Examining the Feasibility and Effectiveness of a Community-Based Obesity Prevention Program

ABSTRACT

Background: Latinos in the United States are at heightened risk for obesity and health disparities, yet community-based interventions to promote health are limited. Purpose: This research examined the feasibility and efficacy of a culturally relevant obesity prevention program (Vivir Sano), which included stress reduction and behavioral lifestyle intervention components. Methods: In phase 1, focus groups were completed with 21 residents of an affordable housing community to assess program needs and interests. In phase 2, 41 primarily Latino adults living in several neighboring affordable housing communities enrolled in the intervention. Twenty-three (56%) completed both pre- and postassessments (per protocol group). We examined pre–post differences in health-related behaviors, knowledge, and attitudes. Results: Over 96% of participants who completed a posttest satisfaction questionnaire reported that they were likely or very likely to use the skills learned in the program. Approximately 85% reported that the program moderately or significantly improved their health. An analysis of variance (ANOVA) indicated that the per protocol group increased weekly vegetable consumption by 4.2 servings (Cohen’s d = 0.48). Translation to Health Education Practice: We discuss barriers and lessons learned related to implementing obesity prevention programming in affordable housing communities, where residents are more likely to experience chronic stress and food insecurity.

Acknowledgments

We thank Maria Cadena, Olga Garcia, Nora Lopez, Franny Mack, Sara Malas, Karen Salinas, Ricardo Rodriguez, Elena Thorpe, Karina Guzman, Hannah Binder, Yasmine Yaiche, and Gaudalupe Suarez-Biglieri for their collaboration and assistance in facilitating this program.

Additional information

Funding

This research was supported by the Aetna Foundation, a national foundation based in Hartford, Connecticut that supports projects to promote wellness, health and access to high quality health care for everyone. The views presented here are those of the author and not necessarily those of the Aetna Foundation, its directors, officers or staff.