Walsh JR, White AA, Kattelmann KK. Using PRECEDE to develop a weight management program for disadvantaged young adults.
JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2014;
46:S1-S9. [PMID:
24456835 DOI:
10.1016/j.jneb.2013.11.005]
[Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/16/2013] [Revised: 11/09/2013] [Accepted: 11/11/2013] [Indexed: 06/03/2023]
Abstract
OBJECTIVE
To conduct a needs assessment using the PRECEDE model for the development of a weight management program for low-income young adults.
DESIGN
Four phases were implemented using qualitative (focus groups and interviews) and quantitative (survey) methodologies, with steering committee guidance.
SETTING
Northeastern residential vocational center.
PARTICIPANTS
Convenience sample of low-income young adults, 18-24 years old (total n = 203), who were attending a job training vocational center.
PHENOMENON OF INTEREST
General themes of life satisfaction determinants and issues related to weight, self-reported weight and related behavior, existing environmental supports, and desired changes of behavioral and environmental influences of weight.
ANALYSIS
Content analysis of qualitative data; descriptive analysis and Student t test.
RESULTS
Self-image and discrimination were themes for weight issues. More than half of participants were overweight or obese (57%) and had low levels of physical activity (58%). Self-reported fruit and vegetable intake was inadequate (<2.5 cups/d). Identified environmental factors most needing improvement were accessibility for walking and biking and availability of healthful food. Participants reported exercising, getting adequate sleep, eating healthful snacks, and effectively managing stress as behavior they were willing to change.
CONCLUSIONS AND IMPLICATIONS
The PRECEDE model was useful to identify concerns, priorities, and modifiable factors among a young adult community that can increase the relevancy of a weight management program.
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