A School Nurse‐Delivered Intervention for Overweight and Obese Adolescents

Pbert, Lori; Druker, Susan; Gapinski, Mary Ann; Gellar, Lauren A.; Magner, Robert P.; Reed, George W.; Schneider, Kristin L.; Osganian, Stavroula K.

doi:10.1111/josh.12014

Cited by 58 publications

(178 citation statements)

References 23 publications

(36 reference statements)

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“…Growing evidence suggests obesity can be prevented by improving adolescents' knowledge of healthy nutrition, promoting healthy lifestyles and increasing physical activity, in conjunction with changing adolescents' attitudes towards adopting healthy behaviours (6,21,(23)(24)(25)(26). Schools can and should play a central role in delivering interventions about these issues (27).…”

Section: Introductionmentioning

confidence: 99%

Nutritional knowledge and habits of adolescents aged 9 to 13 years in Sharjah, United Arab Emirates: a crosssectional study

Al‐Yateem

Rossiter

2017

East Mediterr Health J

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Connaissances nutritionnelles et habitudes alimentaires chez les adolescents aux Émirats arabes unis : étude transversaleRÉSUMÉ De bonnes connaissances nutritionnelles ainsi que des comportements alimentaires sains sont importants pour les adolescents afin d'éviter les problèmes de santé persistants à l'âge adulte. La présente étude transversale avait pour objectif de fournir des données de base sur les connaissances nutritionnelles et les habitudes alimentaires chez les adolescents à Sharjah. Des données ont été collectées auprès de 300 adolescents âgés de 9 à 13 ans inscrits dans des écoles privées en utilisant un questionnaire auto-administré validé. La plupart des étudiants (86 %) avaient de faibles connaissances nutritionnelles, notamment dans des domaines essentiels comme la terminologie nutritionnelle, ce qui constitue des en-cas et des aliments sains, les besoins nutritionnels quotidiens et la composition des aliments ( par exemple : fibres, graisses, sucre). Seuls 34 % des étudiants avaient un comportement alimentaire sain ; 33 % des étudiants n'avaient pas consommé de légumes ou n'en avaient consommé qu'un seul au cours de la semaine précédant l'étude. En outre, 25 % avaient consommé des en-cas mauvais pour la santé trois fois ou plus et 19 % avaient mangé fréquemment ou quotidiennement dans des établissements de restauration rapide. Enfin, 36 % n'avaient pas pris de petit-déjeuner de façon fréquente ou quotidienne. Des interventions éducationnelles en milieu scolaire, adaptées culturellement, sont requises pour l'acquisition de bonnes connaissances nutritionnelles parmi les adolescents ainsi que pour la motivation de changements de comportements et d'habitudes alimentaires nécessaires afin de promouvoir la santé tout au long de la vie. ABSTRACT Good nutritional knowledge and behaviour among adolescents is important to avoid health problems that can continue into adulthood. This cross-sectional study aimed to provide baseline data on nutritional knowledge and eating habits of adolescents in Sharjah. Data were collected from 300 adolescents aged 9−13 years attending 4 private schools using a validated self-administered questionnaire. Most students (86%) had poor nutritional knowledge, especially in key areas: nutritional terms, what constitutes healthy snacks and foods, daily nutritional requirements and components of food (e.g. fibre, fat, sugar). Only 34% of the students had healthy eating behaviour: 33% had eaten none or 1 vegetable only in the previous week, 25% had eaten unhealthy snacks 3 or more times, 19% had eaten frequently or daily at fast food outlets, and 36% had skipped breakfast frequently or daily. Culturally-specific, school-based educational interventions are warranted to build sound nutritional knowledge among adolescents and motivate the diet and behaviour changes needed to promote health throughout the lifespan.

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Section: Introductionmentioning

confidence: 99%

Nutritional knowledge and habits of adolescents aged 9 to 13 years in Sharjah, United Arab Emirates: a crosssectional study

Al‐Yateem

Rossiter

2017

East Mediterr Health J

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“…There is some evidence of the benefits of school-based RCTs on smoking cessation [66], and healthy diet [67], but this evidence is of a lower quality. Likewise, there is moderate evidence for leg ulcer prevention and management [67], and initiatives to increase condom use skills [68].…”

Section: Resultsmentioning

confidence: 99%

Conceptualising a model to guide nursing and midwifery in the community guided by an evidence review

et al. 2017

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BackgroundSuccessful models of nursing and midwifery in the community delivering healthcare throughout the lifespan and across a health and illness continuum are limited, yet necessary to guide global health services. Primary and community health services are the typical points of access for most people and the location where most care is delivered. The scope of primary healthcare is complex and multifaceted and therefore requires a practice framework with sound conceptual and theoretical underpinnings.The aim of this paper is to present a conceptual model informed by a scoping evidence review of the literature.MethodsA scoping evidence review of the literature was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. Databases included CINAHL, MEDLINE, PsycINFO and SocINDEX using the EBSCO platform and the Cochrane Library using the keywords: model, nursing, midwifery, community, primary care. Grey literature for selected countries was searched using the Google ‘advanced’ search interface. Data extraction and quality appraisal for both empirical and grey literature were conducted independently by two reviewers. From 127 empirical and 24 non-empirical papers, data extraction parameters, in addition to the usual methodological features, included: the nature of nursing and midwifery; the population group; interventions and main outcomes; components of effective nursing and midwifery outcomes.ResultsThe evidence was categorised into six broad areas and subsequently synthesised into four themes. These were not mutually exclusive: (1) Integrated and Collaborative Care; (2) Organisation and Delivery of Nursing and Midwifery Care in the Community; (3) Adjuncts to Nursing Care and (4) Overarching Conceptual Model. It is the latter theme that is the focus of this paper. In essence, the model depicts a person/client on a lifespan and preventative-curative trajectory. The health related needs of the client, commensurate with their point position, relative to both trajectories, determines the nurse or midwife intervention. Consequently, it is this need, that determines the discipline or speciality of the nurse or midwife with the most appropriate competencies.ConclusionUse of a conceptual model of nursing and midwifery to inform decision-making in primary/community based care ensures clinical outcomes are meaningful and more sustainable. Operationalising this model for nursing and midwifery in the community demands strong leadership and effective clinical governance.Electronic supplementary materialThe online version of this article (doi:10.1186/s12912-017-0225-3) contains supplementary material, which is available to authorized users.

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“…(21, 22) Assent will be explained such that students understand they have a right to refuse to participate and that their school evaluations will not be affected by whether or not they decide to enroll in the study. The informed consent and assent process will not identify the condition in which the students will be enrolled so that students will not have prior knowledge of which condition they may be assigned, thereby reducing the potential for selection bias.…”

Section: Methodsmentioning

confidence: 99%

“…The health education curriculum will be informed by materials developed as part of a previous study conducted by our group to improve diet and physical activity among adolescents. The curriculum will be based on the Diabetes Prevention Program (DPP) lifestyle intervention (22, 23) as well as on standard curricula for school-based health education programs with particular attention to the unique needs of adolescents. (24) (25) Topics will include increasing the intake of fruits and vegetables, reducing sugar sweetened drinks, and decreasing the intake of foods high in fat, unhealthy carbohydrates, and calories.…”

Section: Methodsmentioning

confidence: 99%

“…Estimates of intra-class correlation from our prior studies of mindfulness interventions for hot flashes (58) range from 0.0105 for within-mindfulness class to 0.027 for within-school (change in BMI from our previous study of obese adolescents)(22); taking a conservative approach and using the 0.027 multiplied by 50% to account for possibly higher intra-class correlation in a class than in an entire school, the resulting design effect is 1+[0.027 × 1.5 × (20−1)] = 1.77, (59) giving an effective sample size of 40/1.77 = 23 per condition/school. Based on our prior studies with adolescents in school settings, we anticipate at least 80% retention.…”

Section: Methodsmentioning

confidence: 99%

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Design and methods for “Commit to Get Fit” — A pilot study of a school-based mindfulness intervention to promote healthy diet and physical activity among adolescents

Salmoirago‐Blotcher¹,

Druker²,

Meyer³

et al. 2015

Contemporary Clinical Trials

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Introduction Cardiovascular prevention is more effective if started early in life, but available interventions to promote healthy lifestyle habits among youth have been ineffective. Impulsivity in particular has proven to be an important barrier to the adoption of healthy behaviors in youth. Observational evidence suggests that mindfulness interventions may reduce impulsivity and improve diet and physical activity. We hypothesize that mindfulness training in adjunct to traditional health education will improve dietary habits and physical activity among teenagers by reducing impulsive behavior and improving planning skills. Methods/Design The Commit to Get Fit study is a pilot cluster randomized controlled trial examining the feasibility, acceptability and preliminary efficacy of school-based mindfulness training in adjunct to traditional health education for promotion of a healthy diet and physical activity among adolescents. Two schools in central Massachusetts (30 students per school) will be randomized to receive mindfulness training plus standard health education (HE-M) or an attention-control intervention plus standard health education (HE-AC). Assessments will be conducted at baseline, intervention completion (2 months), and 8 months. Primary outcomes are feasibility and acceptability. Secondary outcomes include physical activity, diet, impulsivity, mood, body mass index, and quality of life. Conclusions This study will provide important information about feasibility and preliminary estimates of efficacy of a school-delivered mindfulness and health education intervention to promote healthy dietary and physical activity behaviors among adolescents. Our findings will provide important insights about the possible mechanisms by which mindfulness training may contribute to behavioral change and inform future research in this important area.

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A School Nurse‐Delivered Intervention for Overweight and Obese Adolescents

Cited by 58 publications

References 23 publications

Nutritional knowledge and habits of adolescents aged 9 to 13 years in Sharjah, United Arab Emirates: a crosssectional study

Nutritional knowledge and habits of adolescents aged 9 to 13 years in Sharjah, United Arab Emirates: a crosssectional study

Conceptualising a model to guide nursing and midwifery in the community guided by an evidence review

Design and methods for “Commit to Get Fit” — A pilot study of a school-based mindfulness intervention to promote healthy diet and physical activity among adolescents

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