Academic journal article American Journal of Health Education

A Healthy Lifestyle Program for Latino Daughters and Mothers: The BOUNCE Overview and Process Evaluation

Academic journal article American Journal of Health Education

A Healthy Lifestyle Program for Latino Daughters and Mothers: The BOUNCE Overview and Process Evaluation

Article excerpt

ABSTRACT

Background: Few family-based healthy lifestyle programs for Latinos have been conducted, especially family programs targeting mother-daughter dyads. Purpose: To assess the acceptability and feasibility of the Behavior Opportunities Uniting Nutrition Counseling and Exercise (BOUNCE)program designed for Latino mother-daughter pairs. Methods: 92 participants (46 mother-daughter pairs) were recruited from two elementary schools (3rd-6th grades). Process evaluation measures included attendance rates, instructor and participant's evaluation of program. Results: Moderate levels of participation were maintained during the BOUNCE program. Of the 46 mother-daughter pairs who were enrolled, 35 pairs (76%) completed pre-and post- intervention measurements. Participants rated BOUNCE program activities, content, and instructors as highly satisfactory. Daughters reported cooking, food tasting, journaling, and dancing as the most enjoyable and helpful activities. Mothers' most reported enjoyable and helpful activities were grocery shopping tour, food tasting, samba, and salsa dancing. Child care needs, low literacy, parental working schedule, religious beliefs against dancing, and mandatory tutoring were identified as participation barriers. Discussion: Process evaluation demonstrates the feasibility and acceptability of the BOUNCE program. Identifying and addressing barriers to participation during the developmental stages of the intervention strengthened the design of this intervention. Translation to Health Education Practice: Results should be of value to health educators involved in the development, implementation, and evaluation of community-and family-based interventions designed for Latino families.

BACKGROUND

Obesity is a leading public health problem in the United States (1-2) and is a rising problem among all groups regardless of age, gender, race, ethnicity, or socioeconomic status. (3-4) However, it is disproportionately affecting some ethnic groups at higher and faster rates than others, particularly Latino women. (3-4) The body mass index (BMI) difference between White and Latino women is already present at age two and dramatically widens with increasing age. (3-4) The rise in prevalence rates of obesity among Latino women highlights the significance of developing interventions to prevent obesity in young girls.

Given that research underscores the strong link between parent and child obesity, family-based healthy lifestyle interventions may be key to combating overweight. (5-10) Yet, few interventions targeting the family by promoting proper dietary intake and physical activity have been conducted. (11-17) In most interventions parental involvement has been limited to providing health/wellness information and handouts to parents via family packs and newsletters, (11-14) post-cards, (17) bulletin boards, weekly progress reports, and informative health articles made available in English or Spanish. (16) Other interventions have involved parents through family homework projects and activities to assist learning about healthy lifestyle practices. (12-15) Family-based interventions have also offered interactive and enjoyable environments for parents, community members, school personnel, and children to congregate and commemorate healthy lifestyles. (14,16)

A suggested innovative approach to family-based intervention is to target specific intergenerational dyads which capitalize on natural interactions that occur across generations of women such as mother-daughter pairs. (9) It is well documented that mothers play a major role in their daughter's attitudes toward food (18) and body weight concern. (19) Yet, maternal involvement in obesity prevention and treatment programs designed for young girls has been limited. (20) To our knowledge, only three interventions have systematically included mother-daughter dyads. (10,21,22) One of these interventions was 12 weeks in duration and targeted middle-class white mother-daughter pairs who performed only exercise. …

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