Authors: Martina R. Gallagher, PhD, MSN1, RN, Tracey Ledoux, PhD, RD2,

McClain Sampson, PhD3

Affiliations: 1School of Nursing, University of Texas Health Science Center at Houston, 2Texas Obesity Research Center, Department of Health and Human Performance, University of Houston, 3College of Social Work, University of Houston

Purpose: The aim was to conduct a formative assessment of a community-based obesity prevention intervention, “Comadres de Salud” (Kin Sisters in Health). Based on the Social Cognitive Theory, Comadres de Salud is a multicomponent intervention aimed at improving diet and physical activity in low-income Latino mothers and their preschool children. This intervention is unique in that 1) it incorporates the cultural Latino scripts of familism, collectivism, simpatia and gender roles to enhance cultural sensitivity; and 2) it includes education on sleep hygiene as a way of enhancing adherence to dietary and physical activity changes. Methods: Latino women between the ages of 21-35, from the north side of Houston, TX, who were mothers of preschool children, were recruited for the intervention study. Two focus groups (n=11) were conducted, and acceptability surveys were administered at the end of the intervention. Data from the focus groups was recorded and transcribed. Qualitative description was used to analyzed the focus group data. Descriptive and frequency analysis was be performed on survey data. Results: For this group of women, participation in the intervention study was facilitated by having intervention sessions at a time that meet their needs and the interaction with other women. Some of the difficulties they encountered during the study were achieving their goals and following some of the study protocols, such as keeping track of their food intake. The participants suggested that involving other family members and increasing opportunities to learn about exercise would improve the study. The survey data reflected that the participants enjoyed the intervention and would recommend the intervention to other women. Conclusion: The formative assessment of this pilot study served as a useful tool to provide insight into the participants’ perceptions of an intervention and its delivery. Including other family members during the intervention enhances the incorporation of familism, which will increase the cultural sensitivity of the intervention. Goal setting was challenging for this group of women. Further research to examine the how to enhance adherence to goals with this group of women is needed.

Funded by the PARTNERS Research Grant, University of Texas Health Science Center at Houston-School of Nursing.

Key Words: Latino, Obesity, Sleep, Women, Culture

Learning Objectives:

After reviewing the presentation the viewer will:

  1. Identify cultural scripts that enhance cultural sensitivity of research studies in Latino communities.
  2. Describe how sleep hygiene can be incorporated as a way of enhancing dietary and physical activity changes in interventions that address obesity.
  1. Identify issues that participants found challenging while being part of an intervention study that focused on weight reduction



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