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Multidisciplinary Approach to Obesity Management: A Case Report
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An internet obesity prevention program for adolescents.

Robin Whittemore1, Sangchoon Jeon, Margaret Grey

  • 1Yale School of Nursing, New Haven, CT 06536, USA. robin.whittemore@yale.edu

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|January 10, 2013
PubMed
Summary
This summary is machine-generated.

School-based internet obesity prevention programs improved adolescent health behaviors and self-efficacy but did not significantly change body mass index (BMI). Further research is needed to determine the long-term impact of these digital health interventions.

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Area of Science:

  • Public Health
  • Behavioral Science
  • Digital Health Interventions

Background:

  • Adolescent obesity is a significant public health concern requiring effective prevention strategies.
  • School-based interventions offer a promising platform for reaching diverse adolescent populations.
  • Internet-based programs present scalable solutions for health promotion in youth.

Purpose of the Study:

  • To compare two school-based internet obesity prevention programs for diverse adolescents.
  • To assess program impact on body mass index (BMI), health behaviors, and self-efficacy.
  • To identify moderators of program effectiveness, including coping skills training.

Main Methods:

  • A randomized clinical trial with cluster randomization (n=384) and 3- and 6-month follow-ups.
  • Objective BMI assessment and self-report measures for sedentary behavior, physical activity, nutrition, and self-efficacy.
  • Intent-to-treat analysis using mixed models to account for repeated measures.

Main Results:

  • No significant differences in BMI between groups or over time were observed.
  • Significant improvements were noted in various health behaviors (physical activity, nutrition) and self-efficacy.
  • Excellent participation rates and high participant satisfaction were reported.
  • Gender and lesson completion moderated select health outcomes.

Conclusions:

  • School-based internet obesity prevention programs are well-received by adolescents and effectively improve health behaviors.
  • The addition of coping skills training did not show differential effects in this study.
  • Longer follow-up periods may be necessary to detect significant changes in body mass index (BMI).