Teen peer educators and diabetes knowledge of low-income fifth grade students.

The current study was designed to evaluate a unique adolescent peer type 2 diabetes mellitus (Type 2 DM) prevention training program for fifth grade children. Peer educators were 22 high school students who participated in the Elementary Institute of Science's Commission on Science that Matters, a year-long program promoting active participation in the health and environmental sciences. Peer education was delivered in the form of a two hour health fair. A knowledge survey was given to fifth grade students in the classroom before the health fair began and then again in the classroom after the health fair. Fifth grade students were able to correctly identify Type 1 DM (23 vs. 40%; P < .01), Type 2 DM (21 vs. 52%; P < .001), and the signs of diabetes (10 vs. 39%; P < .001) after the health fair. This approach could be inexpensively integrated into any community-based health promotion with children and adolescents.

Outcomes from a culturally tailored diabetes prevention program in Hispanic families from a low-income school: Horton Hawks Stay Healthy (HHSH).

PURPOSE: The purpose of this study was to test the effectiveness of a minimal, tailored diabetes prevention program for families that could be delivered in elementary school settings. METHODS: Families were eligible for the program if they had at least one child aged 8 to 12 years old attending the elementary school who was at high risk of developing type 2 diabetes mellitus. Families attended ten 90-minute sessions with exercise, cooking demonstrations, and healthy lifestyle lessons. Height, weight, and self-reported behavior were assessed in parents and height and weight in children before and after classes. RESULTS: A total of 82 parents (2% men, 98% women) and 62 children (47% boys and 53% girls) enrolled in the program across 3 replications. Parents had an average weight loss from baseline to the end of the program of 1.5 lb (P = .05). There was a large increase in the number of parents who self-reported engaging in leisure-time physical activity as a result of participating in the program (14% vs 64%; P < .01). There were no changes in children's body mass index percentile or z score as a result of the program. CONCLUSIONS: Delivering a diabetes prevention program in an elementary school setting was effective for increasing diabetes-related knowledge, chronic disease awareness, and self-reported healthy behavior in low-income Spanish-speaking families.