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Therefore, all these three models have been integrated together that will further aim to improve the childhood obesity in the Latino Community. These models are prove in the medical field and do not require validity or reliability statement. Based on the fact, the three models have been divided into different phases and each phase holds great importance in the purposed theoretical model. First phase is unaware phase – this phase mainly focuses on the individual, family, and community who are not aware of the childhood obesity as a medical problem.
The primary goal is to assess all entities (individual, family, and community) and analyze why this population is not been able to understand the issue pertaining to the childhood obesity especially when it affects the well being of children. In this, following components will be combined from all the three models to analyze the situation prevailing in this population. Precontemplation from the TTM – children and/or parents are not aware that there is a problem and thus there is no planning to correct the behaviour.
The first phase of the PPM model will talk about the social diagnosis by assessing the quality of life of children through personal interaction and assessment of weight and diet. Second phase is awareness phase: this phase talks about the family understands that childhood obesity is a problem and they are ready to initiate their steps towards the healthy life. In addition this phase also focus on providing the educational material and teaching towards the goal of preventing the childhood obesity.
The third phase of the PPM, behavioral and environmental diagnosis will investigate the food choices of children and their daily activities along with identifying the impact of the environment by investigating the access to healthy food, family influence, and proximity of food joints (Ransdell, 2001) This phase will have following components. Contemplation from TTM – in this phase children and/or parents are aware that obesity exist among the Latino children and are thinking about making necessary changes to fix the problem within the next 6 months or so.
The fourth phase of PPM will help creating awareness among individuals and family through the educational and organizational diagnosis that will deal with predisposing factors like perceived risk by communicating the same to children’s parents and using reinforcing factors like arranging for healthcare providers and using their advices to deal with the obesity issue in a systematic manner. This phase will also include, enabling factors like easy access to doctors, guidance on health related issues and access to health communities to help children in dealing with the obesity issues (Freire, and Runyan, 2006).
Preparation – the action stage is where the child and/or parent will start to take an effort to change their behavior e.g. inquiring about physical fitness programs available, usually within 30 days. The perceived benefits can be in the form of decreasing the risk and chances of diseases. The usefulness of the HBM in the form of people showing healthier behavior when they believe that the new behavior will decrease their chances of developing a disease will be used. These children and parents may strive to eat five servings of fruit and vegetables a day, if they believe it would be beneficial.
Perceived benefits play an important role in the adoption of secondary prevention behaviors such as parents and other stakeholders supporting and encouraging these children to participate in nutrition and physical activity programs, in order to
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