{"id":{"repo_id":"uiuc","oai_identifier":"oai:www.ideals.illinois.edu:2142/121242"},"canonical_url":"https://search.dev.ndltd.org/etd/uiuc/oai:www.ideals.illinois.edu:2142/121242","repository":{"repo_id":"uiuc","name":"University of Illinois - Urbana-Champaign","base_url":"https://www.ideals.illinois.edu/oai-pmh"},"display":{"title":"Reducing cardiometabolic risk among African immigrants: Implementation and evaluation of a culturally tailored nutrition education and physical activity intervention","abstract":"Submission published under a 24 month embargo labeled 'Closed Access', the embargo will last until 2025-08-01","abstract_html":"Submission published under a 24 month embargo labeled 'Closed Access', the embargo will last until 2025-08-01","abstract_has_math":false,"creators":["Akingbule, Oluwatosin"],"institution":"University of Illinois at Urbana-Champaign","degree_name":"Ph.D.","degree_level":"Dissertation","degree_discipline":"Community Health","degree_department":null,"school":null,"contributors":["Teran-Garcia, Margarita","Alston, Reginald J","Schwingel, Andiara","Strauser, David"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2023,"date_issued":"2023-08","date_published":"2023-08","updated_at":"2026-07-22T22:24:57Z","subjects":["African Immigrants","Nigerian Immigrants","Culturally Tailored Program","Fruits And Vegetable","Physical Activity","Nutrition Education","Obesity Prevention","Cardiometabolic Disease Prevention"],"languages":["en","eng"],"rights":["Copyright 2023 Oluwatosin Akingbule"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/2142/121242","outbound_label":"Handle","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Teran-Garcia, Margarita","Alston, Reginald J","Schwingel, Andiara","Strauser, David"]},{"key":"dc:creator","label":"Author","values":["Akingbule, Oluwatosin"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2023-08","2023-07-12"]},{"key":"dc:type","label":"Dc Type","values":["text"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Community Health"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Dissertation"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Ph.D."]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["University of Illinois at Urbana-Champaign"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["African Immigrants","Nigerian Immigrants","Culturally Tailored Program","Fruits And Vegetable","Physical Activity","Nutrition Education","Obesity Prevention","Cardiometabolic Disease Prevention"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en","eng"]},{"key":"dc:rights","label":"Dc Rights","values":["Copyright 2023 Oluwatosin Akingbule"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://hdl.handle.net/2142/121242"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Submission published under a 24 month embargo labeled 'Closed Access', the embargo will last until 2025-08-01","The student, Oluwatosin Akingbule, accepted the attached license on 2023-07-10 at 11:40.","The student, Oluwatosin Akingbule, submitted this Dissertation for approval on 2023-07-10 at 14:11.","This Dissertation was approved for publication on 2023-07-12 at 14:05.","DSpace SAF Submission Ingestion Package generated from Vireo submission #19593 on 2023-12-04 at 17:32:59","Cardiometabolic diseases are among the leading causes of death and disabilities in the U.S. and worldwide. African immigrants report better health indicators for cardiometabolic diseases on arrival to the U.S. but their risk profile gets worse with increased length of stay in the U.S. characterized by higher rates of overweight and obesity, diabetes, and high blood pressure, adding to the already high burden of cardiometabolic diseases that exists in the U.S. Risk factors for cardiometabolic diseases include old age, family history, low socioeconomic status, sedentary lifestyle, tobacco use, obesity, physical inactivity, and unhealthy dietary behaviors. The introduction of new immigrants to a wide range of food in the American food environment with little to no guidance on how to make healthy choices and the lack of access to culturally tailored physical activity education can facilitate the adoption of unhealthy diet and physical activity habits by new immigrant families. Consequently, African immigrants have reported health behavior changes such as increased consumption of fast-food, reduced consumption of fruits and vegetables, and reduced physical activity while living in the U.S. This project is aimed at implementing a culturally tailored nutrition education and physical activity intervention to improve diet quality, fruit and vegetable intake, and physical activity practices among Nigerian immigrants in U.S. In the current study, an existing program (Abriendo Caminos) previously developed for Hispanic families was adapted for use among Nigerian immigrants living in Illinois to create a program tagged Pathway to Health. Cultural tailoring of the program was achieved by engaging community stakeholders in the Nigerian immigrant communities during the planning and implementation phase to ensure alignment of program structure and content with culture, behaviors, and norms of the target population. The intervention included a 75-minute weekly video conference call for six weeks followed by the provision of two-month bi-weekly health messaging to parents using text messages. Components of the weekly meetings included adult and child nutrition education lessons, physical activity lessons, and family functioning lessons. Ten recent Nigerian immigrant families living in Illinois who had at least one child aged 6-12 years completed the Pathway to Health program. A mixed method approach was used to evaluate the potential impact and acceptability of the program. The program recorded positive trends towards improvement in skin carotenoids, a biomarker for fruit and vegetable intake measured with a Veggie Meter®, daily steps count measured by Fitbit Inspire 2®, and self-reported physical activity measured with the IPAQ-SF. All parents reported that the program positively impacted their fruits and vegetable intake and most parents reported that lessons learned during the intervention improved their awareness of the importance of physical activity and made them more intentional about engaging in physical activity."]},{"key":"dc:format","label":"Dc Format","values":["application/pdf"]},{"key":"dc:title","label":"Title","values":["Reducing cardiometabolic risk among African immigrants: Implementation and evaluation of a culturally tailored nutrition education and physical activity intervention"]}]}],"canonical_facts":{"dc:contributor":["Teran-Garcia, Margarita","Alston, Reginald J","Schwingel, Andiara","Strauser, David"],"dc:creator":["Akingbule, Oluwatosin"],"dc:date":["2023-08","2023-07-12"],"dc:description":["Submission published under a 24 month embargo labeled 'Closed Access', the embargo will last until 2025-08-01","The student, Oluwatosin Akingbule, accepted the attached license on 2023-07-10 at 11:40.","The student, Oluwatosin Akingbule, submitted this Dissertation for approval on 2023-07-10 at 14:11.","This Dissertation was approved for publication on 2023-07-12 at 14:05.","DSpace SAF Submission Ingestion Package generated from Vireo submission #19593 on 2023-12-04 at 17:32:59","Cardiometabolic diseases are among the leading causes of death and disabilities in the U.S. and worldwide. African immigrants report better health indicators for cardiometabolic diseases on arrival to the U.S. but their risk profile gets worse with increased length of stay in the U.S. characterized by higher rates of overweight and obesity, diabetes, and high blood pressure, adding to the already high burden of cardiometabolic diseases that exists in the U.S. Risk factors for cardiometabolic diseases include old age, family history, low socioeconomic status, sedentary lifestyle, tobacco use, obesity, physical inactivity, and unhealthy dietary behaviors. The introduction of new immigrants to a wide range of food in the American food environment with little to no guidance on how to make healthy choices and the lack of access to culturally tailored physical activity education can facilitate the adoption of unhealthy diet and physical activity habits by new immigrant families. Consequently, African immigrants have reported health behavior changes such as increased consumption of fast-food, reduced consumption of fruits and vegetables, and reduced physical activity while living in the U.S. This project is aimed at implementing a culturally tailored nutrition education and physical activity intervention to improve diet quality, fruit and vegetable intake, and physical activity practices among Nigerian immigrants in U.S. In the current study, an existing program (Abriendo Caminos) previously developed for Hispanic families was adapted for use among Nigerian immigrants living in Illinois to create a program tagged Pathway to Health. Cultural tailoring of the program was achieved by engaging community stakeholders in the Nigerian immigrant communities during the planning and implementation phase to ensure alignment of program structure and content with culture, behaviors, and norms of the target population. The intervention included a 75-minute weekly video conference call for six weeks followed by the provision of two-month bi-weekly health messaging to parents using text messages. Components of the weekly meetings included adult and child nutrition education lessons, physical activity lessons, and family functioning lessons. Ten recent Nigerian immigrant families living in Illinois who had at least one child aged 6-12 years completed the Pathway to Health program. A mixed method approach was used to evaluate the potential impact and acceptability of the program. The program recorded positive trends towards improvement in skin carotenoids, a biomarker for fruit and vegetable intake measured with a Veggie Meter®, daily steps count measured by Fitbit Inspire 2®, and self-reported physical activity measured with the IPAQ-SF. All parents reported that the program positively impacted their fruits and vegetable intake and most parents reported that lessons learned during the intervention improved their awareness of the importance of physical activity and made them more intentional about engaging in physical activity."],"dc:format":["application/pdf"],"dc:identifier":["https://hdl.handle.net/2142/121242"],"dc:language":["en","eng"],"dc:rights":["Copyright 2023 Oluwatosin Akingbule"],"dc:subject":["African Immigrants","Nigerian Immigrants","Culturally Tailored Program","Fruits And Vegetable","Physical Activity","Nutrition Education","Obesity Prevention","Cardiometabolic Disease Prevention"],"dc:title":["Reducing cardiometabolic risk among African immigrants: Implementation and evaluation of a culturally tailored nutrition education and physical activity intervention"],"dc:type":["text"],"thesis:degree_discipline":["Community Health"],"thesis:degree_level":["Dissertation"],"thesis:degree_name":["Ph.D."],"thesis:institution_name":["University of Illinois at Urbana-Champaign"]},"updated_at":"2026-07-22T22:24:57Z"}