A mediation analysis of the ATHENA intervention for female athletes: Prevention of athletic-enhancing substance use and unhealthy weight loss behaviors

Krista W. Ranby, Leona S. Aiken, David Mackinnon, Diane L. Elliot, Esther L. Moe, Wendy McGinnis, Linn Goldberg

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

ObjectiveTo explain, through mediation analyses, the mechanisms by which ATHENA (Athletes Targeting Healthy Exercise and Nutrition Alternatives), a primary prevention and health promotion intervention designed to deter unhealthy body shaping behaviors among female high school athletes, produced immediate changes in intentions for unhealthy weight loss and steroid/creatine use, and to examine the link to long-term follow-up intentions and behaviors.MethodsIn a randomized trial of 1668 athletes, intervention participants completed coach-led peer-facilitated sessions during their sport season. Participants provided pre-test, immediate post-test, and 9-month follow-up assessments.ResultsATHENA decreased intentions for steroid/creatine use and intentions for unhealthy weight loss behaviors at post-test. These effects were most strongly mediated by social norms and self-efficacy for healthy eating. Low post-test intentions were maintained 9 months later and predicted subsequent behavior. ConclusionsATHENA successfully modified mediators that in turn related to athletic-enhancing substance use and unhealthy weight loss practices. Mediation analyses aid in the understanding of health promotion interventions and inform program development.

Original languageEnglish (US)
Pages (from-to)1069-1083
Number of pages15
JournalJournal of Pediatric Psychology
Volume34
Issue number10
DOIs
StatePublished - Jan 2009

Fingerprint

Athletes
Sports
Weight Loss
Exercise
Creatine
Health Promotion
Steroids
Program Development
Self Efficacy
Primary Prevention

Keywords

  • Adolescents
  • Educational interventions
  • Health promotion and prevention
  • LLongitudinal research
  • Mediation analysis.
  • Peers

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Pediatrics, Perinatology, and Child Health

Cite this

A mediation analysis of the ATHENA intervention for female athletes : Prevention of athletic-enhancing substance use and unhealthy weight loss behaviors. / Ranby, Krista W.; Aiken, Leona S.; Mackinnon, David; Elliot, Diane L.; Moe, Esther L.; McGinnis, Wendy; Goldberg, Linn.

In: Journal of Pediatric Psychology, Vol. 34, No. 10, 01.2009, p. 1069-1083.

Research output: Contribution to journalArticle

Ranby, Krista W. ; Aiken, Leona S. ; Mackinnon, David ; Elliot, Diane L. ; Moe, Esther L. ; McGinnis, Wendy ; Goldberg, Linn. / A mediation analysis of the ATHENA intervention for female athletes : Prevention of athletic-enhancing substance use and unhealthy weight loss behaviors. In: Journal of Pediatric Psychology. 2009 ; Vol. 34, No. 10. pp. 1069-1083.
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