How Youth of Color Create Communities of Hope: Connecting Advocacy, Activity, and Neighborhood Change
Abstract
:1. Introduction
2. Materials and Methods
2.1. Recruitment
2.2. Participants
2.3. Data Collection and Measures
2.4. Statistical Analyses
3. Results
4. Limitations
- Another possible limitation is the self-reported nature of the survey data. Youth are asked to self-report their experiences in the pre and post surveys, however we feel the youth are best qualified to report on their feelings of well-being, leadership, and their perceived changes in themselves and their communities.
- While this study showed strong recruitment from diverse populations, including African American, Latinx, and Asian American groups, the recruitment of Pacific Islander and Native/Indigenous youth for participation was more challenging. While the study authors are aware of distinct outcomes around health and activity between and among different Asian and Pacific Islanders [21] the two groups were aggregated for analysis due to a high self-reporting of “multi-racial” identity among a majority of youth participants in Hawaii (a primary recruitment site for this study), including mixed-race identities of white, Native-Hawaiian, Pacific Islander, and Asian [22].
- Analyses for this paper were considered exploratory and p-values for significance tests relaxed; therefore, highlighting results that only showed weak “trend” effects was a limitation. Such trends should be considered suggestive of underlying effects, and they call for replication in other research to confirm.
5. Discussion
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Appendix A
Club Number | Count of Students | School-Based Club with a Partner | School-Based Club without a Partner | Non-School-Based Club with a Partner | Non-School-Based Club without a Partner |
---|---|---|---|---|---|
1 | 6 | x | |||
2 | 9 | x | |||
3 | 17 | x | |||
4 | 7 | x | |||
5 | 7 | x | |||
6 | 9 | x | |||
7 | 7 | x | |||
8 | 10 | x | |||
9 | 11 | x | |||
10 | 7 | x | |||
11 | 14 | x | |||
12 | 12 | x | |||
Total: | 116 | 25 | 44 | 23 | 24 |
Theme | Subtheme | Subscales (Number of Representative Questions) | Questions Used for Each Subscale | Pre-Post Measures | Post Only Measures |
---|---|---|---|---|---|
Intervention Processes (IP) | Intervention Processes (IP) | Group cohesion (2) | “1. Members of our group do not spend time together outside of meetings or events. 2. I’m unhappy with my group’s level of commitment to its goals for creating healthier communities” | X | |
Roles and participation (2) | 1. When I attended meetings, I took part in the discussions. 2. I took responsibility for things that the group needs to have done | X | |||
Opportunities for control in group work (2) | “1. This group allowed me to have a say in planning events or activities. 2. This group had specific leadership roles for youth” | X | |||
Coordinator/leader characteristics (3) | “1. Our leader(s) provided help whenever we needed it. 2. Our leader(s) did not force his or her ideas and opinions on the group 3. Our leader(s) let us work through our disagreements to decide what was best for the group ” | X | |||
Group resiliency (2) | 1. This group does not give up during tough times. 2. If this group failed to accomplish one of our goals, we kept trying to find a way to reach it. | X | |||
Youth Psychosocial Factors, Participation, and Hypothesized Drivers of Change (YPF) | Perceptions | Self-efficacy for health and advocacy behaviors (3) | 1. I am sure that I can tell my friends to eat healthily. 2. I am sure that I can tell my friends to be physically active. 3. I am confident that I can work to make my school or community a better place for being physically active and eating healthy. | X | |
Active participation (2) | “1. I like to wait and see if someone else is going to solve a problem. 2. I find it very hard to talk in front of a group.” | X | |||
Optimism for change (2) | “1. If I tell someone “in charge”, like a leader, about my opinions, they will listen to me. 2. I enjoy participation because I want to have as much say as possible in my school or community.” | X | |||
Peer support for healthy behaviors (2) | 1. How many of your five closest friends are physically active at least 5 days a week? 2. How many of your five closest friends eat at least 5 servings of fruits and vegetables a day? | X | |||
Advocacy outcome efficacy (1) | 1. This project can make a difference in making our school or community a better place for being physically active and eating healthy. | X | |||
Group resiliency | 1. This group does not give up during tough times. 2. If this group failed to accomplish one of our goals, we kept trying to find a way to reach it. | X | |||
Knowledge and Skills | Assertiveness (3) | “1. I can talk with adults about issues I believe in. 2. I can ask others to help work on making our school or community healthier. 3. I can start discussions with others about how to change our school or community to make it healthier.” | X | ||
Participatory competence and decision-making (2) | 1. If I have a problem when working towards a goal, I usually do not give up. 2. I can influence the decisions my group makes. | X | |||
Pride in group work (2) | 1. I am proud of the work our group did. 2. Our work was worth the time and effort we put into it. | X | |||
Group outcome efficacy (2) | “1. This group can influence how adults in the community feel about nutrition and physical activity. 2. This group can influence how people my age, who are not in this group, feel about nutrition and physical activity.” | X | |||
Health advocacy history (2) | “1. In the last year, how many times have you tried to tell other students, your family, or friends to think more about eating healthy or being physically active. 2. In the last year, how many times have you tried to tell school leaders, people in your community, or politicians to be more interested in making your school or community a better place for being physically active and eating healthy.” | X | |||
Proximal Outcomes: Individual Youth Changes (PO) | Nutrition and Physical Activity | Meeting physical activity recommendations (2) | 1. Over the past seven days, how many days were you physically active for at least 60 min per day? 2. Over a typical week, on how many days are you physically active for at least 60 min per day? | X | |
Sports/Enjoyment of physical activity (2) | “1. Not counting PE classes, how many days per week do you play or practice a team sport, or take a physical activity class? 2. I enjoy physical activity.” | X | |||
Active transportation (2) | 1. In a typical week, how many days do you walk or bike TO school? 2. In a typical week, how many days do you walk or bike FROM school? | X | |||
Servings of fruits and vegetables (2) | 1. In a typical day, how many servings of fruit do you eat? 2. In a typical day, how many servings of vegetables do you eat? | X | |||
Fast food servings/week | 1. Outside of school, how many times per week do you eat fast-food? | X | |||
Advocacy Related | Intent to remain involved (2) | “1. I plan to continue to work for change in my school or community after this project is over. 2. If I had a chance to join a similar group in the future, I would do it.” | X | ||
Group advocacy (6) | “1. The decision-maker(s) listened carefully to our group. 2. The decision-maker(s) seemed to understand what we were asking for. 3. The decision-maker(s) seemed to learn something new from what we were saying. 4. The decision-maker(s) would have listened to us more if we were adults instead of youth. 5. The decision-maker(s) were impressed by our group’s work. 6. The decision-maker(s) are going to make some changes based on the information from our group.” | X | |||
Personal advocacy activities since starting YEAH! (2) | “1. Since I started this project, I have talked to my parents or family members about changes needed to make my school or community a better place for being physically active and eating healthy. 2. Since I started this project, I have talked to my friends about changes needed to make my school or community a better place for being physically active and eating healthy.” | X |
Estimated Marginal Means (Standard Error) | Main Effects | Interaction | ||||||
---|---|---|---|---|---|---|---|---|
Subscale | Time | School-Based Club with a Partner | School-Based Club without a Partner | Non-School-Based Club with a Partner | Non-School-Based Club without a Partner | Time (Pre-Post) | Characteristics of Club | Time * Characteristics of Club |
Pre-post subscales | ||||||||
Youth psychosocial factors, participation, and hypothesized drivers of change (YPF) perceptions | ||||||||
Self-efficacy for health and advocacy behaviors | Pre-intervention | 3.783(0.174) | 3.717(0.137) | 3.900(0.178) | 4.017(0.194) | - | - | - |
Post-intervention | 3.970(0.184) | 3.581(0.145) | 4.007(0.192) | 4.104(0.206) | ||||
Direction of change | I | D | I | I | ||||
Active participation | Pre-intervention (1) | 3.492(0.188) | 3.445(0.140) | 3.130(0.192) | 3.163(0.192) | 8.403 ** | - | - |
Post-intervention (2) | 2.825(0.202) | 2.704(0.152) | 2.978(0.207) | 2.946(0.210) | ||||
Direction of change | D | D | D | D | ||||
Optimism for change | Pre-intervention | 3.824(0.147) | 3.833(0.113) | 3.612(0.153) | 3.380(0.155) | 5.414 * | - | 5.384 ** |
Post-intervention | 3.784(0.143) | 3.645(0.109) | 4.043(0.151) | 3.930(0.154) | ||||
Direction of change | D | D | I | I | ||||
Peer support for healthy behaviors | Pre-intervention | 2.656(0.239) | 2.512(0.184) | 3.000(0.248) | 2.830(0.252) | 10.235 ** | 3.358 ** | - |
Post-intervention | 2.939(0.220) | 2.714(0.167) | 3.783(0.229) | 3.106(0.235) | ||||
Direction of change | I | I | D | D | ||||
Advocacy outcome efficacy | Pre-intervention | 4.55(0.153) | 4.348(0.117) | 4.087(0.159) | 4.379(0.163) | 3.640 + | - | - |
Post-intervention | 4.159(0.170) | 4.021(0.130) | 4.104(0.181) | 4.274(0.183) | ||||
Direction of change | D | D | I | D | ||||
Assertiveness | Pre-intervention | 3.705(0.170) | 3.822(0.134) | 3.473(0.176) | 3.423(0.189) | - | - | 2.229 + |
Post-intervention | 3.531(0.163) | 3.710(0.128) | 3.761(0.171) | 3.745(0.182) | ||||
Direction of change | D | D | I | I | ||||
Participatory competence and decision-making | Pre-intervention | 3.909(0.143) | 3.885(0.109) | 3.697(0.149) | 3.887(0.152) | 1.779 ++ | - | 2.635 + |
Post-intervention | 3.877(0.149) | 3.749(0.112) | 4.066(0.153) | 4.074(0.156) | ||||
Direction of change | D | D | I | I | ||||
Health advocacy history | Pre-intervention | 1.494(0.261) | 1.693(0.211) | 2.085(0.267) | 1.634(0.298) | - | - | - |
Post-intervention | 1.674(0.243) | 1.860(0.200) | 1.998(0.247) | 1.759(0.281) | ||||
Direction of change | I | I | D | I | ||||
Proximal outcomes: individual youth changes (PO) nutrition and physical activity | ||||||||
Meeting physical activity recommendations | Pre-intervention | 3.366(0.420) | 3.435(0.326) | 4.385(0.434) | 3.873(0.461) | 9.009 ** | 3.492 * | 1.873 ++ |
Post-intervention | 3.646(0.369) | 3.481(0.289) | 5.080(0.381) | 4.949(0.408) | ||||
Direction of change | D | I | I | I | ||||
Sports/Enjoyment of physical activity | Pre-intervention | 2.752(0.311) | 3.309(0.253) | 3.273(0.317) | 3.194(0.357) | - | - | - |
Post-intervention | 2.793(0.306) | 3.300(0.248) | 3.469(0.312) | 3.444(0.351) | ||||
Direction of change | I | D | I | I | ||||
Active transportation | Pre-intervention | 0.916(0.404) | 0.572(0.332) | 1.236(0.410) | 1.254(0.472) | - | - | - |
Post-intervention | 0.716(0.425) | 0.697(0.347) | 1.019(0.432) | 1.317(0.491) | ||||
Direction of change | D | I | D | I | ||||
Servings of fruits and vegetables | Pre-intervention | 2.180(0.219) | 1.972(0.172) | 2.733(0.226) | 1.904(0.242) | - | - | 1.545 * |
Post-intervention | 2.055(0.231) | 2.004(0.178) | 2.334(0.235) | 2.391(0.251) | ||||
Direction of change | D | I | I | I | ||||
Fast Food Servings/week | Pre-intervention | 2.251(0.888) | 2.824(0.663) | 2.052(0.906) | 2.375(0.927) | - | - | - |
Post-intervention | 1.770(0.635) | 3.226(0.499) | 1.661(0.660) | 2.564(0.689) | ||||
Direction of change | D | I | D | I | ||||
Post-intervention only subscales | ||||||||
Intervention Process (IP) | ||||||||
Group cohesion | Post-Only | 4.124(0.255) | 3.556(0.209) | 3.680(0.263) | 3.902(0.298) | N/A | - | N/A |
Roles and participation | Post-Only | 2.193(0.178) | 2.261(0.132) | 2.344(0.181) | 2.242(0.185) | N/A | - | N/A |
Opportunities for control in group work | Post-Only | 3.910(0.157) | 3.705(0.121) | 3.861(0.167) | 3.886(0.170) | N/A | - | N/A |
Coordinator/leader characteristics | Post-Only | 4.533(0.153) | 3.825(0.117) | 4.438(0.159) | 4.144(0.167) | N/A | - | N/A |
Group resiliency | Post-Only | 4.280(0.168) | 3.491(0.129) | 3.827(0.179) | 3.922(0.185) | N/A | - | N/A |
Youth psychosocial factors, participation, and hypothesized drivers of change (YPF) perceptions | ||||||||
Pride in group work | Post-Only | 4.663(0.155) | 3.898(0.118) | 4.429(0.162) | 4.306(0.167) | N/A | - | N/A |
Group outcome efficacy | Post-Only | 3.928(0.171) | 3.534(0.133) | 4.200(0.177) | 3.848(0.188) | N/A | 3.215 + | N/A |
Proximal outcomes: individual youth changes (PO) advocacy related | ||||||||
Intent to remain involved | Post-Only | 3.744(0.174) | 3.690(0.140) | 3.865(0.181) | 3.849(0.203) | N/A | - | N/A |
Group advocacy | Post-Only | 3.524(0.386) | 2.690(0.308) | 4.252(0.381) | 3.699(0.437) | N/A | 3.611 * | N/A |
Personal advocacy activities since starting YEAH! | Post-Only | 3.148(0.215) | 3.170(0.169) | 3.569(0.226) | 2.862(0.241) | N/A | - | N/A |
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Kim, A.J.; Jones-Bynes, J.; Botchwey, N.; Conway, T.L. How Youth of Color Create Communities of Hope: Connecting Advocacy, Activity, and Neighborhood Change. Int. J. Environ. Res. Public Health 2021, 18, 3133. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18063133
Kim AJ, Jones-Bynes J, Botchwey N, Conway TL. How Youth of Color Create Communities of Hope: Connecting Advocacy, Activity, and Neighborhood Change. International Journal of Environmental Research and Public Health. 2021; 18(6):3133. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18063133
Chicago/Turabian StyleKim, Anna J., Jasmine Jones-Bynes, Nisha Botchwey, and Terry L. Conway. 2021. "How Youth of Color Create Communities of Hope: Connecting Advocacy, Activity, and Neighborhood Change" International Journal of Environmental Research and Public Health 18, no. 6: 3133. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18063133