Evaluation of an Individualized Counseling Approach as Part of a Multicomponent School-Based Program to Prevent Weight-Related Problems among Adolescent Girls
Evaluation of an Individualized Counseling Approach as Part of a Multicomponent School-Based Program to Prevent Weight-Related Problems among Adolescent Girls
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DOI：
10.1016/j.jada.2011.05.008
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发表时间：
2011-08-01
影响因子：
--
通讯作者：
Neumark-Sztainer, Dianne
中科院分区：
文献类型：
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作者：
Flattum, Colleen;Friend, Sarah;Neumark-Sztainer, Dianne
以学校为基础的干预措施在减轻与体重相关的问题方面显示出不一致的结果。学校项目的一个局限性是，它们不容易考虑到有针对性的信息的个性化。一个重要的问题是在更广泛的校本课程中实施个别课程的可行性和有效性。这篇文章评估了New Moves的个别咨询部分的可行性和有效性，这是一个以学校为基础的项目，旨在预防青春期女孩与体重相关的问题，并在随机对照研究中进行了评估。共有来自6所干预高中和6所对照高中的356名女孩参加。明尼苏达州圣保罗/明尼阿波利斯都会区在2007-2009年间参与了New Moves研究。这项分析包括来自干预学校的182名女孩，作为该计划的一部分，所有人都得到了个人咨询。干预女孩的平均年龄为15.7岁(标准差为1.13)，并具有种族/民族多样性(73.1%为非白人)。在包括激励性采访策略的个人会议期间，女孩们设定了有针对性的行为目标，旨在预防一系列与体重相关的问题。超过80%的女孩参加了五次或五次以上的单独治疗。女孩根据个人需求选择行为改变的目标。例如，早餐摄入量在基线水平较低的女孩最有可能设定增加早餐频率的目标。对个别课程的满意度很高，95%的女孩报告对课程感到满意或非常满意。在以学校为基础的干预措施中增加个人咨询成分是可行的，并有可能促进行为改变。美国饮食协会。2011；111：1218-1223。
School-based interventions show inconsistent results in reducing weight-related problems. One limitation of school programs is that they do not easily allow for individualization of targeted messages. An important question regards the feasibility and effectiveness of implementing individual sessions within broader school-based programs. This article evaluates the feasibility and effectiveness of the individual counseling component of New Moves, a school-based program designed to prevent weight-related problems in adolescent girls, which was evaluated in a randomized controlled study. A total of 356 girls from six intervention and six control high schools in. the St Paul/Minneapolis, MN, metropolitan area participated in the New Moves study in 2007-2009. This analysis includes the 182 girls from the intervention schools, all of whom were offered individual counseling as part of the program. The intervention girls had a mean age of 15.7 years (standard deviation 1.13) and were racially/ethnically diverse (73.1% non-white). During the individual sessions, which incorporated motivational interviewing strategies, girls set targeted behavioral goals aimed at preventing a spectrum of weight-related problems. More than 80% of the girls participated in five or more individual sessions. Girls chose goals for behavioral change based on individual needs. For example, girls with low levels of breakfast intake at baseline were most likely to set a goal to increase breakfast frequency. Satisfaction with the individual sessions was high, with 95% of the girls reporting being satisfied or very satisfied with the sessions. The addition of an individual counseling component to school-based interventions is feasible and has the potential to enhance behavior change. J Am Diet Assoc. 2011;111:1218-1223.