Healing Experiences of Adversity Among Latinos (HEALthy4You)

University of California, San Diego240 enrolled

Overview

Healing Experiences of Adversity Among Latinos (HEALthy4You) is a project funded by the California Initiative for the Advancement of Precision Medicine ("Advancing a Precision Population Health Approach to ACEs to Reduce Health Disparities"). The long-term goal of this project is to develop community-centered, culturally Appropriate, precision Interventions that can be delivered within Federally Qualified Healthcare Centers (FQHCs) for Latino Families, to reduce Adverse Child Events (ACES) risks and treat childhood obesity. UCSD in conjunction with Family Health Centers of San Diego (FHCSD) will conduct a 2x2 factorial trial with four groups meant to determine what combination of intervention components influence family protective factors (a key marker for reduced risk of the deleterious effects of systemic and family/individual stressors that are a critical part of ACEs) and childhood obesity.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

240

Conditions

Stress Childhood Obesity

Interventions

The total number of sessions families will engage with will be negotiated between the Families and their Care providers. This allows for families to receive care while still honoring their constraints, such as the amount of time they can dedicate per week and over the course of the study, to the intervention. The maximum number of possible sessions include: * 6 Sessions with a Wellness Coach * 4-8 sessions with a Dietician * 4-8 sessions of Physical Theraphy * 1 session during month 1 or 2 Streetwyze Training * Safety Net Referrals

Healthy Together + Promotora SupportBEHAVIORAL

Healthy Together + Parenting TrainingBEHAVIORAL

Healthy Togethers + Parenting Training + Promotora supportBEHAVIORAL

Eligibility

Sex: ALLMin age: 5 YearsMax age: 11 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Child * Currently a patient at Family Health Centers of San Diego * Age 5-11 years old * BMI ≥ 85th percentile to 99.9th percentile * Social determination or risk for ACE determined as being a patient receiving care at an FQHC (confirmed via provider) * Parent * Parent or guardian (including non-biological parent or relative) willing to participate * Self-identification as Hispanic or Latino * 18 years or older * English or Spanish speaking * Willingness to commit to 6 months of the program Exclusion Criteria: * Serious Developmental Disability (parent or child) * Serious Mental Health Illness (parent or child)

Outcomes

Primary Outcomes

Changes in Parents' Assessment of Protective Factors Self-Report Scale (comparison baseline to 6-months)

Parents' Assessment of Protective Factors (PAPF) Instrument consists of 36 items to measure the presence, strength, and growth of parents' self-reported beliefs, feelings, and behaviors that are regarded as indicators of the Strengthening Families protective factors using a 5-point response system from "Not at all like me" to "Very much like me" (Score scale: 0 Low - 3.99 High)

Time frame: 6 months

Secondary Outcomes

Changes to Child Body Mass Index (BMI) from baseline to 6 months

Weight and height will be combined to report BMI in kg/m\^2.