Open AccessComparing the Effects of Teen Mentors to Adult Teachers on Child Lifestyle Behaviors and Health Outcomes in Appalachia
Author(s) -
Laureen H. Smith,
Christopher Holloman
Publication year - 2013
Publication title -
the journal of school nursing/journal of school nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 33
eISSN - 1546-8364
pISSN - 1059-8405
DOI - 10.1177/1059840512472708
Subject(s) - appalachia , curriculum , body mass index , medicine , obesity , randomized controlled trial , gerontology , childhood obesity , screen time , physical activity , psychology , overweight , physical therapy , paleontology , pedagogy , surgery , pathology , biology
Childhood obesity prevalence rates in the United States are the highest in the rural Appalachian areas. Teens mentoring younger children to reverse obesity health risks are an understudied approach. This randomized-controlled trial compared the effects of two curriculum delivery methods and assessed the mediating effects of the number of sessions attended on the outcomes. The control group received the 8-week Just for Kids! curriculum via an adult teacher in a classroom and the experimental group received the same curriculum via individual teen mentoring. Data collected at baseline and postintervention were analyzed using multilevel linear models. Each of the outcomes (e.g., body mass index, blood pressure, current lifestyle behaviors) were modeled separately. Only the mentored children demonstrated improved current lifestyle behaviors (e.g., physical activity and dietary patterns) and health outcomes. Teen mentoring was an effective and efficacious approach to impact the lifestyle patterns and health outcomes of children in a school setting.