COPE: A Pilot Study with Urban Sixth Grade Youth to Improve Physical Activity and Mental Health Outcomes
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The Ohio State University / OhioLINK
2015
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ndltd-OhioLink-oai-etd.ohiolink.edu-osu14469002742021-08-03T06:33:43Z COPE: A Pilot Study with Urban Sixth Grade Youth to Improve Physical Activity and Mental Health Outcomes Hoying, Jacqueline Ann Behavioral Sciences Health Sciences Nursing Public Health healthy lifestyle behaviors pre-adolescents physical activity mental health Problem: The increasing prevalence of overweight/obesity, anxiety, and depressive symptoms and a lack of adaptive coping skills in pre-adolescents, especially in minority underserved youth, call for evidence-based interventions that can place youth on a positive trajectory of healthy lifestyle behaviors and improved health outcomes into adulthood. Poor mental and physical health outcomes impact minority youth from urban neighborhoods at a higher rate than youth overall. Furthermore, not only are obese children at greater risk for these co-morbid conditions, but onset is occurring at earlier ages, especially within minority populations.Methods: A one group pre- and post-test study design with follow-up immediately after the intervention was used to assess the feasibility, acceptability, and preliminary effects of the COPE (Creating Opportunities for Personal Empowerment) Healthy Lifestyles TEEN (Thinking, Emotions, Exercise, and Nutrition) Program, a cognitive-behavioral skills building intervention that includes nutrition and physical activity, on the healthy lifestyles beliefs, physical activity and mental health of urban, primarily ethnic minority sixth graders. Thirty-one students, following assent/consent by their parent/legal guardian participated in the study.Findings: Pre-adolescents who received COPE reported significant decreases in anxiety and increases in healthy lifestyle beliefs regarding managing negative emotions and having confidence in making healthier lifestyle choices. Furthermore, students who participated in the study demonstrated significant increases in physical activity. Of the study participants, there were 6 students at baseline who answered two specific questions on the Beck Youth Depression Inventory indicating an increased risk for suicide. Following the intervention, four of these six students no longer reported increased risk for suicide utilizing the same instrument. A subgroup analysis was completed on participants who reported elevated anxiety (45% of sample), depression (26%), lower than average self-concept (26%), and 6 students (19%) who answered positively to suicidal ideation/hopelessness at baseline, before the intervention was delivered. This subgroup of anxious, depressed, or low self-concept pre-adolescents who received the COPE intervention demonstrated increases in self-concept and decreases in anxiety and depression to scores that were within the normal range. Further, four of the six students who reported suicidal ideation at baseline were not at suicide risk post-intervention.Conclusions: The COPE program is a promising intervention that can improve healthy lifestyle beliefs, physical activity, and mental health outcomes. Providing COPE to all middle school inner-city youth could improve healthy lifestyle behaviors and mental health outcomes in a high risk population. A full scale randomized controlled trial is now warranted to determine the short- and long-term outcomes of the COPE program on healthy lifestyle behaviors, physical health, mental health, and academic performance. 2015 English text The Ohio State University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=osu1446900274 http://rave.ohiolink.edu/etdc/view?acc_num=osu1446900274 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws. |
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NDLTD |
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English |
| sources |
NDLTD |
| topic |
Behavioral Sciences Health Sciences Nursing Public Health healthy lifestyle behaviors pre-adolescents physical activity mental health |
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Behavioral Sciences Health Sciences Nursing Public Health healthy lifestyle behaviors pre-adolescents physical activity mental health Hoying, Jacqueline Ann COPE: A Pilot Study with Urban Sixth Grade Youth to Improve Physical Activity and Mental Health Outcomes |
| author |
Hoying, Jacqueline Ann |
| author_facet |
Hoying, Jacqueline Ann |
| author_sort |
Hoying, Jacqueline Ann |
| title |
COPE: A Pilot Study with Urban Sixth Grade Youth to Improve Physical Activity and Mental Health Outcomes |
| title_short |
COPE: A Pilot Study with Urban Sixth Grade Youth to Improve Physical Activity and Mental Health Outcomes |
| title_full |
COPE: A Pilot Study with Urban Sixth Grade Youth to Improve Physical Activity and Mental Health Outcomes |
| title_fullStr |
COPE: A Pilot Study with Urban Sixth Grade Youth to Improve Physical Activity and Mental Health Outcomes |
| title_full_unstemmed |
COPE: A Pilot Study with Urban Sixth Grade Youth to Improve Physical Activity and Mental Health Outcomes |
| title_sort |
cope: a pilot study with urban sixth grade youth to improve physical activity and mental health outcomes |
| publisher |
The Ohio State University / OhioLINK |
| publishDate |
2015 |
| url |
http://rave.ohiolink.edu/etdc/view?acc_num=osu1446900274 |
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AT hoyingjacquelineann copeapilotstudywithurbansixthgradeyouthtoimprovephysicalactivityandmentalhealthoutcomes |
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