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A School-based Health Center Study for Behavioral Management of Overweight/Obese Adolescents

A School-based Health Center Study for Behavioral Management of Overweight/Obese Adolescents. November 18, 2009 Signature Program for Child Health Research Alberta S. Kong, MD, MPH Assistant Professor Department of Pediatrics University of New Mexico Health Sciences Center. Background.

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A School-based Health Center Study for Behavioral Management of Overweight/Obese Adolescents

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  1. A School-based Health Center Study for Behavioral Management of Overweight/Obese Adolescents November 18, 2009 Signature Program for Child Health Research Alberta S. Kong, MD, MPH Assistant Professor Department of Pediatrics University of New Mexico Health Sciences Center

  2. Background • 30% of obese US teens meet criteria for the metabolic syndrome (MetSyn). • Research shows that reducing dietary sugar and fat and increasing exercise are crucial to managing MetSyn, yet few lifestyle intervention studies exist to address the increasing prevalence of MetSyn in teens. • Promising strategies for intervention work include: • Targeting locations where adolescents spend the majority of their time • Motivational interviewing • Use of media • To date, little is known about the use of SBHC with overweight/obese students.

  3. Adolescents Committed to Improvement of Nutrition and Physical Activity R21 HL092533 NIH/NHLBI • Use Community-based Participatory Research approach to create SBHC intervention • Test SBHC intervention • Collect formative research data on sustainable school mechanisms to support high school students in achieving a healthier lifestyle in preparation of a school-wide intervention

  4. Methods (Phase 1: Formative Research) 7 semi-structured interviews with OW/OB teens and 8 semi-structured interviews with parents of OW/OB teens from two participating high schools ACTION Advisory Council: 7 OW/OB teens and 5 parents of OW/OB teens Create strategies for DVD and provider toolkit.

  5. DVD and Clinician Toolkit

  6. Methods (Phase 2: ACTION Trial) SBHC provider trained in Motivational Interviewing and use of created strategies Recruited 30 OW/OB students/parents from Intervention HS and 29 OW/OB students/parents from Control HS Intervention: 8 clinical encounters with SBHC providers Control: Usual care with self-help materials Data collection: Demographics, health history, stage of change, self efficacy, glucose/insulin/lipids, BMI/waist, BIA, BP, YAQ, 24 hour diet recall, 3dPAR & RT3 at baseline (Sept. 2009), post-intervention (April 2010), and after summer (August 2010)

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