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Randomized Controlled Trial
. 2016 Oct 25;11(10):e0165285.
doi: 10.1371/journal.pone.0165285. eCollection 2016.

Effect of School-Based Home-Collaborative Lifestyle Education on Reducing Subjective Psychosomatic Symptoms in Adolescents: A Cluster Randomised Controlled Trial

Junko Watanabe  1 , Mariko Watanabe  2   3 , Kazue Yamaoka  4 , Misa Adachi  5 , Asuka Nemoto  4 , Toshiro Tango  4   6
Affiliations
Randomized Controlled Trial

Effect of School-Based Home-Collaborative Lifestyle Education on Reducing Subjective Psychosomatic Symptoms in Adolescents: A Cluster Randomised Controlled Trial

Junko Watanabe et al. PLoS One. .

Abstract

In this study, we aimed to assess the effectiveness of a school-based home-collaborative lifestyle education program for adolescents (PADOK) in reducing poor subjective psychosomatic symptoms (SPS). The study was designed as a two-armed parallel cluster randomised controlled trial and the study population comprised adolescent students (aged 12-14 years, n = 1,565) who were recruited from 19 middle schools in Japan. The PADOK intervention or usual school programme was provided in schools to all eligible participants. The primary outcome was the SPS score at 6 months, while secondary outcomes included lifestyle factors, BMI, and dietary intakes. Analyses were undertaken on an intention to treat (ITT) basis accounting for the clustered design. Nineteen schools were randomised to the PADOK group (10 schools) and control group (9 schools). The numbers of students used for analysis were 1,509 for ITT and 1,420 (94.1%) for PPS. At 6 months, the crude mean change from baseline of the SPS scores by ITT analysis showed a significantly greater reduction in the PADOK group compared to that in the control group (-0.95, 95% CI -1.70 to -0.20, P = 0.016), while those for baseline-adjusted and multivariate-adjusted values showed similar directionality but were not significant (P = 0.063 and P = 0.130). The results indicated that the PADOK program may improve poor SPS scores among adolescents.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. Consort flow diagram.
Fig 2
Fig 2. PADPK intervention scheme.
See this image and copyright information in PMC

References

    1. Ministry of Education Culture, Sports Science and Technology. School Health Examination Survey. Tokyo: Ministry of Education, Culture, Sports, Science and Technology. 2014.
    1. Shaya FT, Flores D, Gbarayor CM, Wang J. School-based obesity interventions: a literature review. J Sch Health. 2008;78(4): 189–196. 10.1111/j.1746-1561.2008.00285.x - DOI - PubMed
    1. Xu F, Ware R, Leslie E, Tse LA, Wang Z, Li J, et al. Effectiveness of a randomized controlled lifestyle intervention to prevent obesity among Chinese primary school students: CLICK-Obesity Study. PLOS ONE. 2015;28 10.1371/journal.pone.0141421 - DOI - PMC - PubMed
    1. Steinberger J, Daniels RS, Eckel RH, Hayman L, Lustig RH, McCrindle B, et al. Progress and challenges in metabolic syndrome in children and adolescents. Circulation. 2009;119: 628–647. 10.1161/CIRCULATIONAHA.108.191394 - DOI - PubMed
    1. Crawley EM, Emond AM, Sterne JAC. Unidentified chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) is a major cause of school absence: surveillance outcomes from school-based clinics. BMJ Open. 2011;1: e000252 10.1136/bmjopen-2011-000252 - DOI - PMC - PubMed

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