Bernadette M Melnyk1, Diana Jacobson2, Stephanie A Kelly3, Michael J Belyea4, Gabriel Q Shaibi5, Leigh Small6, Judith A O'Haver7, Flavio F Marsiglia8. 1. College of Medicine, The Ohio State University, 1585 Neil Avenue, Columbus, OH 43210. melnyk.15@osu.edu. 2. Arizona State University College of Nursing & Health Innovation, 500 North 3rd Street, Phoenix, AZ 85004. Diana.Jacobson@asu.edu. 3. The Ohio State University, 1585 Neil Avenue, Columbus, OH 43210. kelly.901@osu.edu. 4. Arizona State University College of Nursing & Health Innovation, 500 North 3rd Street, Phoenix, AZ 85004. Michael.Belyea@asu.edu. 5. Arizona State University College of Nursing & Health Innovation, 500 North 3rd Street, Phoenix, AZ 85004. Gabriel.Shaibi@asu.edu. 6. Family and Community Health Nursing, Virginia Commonwealth University School of Nursing, P.O. Box 980567, Richmond, VA 23298-0567. lsmall2@vcu.edu. 7. Phoenix Children's Medical Group - Dermatology, 1919 E Thomas Rd, Phoenix, AZ 85016-7710. johaver@phoenixchildrens.com. 8. School of Social Work Director of the Southwest Interdisciplinary Research Center (SIRC), School of Social Work - College of Public Programs, Arizona State University, 411 N. Central Ave., Suite 720, Phoenix, AZ 85004. marsiglia@asu.edu.
Abstract
BACKGROUND: We evaluated the 12-month effects of the COPE (Creating Opportunities for Personal Empowerment) Healthy Lifestyles TEEN (Thinking, Emotions, Exercise, Nutrition) program versus an attention control program (Healthy Teens) on overweight/obesity and depressive symptoms in high school adolescents. METHODS: A cluster randomized controlled trial was conducted. Participants were 779 culturally diverse adolescents in the US Southwest. COPE is a cognitive-behavioral skills-building intervention with 20 min of physical activity integrated into a health course and taught by teachers once a week for 15 weeks. Outcome measures included body mass index (BMI) and depressive symptoms. RESULTS: COPE teens had a significantly lower BMI at 12 months (F(1,698) = 11.22, p = .001) than Healthy Teens (24.95 versus 25.48). There was a significant decrease in the proportion of overweight and obese COPE teens from baseline to 12 months (χ(2) = 5.40, p = .02) as compared with Healthy Teens. For youth who began the study with extremely elevated depressive symptoms, COPE teens had significantly lower depression at 12 months compared with Healthy Teens (COPE M = 42.39; Healthy Teens M = 57.90); (F(1 ,12) = 5.78, p = .03). CONCLUSIONS: COPE can improve long-term physical and mental health outcomes in teens.
RCT Entities:
BACKGROUND: We evaluated the 12-month effects of the COPE (Creating Opportunities for Personal Empowerment) Healthy Lifestyles TEEN (Thinking, Emotions, Exercise, Nutrition) program versus an attention control program (Healthy Teens) on overweight/obesity and depressive symptoms in high school adolescents. METHODS: A cluster randomized controlled trial was conducted. Participants were 779 culturally diverse adolescents in the US Southwest. COPE is a cognitive-behavioral skills-building intervention with 20 min of physical activity integrated into a health course and taught by teachers once a week for 15 weeks. Outcome measures included body mass index (BMI) and depressive symptoms. RESULTS: COPE teens had a significantly lower BMI at 12 months (F(1,698) = 11.22, p = .001) than Healthy Teens (24.95 versus 25.48). There was a significant decrease in the proportion of overweight and obese COPE teens from baseline to 12 months (χ(2) = 5.40, p = .02) as compared with Healthy Teens. For youth who began the study with extremely elevated depressive symptoms, COPE teens had significantly lower depression at 12 months compared with Healthy Teens (COPE M = 42.39; Healthy Teens M = 57.90); (F(1 ,12) = 5.78, p = .03). CONCLUSIONS: COPE can improve long-term physical and mental health outcomes in teens.
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