The COPE Healthy Lifestyles TEEN Program: Feasibility, Preliminary Efficacy, & Lessons Learned from an After School Group Intervention with Overweight Adolescents

Bernadette Mazurek Melnyk, Leigh Small, Dianne Morrison-Beedy, Anne Strasser, Lisa Spath, Richard Kreipe, Hugh Crean, Diana Jacobson, Stephanie Kelly, Judith O'Haver

Research output: Contribution to journalArticle

52 Citations (Scopus)

Abstract

Introduction: There has been a paucity of theory-based interventions to improve health outcomes in overweight adolescents. Therefore, two intervention studies were conducted to: (a) determine the feasibility of implementing the Creating Opportunities for Personal Empowerment (COPE) Healthy Lifestyles Thinking, Emotions, Exercise, and Nutrition (TEEN) program with overweight adolescents; (b) obtain feedback that could be used to refine the program; and (c) examine the preliminary efficacy of the COPE program on the adolescents' weight and body mass index (BMI). Method: Phase I and Phase II clinical trials were conducted with 23 overweight teens. The Phase 1 trial used a pre-experimental design with one group of 11 urban adolescents. The Phase 2 trial was conducted with 12 suburban teens using a randomized controlled pilot study. COPE teens received a 15-session cognitive-behavioral skills building program that included physical activity, while the control group received an attention control program. Weight change and BMI were the key outcomes. Results: COPE teens experienced a significantly greater reduction in weight and BMI than did teens in the control group, who gained weight over time. Although the COPE program was well received by all of the teens, retention of subjects across time and parent involvement in the program were challenges in the urban high school. Discussion: These studies provide preliminary data to indicate that the implementation of COPE is feasible and may lead to a reduction in weight and BMI in overweight teens. Implementing COPE within the context of the school day may be more successful in sustaining adolescent involvement in the program versus using an after-school format.

Original languageEnglish (US)
Pages (from-to)315-322
Number of pages8
JournalJournal of Pediatric Health Care
Volume21
Issue number5
DOIs
StatePublished - Sep 2007
Externally publishedYes

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Emotions
Exercise
Body Mass Index
Weights and Measures
Healthy Lifestyle
Power (Psychology)
Thinking
Weight Loss
Control Groups
Phase II Clinical Trials
Research Design
Health

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

The COPE Healthy Lifestyles TEEN Program : Feasibility, Preliminary Efficacy, & Lessons Learned from an After School Group Intervention with Overweight Adolescents. / Melnyk, Bernadette Mazurek; Small, Leigh; Morrison-Beedy, Dianne; Strasser, Anne; Spath, Lisa; Kreipe, Richard; Crean, Hugh; Jacobson, Diana; Kelly, Stephanie; O'Haver, Judith.

In: Journal of Pediatric Health Care, Vol. 21, No. 5, 09.2007, p. 315-322.

Research output: Contribution to journalArticle

Melnyk, BM, Small, L, Morrison-Beedy, D, Strasser, A, Spath, L, Kreipe, R, Crean, H, Jacobson, D, Kelly, S & O'Haver, J 2007, 'The COPE Healthy Lifestyles TEEN Program: Feasibility, Preliminary Efficacy, & Lessons Learned from an After School Group Intervention with Overweight Adolescents', Journal of Pediatric Health Care, vol. 21, no. 5, pp. 315-322. https://doi.org/10.1016/j.pedhc.2007.02.009
Melnyk, Bernadette Mazurek ; Small, Leigh ; Morrison-Beedy, Dianne ; Strasser, Anne ; Spath, Lisa ; Kreipe, Richard ; Crean, Hugh ; Jacobson, Diana ; Kelly, Stephanie ; O'Haver, Judith. / The COPE Healthy Lifestyles TEEN Program : Feasibility, Preliminary Efficacy, & Lessons Learned from an After School Group Intervention with Overweight Adolescents. In: Journal of Pediatric Health Care. 2007 ; Vol. 21, No. 5. pp. 315-322.
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