About this Journal Submit a Manuscript Table of Contents
Journal of Obesity
Volume 2013 (2013), Article ID 978482, 9 pages
http://dx.doi.org/10.1155/2013/978482
Clinical Study

An Adaptive CBPR Approach to Create Weight Management Materials for a School-Based Health Center Intervention

1Department of Family and Community Medicine, University of New Mexico, Albuquerque, NM 87131-0001, USA
2College of Nursing, University of New Mexico, Albuquerque, NM 87131-0001, USA
3Department of Media and Communications, The University of Sydney, Sydney, NSW 2006, Australia
4Department of Pediatrics, University of New Mexico, Albuquerque, NM 87131-0001, USA

Received 11 January 2013; Revised 1 April 2013; Accepted 20 April 2013

Academic Editor: Reza Majdzadeh

Copyright © 2013 Andrew L. Sussman et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose. From our previous clinical work with overweight/obese youth, we identified the need for research to create an effective weight management intervention to address the growing prevalence of adolescent metabolic syndrome. Formative assessment through an adaptive community-based participatory research (CBPR) approach was conducted toward the development of a nutritional and physical activity (DVD) and clinician toolkit for a school-based health center (SBHC) weight management intervention. Methods. We first conducted parent and adolescent interviews on views and experiences about obesity while convening a community advisory council (CAC) recruited from two participating urban New Mexico high schools. Thematic findings from the interviews were analyzed with the CAC to develop culturally and developmentally appropriate intervention materials. Results. Themes from the parent and adolescent interviews included general barriers/challenges, factors influencing motivation, and change facilitators. The CAC and university-based research team reached consensus on the final content of nutrition and physical activity topics to produce a DVD and clinician toolkit through six monthly sessions. These materials used in the SBHC intervention resulted in a greater reduction of body mass index when compared to adolescents receiving standard care. Conclusions. Formative assessment using an adaptive CBPR approach resulted in the creation of culturally and age appropriate weight reduction materials that were acceptable to study participants. This trial is registered with ClinicalTrials.gov NCT00841334.