Team COOL Pilot Study

团队 COOL 试点研究

• 批准号: 7010989
• 负责人: Martha Y Kubik
• 金额: $ 25.89万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-03-10 至 2008-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7010989
• 关键词: actigraphy; adolescence (12-20); behavioral /social science research tag; body physical activity; clinical research; curriculum; diet; disease /disorder prevention /control; education evaluation /planning; health behavior; health education; human subject; nutrition related tag; obesity; parent offspring interaction; personal log /diary; student health services; television; weight control

DESCRIPTION (provided by applicant): The Team COOL (Controlling Overweight and Obesity for Life) Pilot Study is an exploratory study that aims to develop and test the acceptability and feasibility of an innovative school-based intervention to prevent further weight gain and/or promote weight loss among a sample of ethnically and economically diverse adolescents attending alternative high schools. Alternative high schools are public or private schools that offer a nontraditional educational experience for at-risk students, such as dropouts, expelled students, truants and hard to reach learners who have not succeeded in regular school systems. Although low levels of physical activity and unhealthy dietary practices, behaviors regarded as a primary cause of the overweight/obesity epidemic among youth, are prevalent among teens attending alternative schools, school-based programs targeting these behaviors have not been tested and evaluated. The proposed pilot study will involve a group-randomized trial of six alternative high schools in the Minneapolis-St. Paul metropolitan area and compare an innovative intervention to a minimal intervention/comparison condition. Social Cognitive Theory and ecological theory will provide the theoretical basis for the multi-component intervention, which will include 1) a classroom-based experiential curriculum that incorporates school, family and community-linked activities to promote physical activity, healthy eating and limited television viewing, 2) environmental modifications of food and beverage offerings and physical activity opportunities at school and 3) a teacher-guided, youth-directed health advisory council to promote and support physical activity, healthy eating and limited television viewing. Student and school-level measurements will be taken at baseline, 6 months post randomization and at the completion of the 18 month intervention. Student-level measures will include a self-administered survey, the 3-day Previous Day Physical Activity Report and moderate-to-vigorous physical activity levels of students as measured by an Actigraph accelerometer. School-level measures will assess the availability of physical activity opportunities and healthy foods at school. Process data, which will include participation levels of students, parents/guardians, school staff and community persons, receptivity to the intervention and fidelity of the implementation, will be collected at intervention completion. It is hypothesized that adolescents attending alternative high schools and their parents and school staff who receive the Team COOL intervention will report high participation rates and a high degree of satisfaction.

描述（由申请人提供）：COOL 团队（终生控制超重和肥胖）试点研究是一项探索性研究，旨在开发和测试基于学校的创新干预措施的可接受性和可行性，以防止体重进一步增加和/或促进体重增加。就读另类高中的种族和经济状况不同的青少年样本中的体重减轻情况。另类高中是公立或私立学校，为高危学生提供非传统教育体验，例如辍学、被开除的学生、逃学者和在常规学校系统中成绩不佳的难以接触的学生。尽管身体活动水平低和不健康的饮食习惯（被视为青少年超重/肥胖流行的主要原因）在就读另类学校的青少年中普遍存在，但针对这些行为的学校计划尚未经过测试和评估。拟议的试点研究将涉及对明尼阿波利斯-圣路易斯六所另类高中进行分组随机试验。圣保罗大都市区，并将创新干预措施与最小干预/比较条件进行比较。社会认知理论和生态理论将为多成分干预提供理论基础，其中包括：1）以课堂为基础的体验式课程，结合学校、家庭和社区相关活动，以促进身体活动、健康饮食和限制电视观看，2) 改变学校食品和饮料供应以及体育活动机会的环境，以及 3) 一个由教师指导、青年指导的健康咨询委员会，以促进和支持体育活动、健康饮食和限制电视观看。学生和学校层面的测量将在基线、随机化后 6 个月以及 18 个月干预完成时进行。学生水平的测量将包括自我管理的调查、前一天的 3 天体力活动报告以及通过 Actigraph 加速度计测量的学生中度至剧烈体力活动水平。学校层面的措施将评估学校体育活动机会和健康食品的可用性。过程数据将在干预完成时收集，其中包括学生、家长/监护人、学校工作人员和社区人员的参与程度、对干预的接受程度以及实施的忠诚度。据推测，接受 Team COOL 干预的就读另类高中的青少年及其家长和学校工作人员将报告高参与率和高满意度。