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In the United States, the vast majority of Hispanic high school students do not meet physical activity recommendations. This prospective, observational study tested the Theory of Planned Behavior (TPB) to predict physical activity in a convenience sample of 232 high school students from a predominantly Hispanic, rural-fringe, lower-income community in Southwestern United States. Mindfulness was tested as a moderator of the intention-physical activity relationship. Data were collected via self-report questionnaires. Statistical analysis included structural equation modeling (SEM) and moderation analysis. The model explained 60% and 43% of the variance in intention and physical activity, respectively. Attitude (β = 0.49, p < 0.001) and subjective norm (β = 0.44, p < 0.001) predicted intention. Intention (β = 0.58, p < 0.001) and perceived behavioral control (β = 0.13, p < 0 .027) predicted physical activity. Mindfulness did not moderate the intention-physical activity relationship. The results support using the TPB to predict physical activity in this population and may inspire ideas for targeted interventions.

Objective: Evaluate the use of a previsit violence risk screen to determine whether screening during routine care increases health care practitioner's (HCP's) documentation of violence risk., Methods: Once consented, adolescents filled out the Violence Injury, Protection and Risk Screen Tool (VIPRS). For usual care screen results were not viewed by the HCP. For the intervention screen results were imbedded in the electronic medical record and viewed by the HCP. The primary outcome-documented reference to violence risk-was determined by chart review., Results: Three hundred and fifty-six youth participated. Age was 14.5 years (SD 0.3); 65% female, 45% Hispanic, 38% black. Odds of violence related documentation was 47.4 (P < .001) in the intervention compared with usual care. Those who were positive on the VIPRS had a 10 times greater odds of receiving a violence intervention compared with controls., Conclusions: Previsit screening for violence risk significantly increases HCP's documentation of violent behavior and referral for intervention., (© The Author(s) 2014.)