Tailoring a Hybrid Program for Reducing Health and Education Disparities in Georgia Communities: Outcomes of Listening Sessions

Background: Minorities in Georgia experience increased rates of chronic disease and poor health and education outcomes. In the general population in 2013, about 35% of adolescents were either overweight or obese and approximately 13% of children 2-4 years old were obese, with minorities accounting f...

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Main Author: Chinwe Ejikeme
Format: Article
Language:English
Published: Georgia Southern University 2017-07-01
Series:Journal of the Georgia Public Health Association
Subjects:
Online Access:https://digitalcommons.georgiasouthern.edu/jgpha/vol7/iss1/14
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author Chinwe Ejikeme
author_facet Chinwe Ejikeme
author_sort Chinwe Ejikeme
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description Background: Minorities in Georgia experience increased rates of chronic disease and poor health and education outcomes. In the general population in 2013, about 35% of adolescents were either overweight or obese and approximately 13% of children 2-4 years old were obese, with minorities accounting for higher rates. In 2010, 23% of students from low-income families, comprising a higher proportion of minorities, scored at or above proficient level for reading at the end of third grade. Targeting children 0-5 years, Georgia Department of Public Health developed an integrated curriculum to train Early Childcare Educators (ECEs) to increase their knowledge and skills to model food, activity and language nutrition in their classrooms and to coach families. We conducted listening sessions to understand attitudes and knowledge around nutrition in 3 communities with significant racial and ethnic populations. Methods: Listening sessions with ECEs and families were conducted separately in each community. Participants engaged in guided one-hour discussions around food, activity and language nutrition and completed a post-listening session survey to assess their nutrition practices with the children in their care or homes. Results: 70 ECEs and families participated in the sessions and post session surveys. With an over 80% satisfaction rate with sessions, results showed that although baseline understanding of and challenges to modelling nutrition differed in different communities, many strategies used to support nutrition were common across communities. Participants also demonstrated a need for support in increasing access to resources to improve nutrition. Conclusions: This study suggested that multiple issues hinder optimal engagement of children 0-5 years in improved nutrition. Addressing the factors specific to targeted communities is essential to reducing disparities. Thus, integrating these findings in the development of the curriculum and training strategy has the potential to produce more knowledgeable and skilled ECEs as coaches for improving nutrition. Key words: food nutrition, physical activity, language nutrition, listening sessions, early childcare educators, formative evaluation, health disparities
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spelling doaj.art-1cf82904721c4011aa045bb5445e4edb2022-12-21T23:39:06ZengGeorgia Southern UniversityJournal of the Georgia Public Health Association2471-97732017-07-017110.21633/jgpha.7.115Tailoring a Hybrid Program for Reducing Health and Education Disparities in Georgia Communities: Outcomes of Listening SessionsChinwe EjikemeBackground: Minorities in Georgia experience increased rates of chronic disease and poor health and education outcomes. In the general population in 2013, about 35% of adolescents were either overweight or obese and approximately 13% of children 2-4 years old were obese, with minorities accounting for higher rates. In 2010, 23% of students from low-income families, comprising a higher proportion of minorities, scored at or above proficient level for reading at the end of third grade. Targeting children 0-5 years, Georgia Department of Public Health developed an integrated curriculum to train Early Childcare Educators (ECEs) to increase their knowledge and skills to model food, activity and language nutrition in their classrooms and to coach families. We conducted listening sessions to understand attitudes and knowledge around nutrition in 3 communities with significant racial and ethnic populations. Methods: Listening sessions with ECEs and families were conducted separately in each community. Participants engaged in guided one-hour discussions around food, activity and language nutrition and completed a post-listening session survey to assess their nutrition practices with the children in their care or homes. Results: 70 ECEs and families participated in the sessions and post session surveys. With an over 80% satisfaction rate with sessions, results showed that although baseline understanding of and challenges to modelling nutrition differed in different communities, many strategies used to support nutrition were common across communities. Participants also demonstrated a need for support in increasing access to resources to improve nutrition. Conclusions: This study suggested that multiple issues hinder optimal engagement of children 0-5 years in improved nutrition. Addressing the factors specific to targeted communities is essential to reducing disparities. Thus, integrating these findings in the development of the curriculum and training strategy has the potential to produce more knowledgeable and skilled ECEs as coaches for improving nutrition. Key words: food nutrition, physical activity, language nutrition, listening sessions, early childcare educators, formative evaluation, health disparitieshttps://digitalcommons.georgiasouthern.edu/jgpha/vol7/iss1/14food nutritionphysical activitylanguage nutritionlistening sessionsearly childcare educatorsformative evaluationhealth disparities
spellingShingle Chinwe Ejikeme
Tailoring a Hybrid Program for Reducing Health and Education Disparities in Georgia Communities: Outcomes of Listening Sessions
Journal of the Georgia Public Health Association
food nutrition
physical activity
language nutrition
listening sessions
early childcare educators
formative evaluation
health disparities
title Tailoring a Hybrid Program for Reducing Health and Education Disparities in Georgia Communities: Outcomes of Listening Sessions
title_full Tailoring a Hybrid Program for Reducing Health and Education Disparities in Georgia Communities: Outcomes of Listening Sessions
title_fullStr Tailoring a Hybrid Program for Reducing Health and Education Disparities in Georgia Communities: Outcomes of Listening Sessions
title_full_unstemmed Tailoring a Hybrid Program for Reducing Health and Education Disparities in Georgia Communities: Outcomes of Listening Sessions
title_short Tailoring a Hybrid Program for Reducing Health and Education Disparities in Georgia Communities: Outcomes of Listening Sessions
title_sort tailoring a hybrid program for reducing health and education disparities in georgia communities outcomes of listening sessions
topic food nutrition
physical activity
language nutrition
listening sessions
early childcare educators
formative evaluation
health disparities
url https://digitalcommons.georgiasouthern.edu/jgpha/vol7/iss1/14
work_keys_str_mv AT chinweejikeme tailoringahybridprogramforreducinghealthandeducationdisparitiesingeorgiacommunitiesoutcomesoflisteningsessions