COPE/Healthy Lifestyles for Teens: A School-Based RCT

COPE/青少年的健康生活方式：基于学校的随机对照试验

• 批准号: 8307990
• 负责人: Bernadette M Melnyk
• 金额: $ 41.36万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2014-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8307990
• 关键词: 16 year old; Acculturation; Address; Adolescence; Adolescent; Adult; Affect; Age; Anxiety; Arizona; Asthma; Attention; Behavior; Behavioral; Belief; Body mass index; Child; Childhood; Clinical Trials; Cognitive; Computers; Control Groups; Data; Depressed mood; Depressive disorder; Development; Dietary Practices; Disease; Dyslipidemias; Emotions; Enrollment; Epidemic; Ethnic Origin; Exercise; Family; Feeling; Gender; Goals; Health; Health Care Costs; Health Status; Health behavior; Healthcare Systems; High Prevalence; Hispanics; Home environment; Hypertension; Incidence; Intervention; Intervention Studies; Life Style; Longevity; Measurement; Mediating; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Morbidity - disease rate; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Onset of illness; Outcome; Overweight; Pattern; Perception; Performance; Pilot Projects; Prevalence; Prevention; Prevention program; Public Health; Publishing; Race; Randomized Controlled Trials; Reporting; Research; Review Literature; Role; School-Age Population; Schools; Sleep Apnea Syndromes; Students; Subgroup; Suicide attempt; Symptoms; Teenagers; Television; Testing; Thinking; Time; United States; United States National Institutes of Health; Vulnerable Populations; Weight; Weight Gain; Work; Youth; age group; base; boys; cognitive change; comparison group; daily functioning; depressive symptoms; disability; efficacy testing; empowerment; fast food; food consumption; girls; health disparity; high school; improved; innovation; intervention effect; intervention program; lifestyle intervention; mortality; national surveillance; negative mood; novel; obesity prevention; obesity treatment; peer; physical conditioning; post intervention; prevent; primary outcome; programs; psychosocial; school health; secondary outcome; sedentary; self esteem; skills; systematic review; theories

ABSTRACT The prevention and treatment of obesity and mental health disorders in adolescence are two major public health problems in the United States (U.S.) today. The incidence of adolescents who are overweight or obese has increased dramatically over the past 20 years, with approximately 17.1 percent of teens now being overweight or obese. Furthermore, approximately 15 million children and adolescents (25 percent) in the U.S. have a mental health problem that is interfering with their functioning at home or at school, but less than 25 percent of those affected receive any treatment for these disorders. The prevalence rates of obesity and mental health problems are even higher in Hispanic teens, with studies suggesting that the two conditions often coexist in many youth. However, despite the rapidly increasing incidence of these two public health problems with their related health disparities and adverse health outcomes, there has been a paucity of theory- based intervention studies conducted with adolescents in high schools to improve their healthy lifestyle behaviors as well as their physical and mental health outcomes. Unfortunately, physical and mental health services continue to be largely separated instead of integrated in the nation's healthcare system, which often leads to inadequate identification and treatment of these significant adolescent health problems. Therefore, the goal of the proposed randomized controlled trial is to test the efficacy of the COPE (Creating Opportunities for Personal Empowerment)/Healthy Lifestyles TEEN (Thinking, Feeling, Emotions & Exercise) Program, an educational and cognitive-behavioral skills building intervention guided by cognitive behavior theory, on the healthy lifestyle behaviors and depressive symptoms of 800 culturally diverse adolescents enrolled in Phoenix, Arizona high schools. The specific aims of the study are to: (1) Use a randomized controlled trial to test the short- and more long-term efficacy of the COPE TEEN Program on key outcomes, including healthy lifestyles behaviors, depressive symptoms and body mass index percentage, (2) Examine the role of cognitive beliefs and perceived difficulty in leading a healthy lifestyle in mediating the effects of COPE on healthy lifestyle behaviors and depressive symptoms; and (3) Explore variables that may moderate the effects of the intervention on healthy lifestyle behaviors and depressive symptoms, including race/ethnicity, gender, SES, acculturation, and parental healthy lifestyle beliefs and behaviors. Six prior pilot studies support the need for this full scale clinical trial and the use of cognitive-behavioral skills building in promoting healthy lifestyles beliefs, behaviors and optimal mental health in teens. This study is consistent with the NIH roadmap and goals of improving people's health and preventing the onset of disease and disability as well as promoting the highest level of health in a vulnerable population.

抽象的 青春期肥胖和心理健康障碍的预防和治疗是两个主要 今天美国（美国）的公共卫生问题。超重或 肥胖在过去20年中急剧增加，现在约有17.1％ 超重或肥胖。此外，美国约有1500万儿童和青少年（25％） 有一个心理健康问题，正在干扰他们在家里或学校的功能，但不到25 受影响的人中的百分比接受了这些疾病的任何治疗方法。肥胖和 西班牙裔青少年的心理健康问题甚至更高，研究表明这两个条件 在许多年轻人中经常共存。但是，尽管这两个公共卫生的发生率迅速增加 与他们相关的健康差异和不良健康结果的问题，理论很少 与高中青少年进行的基于干预研究以改善其健康的生活方式 行为以及他们的身心健康结果。不幸的是，身心健康 服务继续在很大程度上分开，而不是整合到国家的医疗保健系统中，这通常 导致对这些重大的青少年健康问题的识别和治疗不足。 因此，拟议的随机对照试验的目的是测试COPE的功效 （为个人授权创造机会）/健康生活方式青少年（思维，感觉，情感和 练习）计划，由认知指导的教育和认知行为技能建设干预措施 行为理论，关于800种文化多样的健康生活方式行为和抑郁症状 青少年在亚利桑那州凤凰城入学。该研究的具体目的是：（1）使用 随机对照试验，以测试COPE青少年计划在密钥上的短期和更长期的效力 结果，包括健康的生活方式行为，抑郁症状和体重指数百分比，（2） 研究认知信念的作用和认为难以实现健康生活方式在调解健康方面的作用 应对对健康生活方式行为和抑郁症状的影响； （3）探索变量可能 调节干预对健康生活方式行为和抑郁症状的影响，包括 种族/种族，性别，SES，适应和父母健康的生活方式信念和行为。六个先前的飞行员 研究支持对这项全面临床试验的需求，并在使用认知行为技能建设 促进青少年健康的生活方式信念，行为和最佳心理健康。 这项研究与NIH的路线图和改善人们的健康和防止的目标是一致的 疾病和残疾的发作，并促进脆弱人群的最高健康水平。

项目成果

COPE for depressed and anxious teens: a brief cognitive-behavioral skills building intervention to increase access to timely, evidence-based treatment.

针对抑郁和焦虑青少年的应对措施：简短的认知行为技能培养干预措施，以增加获得及时、循证治疗的机会。

• DOI: 10.1111/jcap.12017
• 发表时间: 2013
• 期刊: Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc
• 作者: Lusk,Pamela;Melnyk,BernadetteMazurek
• 通讯作者: Melnyk,BernadetteMazurek

Adolescents as Agents of Parental Healthy Lifestyle Behavior Change: COPE Healthy Lifestyles TEEN Program.

• DOI: 10.1016/j.pedhc.2020.06.012
• 发表时间: 2020-11
• 期刊: Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
• 作者: Kelly S;Melnyk BM;Hoying J
• 通讯作者: Hoying J

Twelve-Month Effects of the COPE Healthy Lifestyles TEEN Program on Overweight and Depressive Symptoms in High School Adolescents.

COPE 健康生活方式青少年计划对高中青少年超重和抑郁症状的 12 个月影响。

• DOI: 10.1111/josh.12342
• 发表时间: 2015-12
• 期刊: The Journal of school health
• 作者: Melnyk BM;Jacobson D;Kelly SA;Belyea MJ;Shaibi GQ;Small L;O'Haver JA;Marsiglia FF
• 通讯作者: Marsiglia FF

Psychometric Properties of the Healthy Lifestyle Beliefs Scale for Adolescents.

• DOI: 10.1016/j.pedhc.2020.11.002
• 发表时间: 2021-05
• 期刊: Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
• 作者: Melnyk BM;Kelly S;Tan A
• 通讯作者: Tan A