TY  - JOUR
PY  - 2015//
TI  - Twelve-month effects of the COPE healthy lifestyles TEEN program on overweight and depressive symptoms in high school adolescents
JO  - Journal of school health
A1  - Melnyk, Bernadette M.
A1  - Jacobson, Diana
A1  - Kelly, Stephanie A.
A1  - Belyea, Michael J.
A1  - Shaibi, Gabriel Q.
A1  - Small, Leigh
A1  - O'Haver, Judith A.
A1  - Marsiglia, Flavio Francisco
SP  - 861
EP  - 870
VL  - 85
IS  - 12
N2  - 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>
LA  - en
SN  - 0022-4391
UR  - http://dx.doi.org/10.1111/josh.12342
ID  - ref1
ER  -