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Twelve‐Month Effects of the COPE Healthy Lifestyles TEEN Program on Overweight and Depressive Symptoms in High School Adolescents
Author(s) -
Melnyk Bernadette M.,
Jacobson Diana,
Kelly Stephanie A.,
Belyea Michael J.,
Shaibi Gabriel Q.,
Small Leigh,
O'Haver Judith A.,
Marsiglia Flavio F.
Publication year - 2015
Publication title -
journal of school health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.851
H-Index - 86
eISSN - 1746-1561
pISSN - 0022-4391
DOI - 10.1111/josh.12342
Subject(s) - overweight , depression (economics) , body mass index , medicine , randomized controlled trial , mental health , intervention (counseling) , obesity , clinical psychology , psychology , gerontology , psychiatry , surgery , pathology , economics , macroeconomics
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 1,698 = 11.22, p = .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 (χ 2 = 5.40, p = .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 1 ,12 = 5.78, p = .03).CONCLUSIONS COPE can improve long‐term physical and mental health outcomes in teens.