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    La Vida Buena (The Good Life) evaluation: a quasi experimental intervention of a community health worker-led family-based childhood obesity program for Latino children 5-8 years of age on the US-Mexico border

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    Author
    Tucker, Kathryn M
    Ingram, Maia
    Doubleday, Kevin
    Piper, Rosie
    Carvajal, Scott C
    Affiliation
    Univ Arizona, Prevent Res Ctr
    Issue Date
    2019-06-14
    Keywords
    Childhood obesity
    Community health workers
    Community-academic partnership
    Latino
    
    Metadata
    Show full item record
    Publisher
    BMC
    Citation
    Tucker, K. M., Ingram, M., Doubleday, K., Piper, R., & Carvajal, S. C. (2019). La Vida Buena (The Good Life) evaluation: a quasi experimental intervention of a community health worker-led family-based childhood obesity program for Latino children 5–8 years of age on the US-Mexico border. BMC public health, 19(1), 759.
    Journal
    BMC PUBLIC HEALTH
    Rights
    © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Background: Due to multiple and interacting factors, Latino children are disproportionately at risk for overweight and obesity in the United States. Childhood obesity increases the risk for adverse physical and psychosocial outcomes throughout the lifespan. Intensive behavioral interventions recommended in primary care settings may not conform to current practices, and the most vulnerable populations are often unable to access these services. Community Health Workers (CHWs) offer a promising approach to bridging the gap between vulnerable communities and culturally competent services. La Vida Buena (The Good Life) is an 8-week family-focused intervention for Latino children 5-8years old and their parents or caregivers who are patients at a Federally-Qualified Community Health Center (FQHC). It is a culturally and linguistically appropriate curriculum, facilitated by CHWs, that targets family behaviors to foster a healthy lifestyle in order to prevent and mitigate childhood overweight and obesity. Methods: The primary objective is to test the effectiveness of the La Vida Buena (LVB) childhood obesity program among Latino children 5-8years old and their families as compared with a single educational session. This study uses a parallel two-arm quasi-experimental design. The intervention group receives the 8-week La Vida Buena intervention and the comparison group receives a single educational session. The primary outcome is the change in the child's BMI z-score from baseline to 6 months. Discussion: The implementation and evaluation of La Vida Buena may inform research and practice for linking Latino patients in FQHCs to culturally responsive community-based childhood obesity interventions. It will also contribute to the literature about CHWs as facilitators of behavior change for families underserved by health services and preventive programs. La Vida Buena can serve as a culturally and linguistically appropriate early intervention curriculum that will foster a healthy home environment for childhood obesity mitigation and prevention. Trial registration: The trial was retrospectively registered on December 18, 2018. The ClinicalTrials.gov Identifier is NCT03781856.
    Note
    Open access journal
    ISSN
    1471-2458
    PubMed ID
    31200685
    DOI
    10.1186/s12889-019-7081-x
    Version
    Final published version
    Sponsors
    U.S. Department of Health and Human Services Office of Minority Health through the Empowered Communities for a Healthier Nation grant [5-CPIMP171152-02-05]
    ae974a485f413a2113503eed53cd6c53
    10.1186/s12889-019-7081-x
    Scopus Count
    Collections
    UA Faculty Publications

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