Promoting healthy lifestyles in high school adolescents: a randomized controlled trial.
Promoting healthy lifestyles in high school adolescents: a randomized controlled trial.
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DOI：
10.1016/j.amepre.2013.05.013
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发表时间：
2013-10
影响因子：
5.5
通讯作者：
Marsiglia, Flavio F.
中科院分区：
文献类型：
--
作者：
Melnyk, Bernadette M.;Jacobson, Diana;Kelly, Stephanie;Belyea, Michael;Shaibi, Gabriel;Small, Leigh;O'Haver, Judith;Marsiglia, Flavio F.
虽然肥胖和心理健康障碍是青少年中影响学习成绩的两个主要公共卫生问题，但很少有严格设计的实验研究在高中进行。该研究的目的是测试科普（创造个人赋权的机会）健康生活方式青少年（思考，情绪，锻炼，营养）计划与注意力控制计划（健康青少年）在以下方面的有效性：健康的生活方式行为，BMI，心理健康，社交技能和高中青少年的学业成绩。进行了一项整群随机对照试验。数据收集于2010年1月至2012年5月，并在2012-2013年进行分析。美国西南部共有779名不同文化的青少年参加了这项试验。科普是一种认知行为技能建设干预措施，将20分钟的身体活动纳入健康课程，由教师每周教授一次，为期15周。注意力控制计划是一个为期15周的计划，涵盖了常见的健康主题。干预后立即和干预后6个月评估的主要结果是健康的生活方式行为和BMI。次要结果包括心理健康、酒精和药物使用、社交技能和学习成绩。干预后，科普青少年每天的步数（p=0.03）和BMI（p=0.01）低于健康青少年，所有社交技能评分系统子量表的平均得分较高（p值<0.05）。科普组的酒精使用率为11.17%，健康青少年组为21.46%（p=0.04）。科普青少年的健康课程成绩高于对照组青少年。在干预后6个月，科普青少年的平均BMI低于健康青少年（科普=24.72，健康青少年=25.05，调整后的M=-0.34，95%CI =-0.56，-0.11）。从干预前到6个月随访，超重的比例有显著差异（卡方=4.69，p=0.03），科普降低了超重青少年的比例，而对照组青少年的超重比例增加。在6个月时，酒精使用没有差异（p=0.06）。科普可以改善高中青少年的短期和更长期的结果。本研究注册于www.clinicaltrials.gov NCT 01704768。
Although obesity and mental health disorders are two major public health problems in adolescents that affect academic performance, few rigorously designed experimental studies have been conducted in high schools. The goal of the study was to test the efficacy of the COPE (Creating Opportunities for Personal Empowerment) Healthy Lifestyles TEEN (Thinking, Emotions, Exercise, Nutrition) Program, versus an attention control program (Healthy Teens) on: healthy lifestyle behaviors, BMI, mental health, social skills, and academic performance of high school adolescents immediately after and at 6 months post-intervention. A cluster RCT was conducted. Data were collected from January 2010 to May of 2012 and analyzed in 2012–2013. A total of 779 culturally diverse adolescents in the U.S. Southwest participated in the trial. COPE was a cognitive–behavioral skills-building intervention with 20 minutes of physical activity integrated into a health course, taught by teachers once a week for 15 weeks. The attention control program was a 15-session, 15-week program that covered common health topics. Primary outcomes assessed immediately after and 6 months post-intervention were healthy lifestyle behaviors and BMI. Secondary outcomes included mental health, alcohol and drug use, social skills, and academic performance. Post-intervention, COPE teens had a greater number of steps per day (p=0.03) and a lower BMI (p=0.01) than did those in Healthy Teens, and higher average scores on all Social Skills Rating System subscales (p-values <0.05). Alcohol use was 11.17% in the COPE group and 21.46% in the Healthy Teens group (p=0.04). COPE teens had higher health course grades than did control teens. At 6 months post-intervention, COPE teens had a lower mean BMI than teens in Healthy Teens (COPE=24.72, Healthy Teens=25.05, adjusted M= −0.34, 95% CI= −0.56, −0.11). The proportion of those overweight was significantly different from pre-intervention to 6-month follow-up (Chi square=4.69, p=0.03), with COPE decreasing the proportion of overweight teens, versus an increase in overweight in control adolescents. There were no differences in alcohol use at 6 months (p=0.06). COPE can improve short- and more long-term outcomes in high school teens. This study is registered at www.clinicaltrials.gov NCT01704768.
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DOI：
10.1007/s10935-005-5391-5
发表时间：
2005-07-01
期刊：
The journal of primary prevention
影响因子：
--
作者：
Derzon, James H;Sale, Elizabeth;Brounstein, Paul
通讯作者：
Brounstein, Paul
影响因子：
8
作者：
Goodman, E;Whitaker, RC
通讯作者：
Whitaker, RC
影响因子：
8
作者：
Huhman, M;Potter, LD;Heitzler, CD
通讯作者：
Heitzler, CD
影响因子：
6.9
作者：
Kropski, Jonathan A.;Keckley, Paul H.;Jensen, Gordon L.
通讯作者：
Jensen, Gordon L.
DOI：
10.1177/1078390311404067
发表时间：
2011-05-01
影响因子：
2
作者：
Lusk, Pamela;Melnyk, Bernadette Mazurek
通讯作者：
Melnyk, Bernadette Mazurek