Effects of the COPE Cognitive Behavioral Skills Building TEEN Program on the Healthy Lifestyle Behaviors and Mental Health of Appalachian Early Adolescents

Abstract Introduction Appalachian adolescents have a high prevalence of obesity and mental health problems that exceed national rates, with the two conditions often co-existing. The purpose of this study was to evaluate the feasibility and preliminary efficacy of a 15-session cognitive-behavioral sk...

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Bibliographic Details
Published in:Journal of pediatric health care 2016-01, Vol.30 (1), p.65-72
Main Authors: Hoying, Jacqueline, MS, RN, NEA-BC, Melnyk, Bernadette Mazurek, PhD, RN, CPNP/PMHNP, FAANP, FNAP, FAAN, Arcoleo, Kimberly, PhD, MPH
Format: Article
Language:English
Subjects:
Adolescent
Advanced Practice Nursing
Appalachian early adolescence
Appalachian Region
Child
Cognitive Therapy
Health Behavior
healthy lifestyle behaviors
Humans
Life Style
Mental Health
Nursing
obesity
Pediatrics
physical and mental health outcomes
school-based intervention
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Summary:Abstract Introduction Appalachian adolescents have a high prevalence of obesity and mental health problems that exceed national rates, with the two conditions often co-existing. The purpose of this study was to evaluate the feasibility and preliminary efficacy of a 15-session cognitive-behavioral skills building intervention (COPE [Creating Opportunities for Personal Empowerment] Healthy Lifestyles TEEN [Thinking, Emotions, Exercise, and Nutrition] Program) on healthy lifestyle behaviors, physical health, and mental health of rural early adolescents. Methods A pre- and posttest pre-experimental design was used with follow-up immediately after the intervention. Results Results support improvement in the students' anxiety, depression, disruptive behavior, and self-concept scores after the COPE intervention compared with baseline. Additionally, healthy lifestyle behavior scores improved before the intervention compared with after the intervention. Discussion COPE is a promising intervention that improves mental health and healthy lifestyle behaviors and can be integrated routinely into school-based settings.
ISSN:0891-5245
1532-656X
DOI:10.1016/j.pedhc.2015.02.005