ERIC Number: EJ1080166
Record Type: Journal
Publication Date: 2015-Dec
Abstractor: As Provided
Twelve-Month Effects of the COPE Healthy Lifestyles TEEN Program on Overweight and Depressive Symptoms in High School Adolescents
Melnyk, Bernadette M.; Jacobson, Diana; Kelly, Stephanie A.; Belyea, Michael J.; Shaibi, Gabriel Q.; Small, Leigh; O'Haver, Judith A.; Marsiglia, Flavio F.
Journal of School Health, v85 n12 p861-870 Dec 2015
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[subscript 1,698]?=?11.22, p?=?0.001) 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 (?[superscript 2]?=?5.40, p?=?0.02) 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[subscript 1,12]?=?5.78, p?=?0.03). Conclusions: COPE can improve long-term physical and mental health outcomes in teens.
Descriptors: Adolescents, Program Effectiveness, Life Style, Empowerment, Attention, Self Control, Thinking Skills, Emotional Development, Exercise, Nutrition, Health Promotion, Depression (Psychology), Obesity, Body Weight, High School Students, Randomized Controlled Trials, Body Composition, Behavior Modification, Cognitive Restructuring, Skill Development, Intervention
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Publication Type: Journal Articles; Reports - Research
Education Level: High Schools; Secondary Education
Sponsor: National Institute of Nursing Research (NIH)
Authoring Institution: N/A
Grant or Contract Numbers: 1R01NR012171