@article{ref1,
title="Twelve-month effects of the COPE healthy lifestyles TEEN program on overweight and depressive symptoms in high school adolescents",
journal="Journal of school health",
year="2015",
author="Melnyk, Bernadette M. and Jacobson, Diana and Kelly, Stephanie A. and Belyea, Michael J. and Shaibi, Gabriel Q. and Small, Leigh and O'Haver, Judith A. and Marsiglia, Flavio Francisco",
volume="85",
number="12",
pages="861-870",
abstract="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. <br><br>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. <br><br>RESULTS: COPE teens had a significantly lower BMI at 12 months (F1,698  = 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); (F1 ,12  = 5.78, p = .03). <br><br>CONCLUSIONS: COPE can improve long-term physical and mental health outcomes in teens.<p /> <p>Language: en</p>",
language="en",
issn="0022-4391",
doi="10.1111/josh.12342",
url="http://dx.doi.org/10.1111/josh.12342"
}