A school nurse-delivered intervention for overweight and obese adolescents
dc.contributor.author | Pbert, Lori | |
dc.contributor.author | Druker, Susan | |
dc.contributor.author | Gapinski, Mary Ann | |
dc.contributor.author | Gellar, Lauren A. | |
dc.contributor.author | Magner, Robert P. | |
dc.contributor.author | Reed, George W. | |
dc.contributor.author | Schneider, Kristin L. | |
dc.contributor.author | Osganian, Stavroula K. | |
dc.date | 2022-08-11T08:08:24.000 | |
dc.date.accessioned | 2022-08-23T15:53:54Z | |
dc.date.available | 2022-08-23T15:53:54Z | |
dc.date.issued | 2013-03-01 | |
dc.date.submitted | 2013-07-09 | |
dc.identifier.citation | J 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.issn | 0022-4391 (Linking) | |
dc.identifier.doi | 10.1111/josh.12014 | |
dc.identifier.pmid | 23343319 | |
dc.identifier.uri | http://hdl.handle.net/20.500.14038/29444 | |
dc.description.abstract | 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. 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.iso | en_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.url | http://dx.doi.org/10.1111/josh.12014 | |
dc.subject | Adolescent | |
dc.subject | Food Habits | |
dc.subject | Health Promotion | |
dc.subject | Obesity | |
dc.subject | Overweight | |
dc.subject | School Nursing | |
dc.subject | Social Behavior | |
dc.subject | Body Mass Index | |
dc.subject | Behavior and Behavior Mechanisms | |
dc.subject | Community Health and Preventive Medicine | |
dc.subject | Dietetics and Clinical Nutrition | |
dc.subject | Preventive Medicine | |
dc.title | A school nurse-delivered intervention for overweight and obese adolescents | |
dc.type | Journal Article | |
dc.source.journaltitle | The Journal of school health | |
dc.source.volume | 83 | |
dc.source.issue | 3 | |
dc.identifier.legacycoverpage | https://escholarship.umassmed.edu/faculty_pubs/167 | |
dc.identifier.contextkey | 4297377 | |
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.submissionpath | faculty_pubs/167 | |
dc.contributor.department | Department of Medicine, Division of Preventive and Behavioral Medicine | |
dc.source.pages | 182-93 |