Comparing the effects of teen mentors to adult teachers on child lifestyle behaviors and health outcomes in Appalachia
- PMID: 23307890
- PMCID: PMC5106027
- DOI: 10.1177/1059840512472708
Comparing the effects of teen mentors to adult teachers on child lifestyle behaviors and health outcomes in Appalachia
Abstract
Childhood obesity prevalence rates in the United States are the highest in the rural Appalachian areas. Teens mentoring younger children to reverse obesity health risks are an understudied approach. This randomized-controlled trial compared the effects of two curriculum delivery methods and assessed the mediating effects of the number of sessions attended on the outcomes. The control group received the 8-week Just for Kids! curriculum via an adult teacher in a classroom and the experimental group received the same curriculum via individual teen mentoring. Data collected at baseline and postintervention were analyzed using multilevel linear models. Each of the outcomes (e.g., body mass index, blood pressure, current lifestyle behaviors) were modeled separately. Only the mentored children demonstrated improved current lifestyle behaviors (e.g., physical activity and dietary patterns) and health outcomes. Teen mentoring was an effective and efficacious approach to impact the lifestyle patterns and health outcomes of children in a school setting.
Keywords: BMI; elementary; exercise; health education; health/wellness; mentoring; nutrition; obesity.
Conflict of interest statement
Declaration of Conflicting Interests The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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References
-
- Armitage CJ. Can the theory of planned behavior predict the maintenance of physical activity? Health Psychology. 2005;24:235–245. - PubMed
-
- Aseltine RH, Dupree M, Lamlein P. Mentoring as a drug prevention strategy: An evaluation of support across ages. Adolescent and Family Health. 2000;1:11–20.
-
- Bebestos E, Chroni S, Theodorakis Y. Physically active students’ intentions and self efficacy towards healthy eating. Psychological Reports. 2002;91:485–495. - PubMed
-
- Behringer B, Friedell GH. Appalachia: Where place matters in health. Prevention of Chronic Disease. 2006 [serial online]. Retrieved from http://www.cdc.gov/pcd/issues/2006/oct/06_0067.htm. - PMC - PubMed
-
- Bellamy GR, Bolin JN, Gamm LD. Rural healthy people 2010, 2020, and beyond: The need goes on. Family & Community Health. 2011;34:182–188. - PubMed
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