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dc.contributor.authorPbert, Lori
dc.contributor.authorDruker, Susan
dc.contributor.authorGapinski, Mary Ann
dc.contributor.authorGellar, Lauren A.
dc.contributor.authorMagner, Robert P.
dc.contributor.authorReed, George W.
dc.contributor.authorSchneider, Kristin L.
dc.contributor.authorOsganian, Stavroula K.
dc.date2022-08-11T08:08:24.000
dc.date.accessioned2022-08-23T15:53:54Z
dc.date.available2022-08-23T15:53:54Z
dc.date.issued2013-03-01
dc.date.submitted2013-07-09
dc.identifier.citationJ Sch Health. 2013 Mar;83(3):182-93. doi: 10.1111/josh.12014. <a href="http://dx.doi.org/10.1111/josh.12014" target="_blank">Link to article on publisher's site</a>
dc.identifier.issn0022-4391 (Linking)
dc.identifier.doi10.1111/josh.12014
dc.identifier.pmid23343319
dc.identifier.urihttp://hdl.handle.net/20.500.14038/29444
dc.description.abstractBACKGROUND: Models are needed for implementing weight management interventions for adolescents through readily accessible venues. This study evaluated the feasibility and efficacy of a school nurse-delivered intervention in improving diet and activity and reducing body mass index (BMI) among overweight and obese adolescents. METHODS: Six high schools were randomized to either a 6-session school nurse-delivered counseling intervention utilizing cognitive-behavioral techniques or nurse contact with provision of information. Eighty-four overweight or obese adolescents in grades 9 through 11 completed behavioral and physiological assessments at baseline and 2- and 6-month follow-ups. RESULTS: At 2 months, intervention participants ate breakfast on more days/week (difference = 1.01 days; 95% CI: 0.11, 1.92), and had a lower intake of total sugar (difference = -45.79 g; 95% CI: -88.34, -3.24) and added sugar (difference = -51.35 g; 95% CI: -92.45, -10.26) compared to control participants. At 6 months, they were more likely to drink soda ≤ one time/day (OR 4.10; 95% CI: 1.19, 16.93) and eat at fast food restaurants ≤ one time/week (OR 4.62; 95% CI: 1.10, 23.76) compared to control participants. There were no significant differences in BMI, activity, or caloric intake. CONCLUSION: A brief school nurse-delivered intervention was feasible, acceptable, and improved selected obesogenic behaviors, but not BMI. Copyright 2013, American School Health Association.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=23343319&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1111/josh.12014
dc.subjectAdolescent
dc.subjectFood Habits
dc.subjectHealth Promotion
dc.subjectObesity
dc.subjectOverweight
dc.subjectSchool Nursing
dc.subjectSocial Behavior
dc.subjectBody Mass Index
dc.subjectBehavior and Behavior Mechanisms
dc.subjectCommunity Health and Preventive Medicine
dc.subjectDietetics and Clinical Nutrition
dc.subjectPreventive Medicine
dc.titleA school nurse-delivered intervention for overweight and obese adolescents
dc.typeJournal Article
dc.source.journaltitleThe Journal of school health
dc.source.volume83
dc.source.issue3
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/faculty_pubs/167
dc.identifier.contextkey4297377
html.description.abstract<p>BACKGROUND: Models are needed for implementing weight management interventions for adolescents through readily accessible venues. This study evaluated the feasibility and efficacy of a school nurse-delivered intervention in improving diet and activity and reducing body mass index (BMI) among overweight and obese adolescents.</p> <p>METHODS: Six high schools were randomized to either a 6-session school nurse-delivered counseling intervention utilizing cognitive-behavioral techniques or nurse contact with provision of information. Eighty-four overweight or obese adolescents in grades 9 through 11 completed behavioral and physiological assessments at baseline and 2- and 6-month follow-ups.</p> <p>RESULTS: At 2 months, intervention participants ate breakfast on more days/week (difference = 1.01 days; 95% CI: 0.11, 1.92), and had a lower intake of total sugar (difference = -45.79 g; 95% CI: -88.34, -3.24) and added sugar (difference = -51.35 g; 95% CI: -92.45, -10.26) compared to control participants. At 6 months, they were more likely to drink soda ≤ one time/day (OR 4.10; 95% CI: 1.19, 16.93) and eat at fast food restaurants ≤ one time/week (OR 4.62; 95% CI: 1.10, 23.76) compared to control participants. There were no significant differences in BMI, activity, or caloric intake.</p> <p>CONCLUSION: A brief school nurse-delivered intervention was feasible, acceptable, and improved selected obesogenic behaviors, but not BMI.</p> <p>Copyright 2013, American School Health Association.</p>
dc.identifier.submissionpathfaculty_pubs/167
dc.contributor.departmentDepartment of Medicine, Division of Preventive and Behavioral Medicine
dc.source.pages182-93


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