Publication Date

Spring 2023

Degree Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Lisa Walker-Vischer

Second Advisor

Olivia Chung


obesity, young adults, education module, migrants, health belief model


The obesity epidemic continues to worsen. It is estimated there are over one half billion adults worldwide struggling with obesity. In the United States of America, 42% of the adults and over 15 million children are obese. Obesity leads to a myriad of other chronic diseases such as diabetes mellitus, hypertension, and hyperlipidemia. With an annual spending exceeding 173 billion dollars, obesity not only has a negative impact on quality of life but also a huge economic impact on the health care system.
This quality improvement project utilized 4 educational modules as intervention and measured the mean changes using a pre and post survey of their belief in obesity. The survey contained 24 items in 4 domains on a 5-point Likert scale. The participants were migrant workers from El Salvador and Mexico, ages ranging from 18-22. Out of the nine participants presented at the first class, three participated in 4 classes.
Although there were over 20 points in the mean score improvement in pre survey versus post survey, it was not enough to show a statistically significant improvement. However, their mean scores in two domains in the pre survey strongly suggest participants have good knowledge of the severity and their susceptibility of obesity. This knowledge can guide future education programs and interventions.


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