Pathways family intervention for third-grade American Indian children.
The goal of the feasibility phase of the Pathways family intervention was to work with families of third-grade American Indian children to reinforce health behaviors being promoted by the curriculum, food service, and physical activity components of this school-based obesity prevention intervention. Family behaviors regarding food choices and physical activity were identified and ranked according to priority by using formative assessment and a literature review of school-based programs that included a family component. The family intervention involved 3 primary strategies designed to create an informed home environment supportive of behavioral change: 1) giving the children "family packs" containing worksheets, interactive assignments, healthful snacks, and low-fat tips and recipes to take home to share with their families; 2) implementing family events at the school to provide a fun atmosphere in which health education concepts could be introduced and reinforced; and 3) forming school-based family advisory councils composed of family members and community volunteers who provided feedback on Pathways strategies, helped negotiate barriers, and explored ideas for continued family participation. For strategy 2, a kick-off Family Fun Night provided a series of learning booths that presented the healthful behaviors taught by Pathways. At an end-of-year Family Celebration, a healthy meal was served, students demonstrated newly learned Pathways activities, and certificates were presented in recognition of completion of the Pathways curriculum. Based on evaluation forms and attendance rosters, strategies 1 and 2 were more easily implemented and better received than strategy 3. Implications for developing family involvement strategies for intervention programs are discussed.
Teufel
N I
NI
Arizona Prevention Center, School of Medicine and the Department of Physiology, University of Arizona, Tucson 85719, USA. teufel@u.arizona.edu
Perry
C L
CL
Story
M
M
Flint-Wagner
H G
HG
Levin
S
S
Clay
T E
TE
Davis
S M
SM
Gittelsohn
J
J
Altaha
J
J
Pablo
J L
JL
D000328:Adult; D044466:Asian People; D001294:Attitude to Health; D002648:Child; D002669:Child Welfare; D005190:Family; D005260:Female; D015438:Health Behavior; D006266:Health Education; D006293:Health Promotion; D006801:Humans; D007198:Indians, North American; D008297:Male; D009765:Obesity / Q000208:ethnology / Q000517:prevention & control*; D012574:Schools; D014481:United States