Team COOL Pilot Study

Summary

Principal Investigator: Martha Young Kubik
Abstract: [unreadable] DESCRIPTION (provided by applicant): The Team COOL (Controlling Overweight and Obesity for Life) Pilot Study is an exploratory study that aims to develop and test the acceptability and feasibility of an innovative school-based intervention to prevent further weight gain and/or promote weight loss among a sample of ethnically and economically diverse adolescents attending alternative high schools. Alternative high schools are public or private schools that offer a nontraditional educational experience for at-risk students, such as dropouts, expelled students, truants and hard to reach learners who have not succeeded in regular school systems. Although low levels of physical activity and unhealthy dietary practices, behaviors regarded as a primary cause of the overweight/obesity epidemic among youth, are prevalent among teens attending alternative schools, school-based programs targeting these behaviors have not been tested and evaluated. The proposed pilot study will involve a group-randomized trial of six alternative high schools in the Minneapolis-St. Paul metropolitan area and compare an innovative intervention to a minimal intervention/comparison condition. Social Cognitive Theory and ecological theory will provide the theoretical basis for the multi-component intervention, which will include 1) a classroom-based experiential curriculum that incorporates school, family and community-linked activities to promote physical activity, healthy eating and limited television viewing, 2) environmental modifications of food and beverage offerings and physical activity opportunities at school and 3) a teacher-guided, youth-directed health advisory council to promote and support physical activity, healthy eating and limited television viewing. Student and school-level measurements will be taken at baseline, 6 months post randomization and at the completion of the 18 month intervention. Student-level measures will include a self-administered survey, the 3-day Previous Day Physical Activity Report and moderate-to-vigorous physical activity levels of students as measured by an Actigraph accelerometer. School-level measures will assess the availability of physical activity opportunities and healthy foods at school. Process data, which will include participation levels of students, parents/guardians, school staff and community persons, receptivity to the intervention and fidelity of the implementation, will be collected at intervention completion. It is hypothesized that adolescents attending alternative high schools and their parents and school staff who receive the Team COOL intervention will report high participation rates and a high degree of satisfaction. [unreadable] [unreadable]
Funding Period: 2006-03-10 - 2008-11-29
more information: NIH RePORT

Top Publications

  1. ncbi Health behaviors and mental health of students attending alternative high schools: a review of the research literature
    Karen E Johnson
    Center for Adolescent Nursing, School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA
    J Spec Pediatr Nurs 17:79-97. 2012
  2. ncbi Alternative high school students' physical activity: role of self-efficacy
    DenYelle Baete Kenyon
    Sanford Research USD, Health Disparities Research Center, Sanford Research Center, Sioux Falls, SD, USA
    Am J Health Behav 36:300-10. 2012
  3. ncbi Relationships between physical activity and depressive symptoms among middle and older adolescents: a review of the research literature
    Karen E Johnson
    Center for Adolescent Nursing, School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA
    J Spec Pediatr Nurs 16:235-51. 2011
  4. ncbi Prevalence and social-environmental correlates of sports team participation among alternative high school students
    Karen E Johnson
    School of Nursing, University of Minnesota, Minneapolis, MN, USA
    J Phys Act Health 8:606-12. 2011
  5. pmc Substance use and dietary practices among students attending alternative high schools: results from a pilot study
    Chrisa Arcan
    University of Minnesota, Division of Epidemiology and Community Health, School of Public Health, Minneapolis, MN 55454, USA
    BMC Public Health 11:263. 2011
  6. pmc Association between food opportunities during the school day and selected dietary behaviors of alternative high school students, Minneapolis/Saint Paul, Minnesota, 2006
    Chrisa Arcan
    University of Minnesota School of Public Health, Division of Epidemiology and Community Health, 1300 South 2nd St, Ste 300, Minneapolis, MN 55454, USA
    Prev Chronic Dis 8:A08. 2011
  7. pmc Perceived barriers mediate the association between self-efficacy and fruit and vegetable consumption among students attending alternative high schools
    Meg Bruening
    School of Nursing, Biostatistical Design and Analysis Center, University of Minnesota, Minneapolis, MN 55454, USA
    J Am Diet Assoc 110:1542-6. 2010
  8. pmc Are there nutritional and other benefits associated with family meals among at-risk youth?
    Jayne A Fulkerson
    School of Nursing, School of Public Health, University of Minnesota, Minneapolis, Minnesota 55455, USA
    J Adolesc Health 45:389-95. 2009
  9. pmc Sociodemographic differences in selected eating practices among alternative high school students
    Chrisa Arcan
    School of Public Health, Division of Epidemiology and Community Health, University of Minnesota, 1300 S 2nd St, Suite 300, Minneapolis, MN 55454, USA
    J Am Diet Assoc 109:823-9. 2009
  10. ncbi Alternative high school students: prevalence and correlates of overweight
    Martha Y Kubik
    University of Minnesota, School of Nursing, Minneapolis, MN 55455, USA
    Am J Health Behav 33:600-9. 2009

Scientific Experts

Detail Information

Publications11

  1. ncbi Health behaviors and mental health of students attending alternative high schools: a review of the research literature
    Karen E Johnson
    Center for Adolescent Nursing, School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA
    J Spec Pediatr Nurs 17:79-97. 2012
    ..The purpose of this review is to describe current knowledge about health-risk behaviors and mental health among alternative high school students...
  2. ncbi Alternative high school students' physical activity: role of self-efficacy
    DenYelle Baete Kenyon
    Sanford Research USD, Health Disparities Research Center, Sanford Research Center, Sioux Falls, SD, USA
    Am J Health Behav 36:300-10. 2012
    ..To examine physical activity self-efficacy as a mediator of the association between perceived barriers to PA and moderate-to-vigorous physical activity (MVPA) among alternative high school (AHS) students...
  3. ncbi Relationships between physical activity and depressive symptoms among middle and older adolescents: a review of the research literature
    Karen E Johnson
    Center for Adolescent Nursing, School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA
    J Spec Pediatr Nurs 16:235-51. 2011
    ..The purpose of the review was to describe current knowledge regarding relationships between physical activity (PA) and depressive symptoms among adolescents...
  4. ncbi Prevalence and social-environmental correlates of sports team participation among alternative high school students
    Karen E Johnson
    School of Nursing, University of Minnesota, Minneapolis, MN, USA
    J Phys Act Health 8:606-12. 2011
    ..However, little is known about the prevalence and correlates of sports team participation among AHS students...
  5. pmc Substance use and dietary practices among students attending alternative high schools: results from a pilot study
    Chrisa Arcan
    University of Minnesota, Division of Epidemiology and Community Health, School of Public Health, Minneapolis, MN 55454, USA
    BMC Public Health 11:263. 2011
    ..Associations between multi-substance use and the same dietary practices were also examined...
  6. pmc Association between food opportunities during the school day and selected dietary behaviors of alternative high school students, Minneapolis/Saint Paul, Minnesota, 2006
    Chrisa Arcan
    University of Minnesota School of Public Health, Division of Epidemiology and Community Health, 1300 South 2nd St, Ste 300, Minneapolis, MN 55454, USA
    Prev Chronic Dis 8:A08. 2011
    ..We examined correlations between food opportunities during the school day and selected dietary behaviors of students attending alternative high schools...
  7. pmc Perceived barriers mediate the association between self-efficacy and fruit and vegetable consumption among students attending alternative high schools
    Meg Bruening
    School of Nursing, Biostatistical Design and Analysis Center, University of Minnesota, Minneapolis, MN 55454, USA
    J Am Diet Assoc 110:1542-6. 2010
    ..7, P=0.007). Interventions targeting the dietary practices of alternative high school students should include components to decrease perceived barriers as a way to increase self-efficacy and ultimately fruit/vegetable intake...
  8. pmc Are there nutritional and other benefits associated with family meals among at-risk youth?
    Jayne A Fulkerson
    School of Nursing, School of Public Health, University of Minnesota, Minneapolis, Minnesota 55455, USA
    J Adolesc Health 45:389-95. 2009
    ..The present study aims to examine these associations among a population of adolescents at-risk of academic failure...
  9. pmc Sociodemographic differences in selected eating practices among alternative high school students
    Chrisa Arcan
    School of Public Health, Division of Epidemiology and Community Health, University of Minnesota, 1300 S 2nd St, Suite 300, Minneapolis, MN 55454, USA
    J Am Diet Assoc 109:823-9. 2009
    ..Students attending alternative high schools are an at-risk group of youth for poor health behaviors and obesity. However, little is known about their dietary practices...
  10. ncbi Alternative high school students: prevalence and correlates of overweight
    Martha Y Kubik
    University of Minnesota, School of Nursing, Minneapolis, MN 55455, USA
    Am J Health Behav 33:600-9. 2009
    ..To determine prevalence and correlates of overweight among adolescents attending alternative high schools (AHS)...
  11. pmc Objectively measured physical activity in urban alternative high school students
    John R Sirard
    Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN 55454, USA
    Med Sci Sports Exerc 40:2088-95. 2008
    ..Alternative high school (AHS) students are an underserved population of youth at greater risk for poor health behaviors and outcomes. Little is known about their physical activity patterns...