BACKGROUND:School-based health centers (SBHCs) may be an ideal setting to address obesity in adolescents because they provide increased access to a traditionally difficult-to-reach population. The study evaluated the feasibility of adding a health educator (HE) to SBHC teams to provide support and increase the delivery of preventive services for overweight or obese adolescents. METHODS:Adolescents with BMI ≥85% recruited from two SBHCs were randomized to a control group (CG) or an intervention group (IG). Both groups received preventive services, including physical examinations and laboratory screening in the SBHC. The educator met with the IG during the academic year, utilizing motivational interviewing techniques to set lifestyle goals. Text messaging was used to reinforce goals between visits. RESULTS:Eighty-two students (15.7±1.5 years of age; BMI, 31.9±6.2 kg/m(2)) were enrolled in the IG and 83 in the control group (16.0±1.5 years of age; BMI, 31.6±6.5 kg/m(2)). Retention was 94% in the IG and 87% in the CG. A total of 54.5% of the IG and 72.2% of the CG decreased or maintained BMI z-score (less than 0.05 increase; p=0.025). Sports participation was higher in the CG (47% vs. 28% in the IG; p=0.02). Mean BMI z-score change was -0.05±0.2 for students participating in sports vs. 0.01±0.2 for those not (p=0.09). CONCLUSIONS: This SBHC intervention showed successful recruitment and retention of participants and delivery of preventive services in both groups. Meeting with an HE did not improve BMI outcomes in the IG. Confounding factors, including sports participation and SBHC utilization, likely contributed to BMI outcomes.
RCT Entities:
BACKGROUND: School-based health centers (SBHCs) may be an ideal setting to address obesity in adolescents because they provide increased access to a traditionally difficult-to-reach population. The study evaluated the feasibility of adding a health educator (HE) to SBHC teams to provide support and increase the delivery of preventive services for overweight or obese adolescents. METHODS: Adolescents with BMI ≥85% recruited from two SBHCs were randomized to a control group (CG) or an intervention group (IG). Both groups received preventive services, including physical examinations and laboratory screening in the SBHC. The educator met with the IG during the academic year, utilizing motivational interviewing techniques to set lifestyle goals. Text messaging was used to reinforce goals between visits. RESULTS: Eighty-two students (15.7±1.5 years of age; BMI, 31.9±6.2 kg/m(2)) were enrolled in the IG and 83 in the control group (16.0±1.5 years of age; BMI, 31.6±6.5 kg/m(2)). Retention was 94% in the IG and 87% in the CG. A total of 54.5% of the IG and 72.2% of the CG decreased or maintained BMI z-score (less than 0.05 increase; p=0.025). Sports participation was higher in the CG (47% vs. 28% in the IG; p=0.02). Mean BMI z-score change was -0.05±0.2 for students participating in sports vs. 0.01±0.2 for those not (p=0.09). CONCLUSIONS: This SBHC intervention showed successful recruitment and retention of participants and delivery of preventive services in both groups. Meeting with an HE did not improve BMI outcomes in the IG. Confounding factors, including sports participation and SBHC utilization, likely contributed to BMI outcomes.
Authors: Monique K Vallabhan; Elizabeth Y Jimenez; Jacob L Nash; Diana Gonzales-Pacheco; Kathryn E Coakley; Shelly R Noe; Conni J DeBlieck; Linda C Summers; Sarah W Feldstein-Ewing; Alberta S Kong Journal: Pediatrics Date: 2018-10-22 Impact factor: 7.124
Authors: Elissa Jelalian; E Whitney Evans; Diana Rancourt; Lisa Ranzenhofer; Neta Taylor; Chantelle Hart; Ronald Seifer; Kelly Klinepier; Gary D Foster Journal: Child Obes Date: 2019-12-18 Impact factor: 2.992
Authors: Asheley Cockrell Skinner; Steven B Heymsfield; Angelo Pietrobelli; Myles S Faith; David B Allison Journal: Int J Behav Nutr Phys Act Date: 2015-05-07 Impact factor: 6.457
Authors: Lena Al-Khudairy; Emma Loveman; Jill L Colquitt; Emma Mead; Rebecca E Johnson; Hannah Fraser; Joan Olajide; Marie Murphy; Rochelle Marian Velho; Claire O'Malley; Liane B Azevedo; Louisa J Ells; Maria-Inti Metzendorf; Karen Rees Journal: Cochrane Database Syst Rev Date: 2017-06-22
Authors: Parisa Amiri; Mohammad Masih Mansouri-Tehrani; Ahmad Khalili-Chelik; Mehrdad Karimi; Sara Jalali-Farahani; Atieh Amouzegar; Elham Kazemian Journal: Int J Behav Med Date: 2021-07-15
Authors: Jonathan McGavock; Bhupendrasinh F Chauhan; Rasheda Rabbani; Sofia Dias; Nika Klaprat; Sara Boissoneault; Justin Lys; Aleksandra K Wierzbowski; Mohammad Nazmus Sakib; Ryan Zarychanski; Ahmed M Abou-Setta Journal: JAMA Netw Open Date: 2020-07-01