Effects of the COPE Cognitive Behavioral Skills Building TEEN Program on the Healthy Lifestyle Behaviors and Mental Health of Appalachian Early Adolescents

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• 作者：Jacqueline Hoying ; MS ; RN ; NEA-BC ; ^{Hoying.80@osu.edu" class="auth_mail" title="E-mail the corresponding author}Author Vitae ; Bernadette Mazurek Melnyk ; PhD ; RN ; CPNP/PMHNP ; FAANP ; FNAP ; FAANAuthor Vitae ; Kimberly Arcoleo ; PhD ; MPHAuthor Vitae
• 关键词：Appalachian early adolescence ; school-based intervention ; physical and mental health outcomes ; obesity ; healthy lifestyle behaviors
• 刊名：Journal of Pediatric Health Care
• 出版年：2016
• 出版时间：January-February 2016
• 年：2016
• 卷：30
• 期：1
• 页码：65-72
• 全文大小：353 K

文摘

Appalachian adolescents have a high prevalence of obesity and mental health problems that exceed national rates, with the two conditions often co-existing. The purpose of this study was to evaluate the feasibility and preliminary efficacy of a 15-session cognitive-behavioral skills building intervention (COPE [Creating Opportunities for Personal Empowerment] Healthy Lifestyles TEEN [Thinking, Emotions, Exercise, and Nutrition] Program) on healthy lifestyle behaviors, physical health, and mental health of rural early adolescents.

Methods

A pre- and posttest pre-experimental design was used with follow-up immediately after the intervention.

Results

Results support improvement in the students' anxiety, depression, disruptive behavior, and self-concept scores after the COPE intervention compared with baseline. Additionally, healthy lifestyle behavior scores improved before the intervention compared with after the intervention.

Discussion

COPE is a promising intervention that improves mental health and healthy lifestyle behaviors and can be integrated routinely into school-based settings.