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: 7791082
• 负责人: Bernadette M Melnyk
• 金额: $ 69.01万
• 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 2013-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7791082
• 关键词: 16 year old; 2 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; Data; 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 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; depressed; depression; 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; post intervention; prevent; primary outcome; programs; psychosocial; public health relevance; school health; secondary outcome; sedentary; self esteem; skills; systematic review; theories

DESCRIPTION (provided by applicant): 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. PUBLIC HEALTH RELEVANCE: The prevention and treatment of obesity and mental health disorders in adolescence are two major public health problems in the United States today. To address the increasing incidence and adverse health outcomes associated with both obesity and mental health problems, a theory-based 15 session intervention program entitled COPE (Creating Opportunities for Personal Empowerment)/Healthy Lifestyles TEEN (Thinking, Feeling, Emotions & Exercise), will be delivered within high school health classes in order to improve the physical and mental health outcomes of 800 culturally diverse adolescents (14 to 16 years of age).

描述（由申请人提供）： 今天，美国（美国）的两个主要公共卫生问题是青春期的预防和治疗。在过去的20年中，超重或肥胖的青少年的发病率急剧增加，现在约有17.1％的青少年超重或肥胖。此外，美国约有1500万儿童和青少年（25％）有一个心理健康问题，正在干扰他们在家中或在学校的功能，但只有不到25％的受影响的人接受了这些疾病的任何治疗方法。在西班牙裔青少年中，肥胖和心理健康问题的患病率甚至更高，研究表明，这两种情况在许多年轻人中经常共存。然而，尽管这两个公共卫生问题的发生率迅速增加，但其相关的健康差异和不利的健康状况，但与高中的青少年进行了基于理论的干预研究，以改善其健康的生活方式行为以及身体健康的健康状况。不幸的是，身体和心理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青少年健康问题的识别和治疗不足。 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; （3）探索变量可能会减轻干预对健康生活方式和抑郁症状的影响，包括种族/民族，性​​别，SES，SES，适应和父母健康的生活方式信念和行为。六项先前的试点研究支持对这项全面临床试验的需求，以及在促进青少年的健康生活方式信念，行为和最佳心理健康方面的认知行为技能建设的使用。 这项研究与NIH的路线图和改善人们健康，防止疾病和残疾的开始以及促进脆弱人群中最高健康水平的目标是一致的。 公共卫生相关性： 当今，美国的肥胖和心理健康障碍的预防和治疗是当今美国的两个主要公共卫生问题。为了解决与肥胖和心理健康问题相关的发病率和不利的健康结果，基于理论的15个会话干预计划名为COPE（为个人授权创造机会）/青少年健康的生活方式（思维，感觉，感觉，情感和运动），将在高中健康阶层中提供，以改善800个文化和精神健康的锻炼，以改善800种文化的成果（14岁）。