Use of Focus Groups to Inform a Youth Diabetes Prevention Model

Vangeepuram, Nita; Carmona, Jane Thalía Aredo; Arniella, Guedy; Horowitz, Carol R.; Burnet, Deborah L.

doi:10.1016/j.jneb.2015.08.006

Cited by 10 publications

(6 citation statements)

References 49 publications

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“…These perceptions certainly have merit, given the abundant evidence that such disparities exist [ 80 , 81 ]. As in other studies, teens in our study identified several additional barriers for healthy eating and active living including taste, time, cost constraints, mood/stress, lack of motivation/energy, and neighborhood factors [ 52 , 53 , 56 , 60 , 62 , 64 , 82 , 83 , 84 , 85 , 86 , 87 ].…”

Section: Discussionsupporting

confidence: 70%

Use of Focus Groups to Inform a New Community-Based Youth Diabetes Prevention Program

McAlpin

Elaiho

Khan

et al. 2022

IJERPH

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There have been few youth-led diabetes prevention programs. Our objective was to conduct focus groups to explore peer influences on adolescent lifestyle behaviors and strategies for implementing a youth peer education model for diabetes prevention. We conducted six focus groups with 52 youth (ages 13–22; 62% male, 38% female; 64% Hispanic, 36% non-Hispanic Black) from East Harlem, NYC. We used a Thematic Analysis approach to identify major themes, compared findings, and resolved differences through discussion and consensus. Three dominant themes arose: (1) Adolescents generally encounter more unhealthy peer influences on diet and more healthy peer influences on physical activity; (2) Adolescents endorse youth-led diabetes prevention strategies and describe ideal qualities for peer leaders and methods to support and evaluate leaders; (3) Adolescents prefer text messaging to monitor behaviors, track goals, and receive personalized guidance. Using study findings, our Community Action Board developed a peer-led diabetes prevention program for prediabetic adolescents.

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Section: Discussionsupporting

confidence: 70%

Use of Focus Groups to Inform a New Community-Based Youth Diabetes Prevention Program

McAlpin

Elaiho

Khan

et al. 2022

IJERPH

Self Cite

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“…Subsequent focus group research in Appalachia has reported similar findings (26). Additional studies reflect the importance of pre-intervention assessment of the barriers to and facilitators of healthy eating in several populations (27–31). While this study was conducted in rural Appalachia, findings are similar to studies conducted in other rural regions where geographical isolation limits access to healthy foods.…”

Section: Resultsmentioning

confidence: 99%

Attitudes, social norms and perceived behavioral control factors influencing participation in a cooking skills program in rural Central Appalachia

Hardin‐Fanning

Ricks

2016

Glob Health Promot

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A focus group session, using the Theory of Planned Behavior to guide questions and discussion, was conducted at midpoint of a 12-month cooking skills program in a rural Appalachian food desert. The purpose of this qualitative study was to determine the attitudes, subjective norms and perceived behavioral control beliefs that influenced participation in these classes. Participants viewed the classes as opportunities for social interaction and to have new experiences. Subjective norms were influenced by family members and traditional cooking. Perceived behavioral control was influenced by the opportunity to try new foods without concern of food waste, acquisition of the knowledge to introduce healthy foods into family meals and enhanced food preparation skills. During the evaluation, a strong sense of participant appreciation of researcher presence was discovered. This unexpected positive component of the program will be promoted using motivational interviewing techniques to enhance adherence to healthy eating behaviors during and after cooking skills programs.

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“…Other research supportive of these findings suggests that adolescents are more likely to personalize health-related messages if they believe that there are similarities between themselves and the program messaging (Cuijpers, 2002; Stephenson et al, 2004). Furthermore, other researchers (Necheles et al, 2007; Vangeepuram, Carmona, Arniella, Horowitz, & Burnet, 2015) have demonstrated that urban minority youth are viewing health differences through an equity lens and feel that large community-based advocacy initiatives and changes to their neighborhood “foodscapes” are necessary to support dietary changes.…”

Section: Discussionmentioning

confidence: 99%

In Defense of Food Curriculum: A Mixed Methods Outcome Evaluation in Afterschool

Luesse¹,

Luesse²,

Lawson

et al. 2019

Health Educ Behav

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Background. Highly processed foods are inexpensive and abundant in our food supply, nutritionally poor, and disproportionately marketed to minority youth. This study is part of a curriculum development project to develop, implement, and evaluate the In Defense of Food (IDOF) curriculum designed to increase intake of whole/minimally processed foods and decrease intake of highly processed foods in youth. Aims. This pilot outcome evaluation was undertaken to assess initial effectiveness and to provide an in-depth understanding of changes in behavioral outcomes and psychosocial mediators. Methods. We used an explanatory mixed method approach, including a single-arm pretest–posttest of intervention effect, followed by a food rules assessment and in-depth interviews to describe participant responses to the intervention in more detail. The study was conducted in three afterschool classrooms in urban low-income neighborhoods with 32 multiethnic middle-school youth, receiving 10 weekly 2-hour sessions. Results. Two weeks postintervention, there was a large positive significant increase in whole/minimally processed food intake ( p < .01; d = 0.59) and a small decrease in consumption of highly-processed foods ( p = ns; d = 0.06), compared with baseline. Significant increases in psychosocial mediators: Self-efficacy and positive outcomes expectations were seen; others were not significant but changed in the desired direction. Qualitative assessments suggest that the intervention promoted skill building, but environmental barriers made these difficult to use. Discussion. The IDOF curriculum may be most effective for promoting consumption of fruits and vegetables, rather than decreasing intake of highly processed foods. In addition, in this young age-group, short actionable food rules may support self-regulation and behavior change. Conclusion. Among adolescent students in low-income urban neighborhoods, the IDOF afterschool curriculum may help promote self-efficacy and positive outcome expectancies and increase fruit and vegetable intake. Focusing on food processing and using “Food Rules” may be promising to elicit behavior change in youth; however, greater supports are needed to overcome social and environmental barriers.

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Use of Focus Groups to Inform a Youth Diabetes Prevention Model

Cited by 10 publications

References 49 publications

Use of Focus Groups to Inform a New Community-Based Youth Diabetes Prevention Program

Use of Focus Groups to Inform a New Community-Based Youth Diabetes Prevention Program

Attitudes, social norms and perceived behavioral control factors influencing participation in a cooking skills program in rural Central Appalachia

In Defense of Food Curriculum: A Mixed Methods Outcome Evaluation in Afterschool

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