Turn off the TV and dance!
Type of Spiritual Experience
A description of the experience
Ethn Dis. 2013 Autumn;23(4):452-61.
Turn off the TV and dance! Participation in culturally tailored health interventions: implications for obesity prevention among Mexican American girls.
Azevedo KJ1, Mendoza S2, Fernández M2, Haydel KF2, Fujimoto M2, Tirumalai EC2, Robinson TN2.
- 1Solutions Science Lab, Division of General Pediatrics & Stanford Prevention Research Center, Stanford University, Medical School Office Building, 1265 Welch Road, X129, Stanford, CA 94305-5415, USA. Dr.KathrynAzevedo@gmail.com
- 2Solutions Science Lab, Division of General Pediatrics & Stanford Prevention Research Center, Stanford University, Medical School Office Building, 1265 Welch Road, X129, Stanford, CA 94305-5415, USA.
Our evaluation study identifies facilitators and barriers to participation among families participating in the treatment arm of Stanford ECHALE. This culturally tailored obesity prevention trial consisted of a combined intervention with two main treatment components:
1) a folkloric dance program; and
2) a screen time reduction curriculum
designed for 7-11 year old Latinas and their families. We conducted 83 interviews (40 parents and 43 girls) in participant homes after 6 months of enrollment in the ECHALE trial. The Spradley ethnographic method and NVivo 8.0 were used to code and analyze narrative data. Three domains emerged for understanding participation:
1) family cohesiveness;
2) perceived gains; and
3) culturally relevant program structure.
Two domains emerged for non-participation: program requirements and perceived discomforts. Non-parametric, Spearman's rank correlation coefficients were calculated to assess the relationships with participant attendance data. Sustained participation was most strongly influenced by the domain perceived gains when parents reported better self-esteem, confidence, improved attitude, improved grades, etc. (Spearman r = .45, P = .003).
Alternatively, under the domain, perceived discomforts, with subthemes such as child bullying, participation in the combined intervention was inversely associated with attendance (Spearman r = -.38, P = .02).
Family-centered, school-based, community obesity prevention programs that focus on tangible short-term gains for girls may generate greater participation rates, enhance social capital, and promote community empowerment. These factors can be emphasized in future obesity prevention program design and implementation.
The source of the experiencePubMed
Concepts, symbols and science items
Activities and commonsteps
Exercising and keeping fit
Listening to beating sounds
Listening to music