this point. The first pilot cohort has completed the telephone boosters, however the second pilot cohort is currently undergoing the 4 health education sessions, thus the telephone boosters are expected to occur at the end of March 2022 and again at the end of April 2022. Objective 12: To provide reinforcement of the Eat, Play, Go! intervention content through automated text messages to 174 youth and their families. This has yet to be done with intervention participants as we have only piloted the intervention up to this point. Text messages were successfully sent to the first pilot cohort and will be sent to the second pilot cohort after they complete the 4 health education sessions.
Publications
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