Improving Physical Activity and Fruit and Vegetable Social Cognitive and Behavior Variables in Filipino Adolescents in Hawai'i: The Waipahu Hart Project.

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2017-05
Authors
Thompson, Michelle A.
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Nutrition
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Filipino adolescents are one of the most overweight ethnic groups in Hawai‘i. With limited research on health behaviors of Filipino adolescents (age 10-19), it is important to have research that focuses on decreasing health disparities in this adolescent population. This study aims to fill the gap on Filipino adolescent physical activity (PA) and fruit and vegetable (FV) social cognitive and behaviors using the Social Cognitive Theory through peer influence to create positive health behaviors, examine Multiple Health Behavior Change (MHBC) and if peer educators (PEs) change their health behaviors through teaching a health curriculum. The Waipahu Health Action Research and Training (HART) project is a quasi-experimental design peer-influence study based at Waipahu High School (WHS). It includes three manuscripts: 1) use peer influence to increase PA and FV social cognitive and behavior variables in Filipino adolescents, 2) examine transfer and compensation effects of PA, FV consumption, and sedentary behavior (SB) in Filipino adolescents and 3) examine if PEs increase their PA and FV social cognitive and behavior variables through teaching a health curriculum. Participants were all Filipino students from nine WHS health classes (5 intervention, 4 control). PEs were Filipino senior health capstone class at WHS. Findings suggest a peer-led PA and nutrition curriculum can benefit participants and PEs in terms of PA social cognitive and behavior variables. Multiple regression analysis showed for the intervention group follow-up PA knowledge is 0.62 units (SE=0.15, p<0.01) higher and follow-up Moderate-Vigorous PA (MPVA) is 20.04 min/week (SE=6.13, p<0.01) higher than the control group. A trend towards follow-up PA enjoyment for the intervention group being 0.41units (SE=0.23, p=0.09) higher than the control group was seen. PA knowledge had a significant interaction for AT RISK (Stage of Change pre-contemplation, contemplation and preparation) (F(1, 65)=6.69, p<0.01). A trend towards a transfer effect of PA for Low vs. High SB (F(1, 76)=3.76, p=0.06) was seen. PEs increased their PA stage of change (F(1, 18) =5.51, p=0.03) and MVPA (F(1, 18)=7.44, p<0.01) through teaching the HART curriculum. Given currently limited research on Filipino adolescents’ health behaviors, this dissertation adds to the literature and gives guidance for future research.
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Adolescents, Filipino, Physical Activity, Fruit and Vegetables, Peer Educators
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