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College students as facilitators in reducing adolescent obesity disparity in Southern Appalachia: Team Up for Healthy Living

机译：在南部阿巴拉契亚州大学生作为减少青少年肥胖差异的促进者：携手打造健康生活

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The proportion of obese adolescents in Southern Appalachia is among the highest in the nation. Through funding from the National Institute on Minority Health and Health Disparities – National Institutes of Health, the Team Up for Healthy Living project was a cluster-randomized trial targeting obesity prevention in adolescents through a cross-peer intervention. The specific aims of the project were to: 1) develop a peer-based health education program focusing on establishing positive peer norms towards healthy eating and physical activity (PA) among high school students, 2) test program efficacy, and 3) explore mechanisms underlying the program. The study was guided by the Theory of Planned Behavior, which presupposes that human behavior is primarily driven by attitude, subjective norms, perceived behavioral control, and social support. To deliver the intervention, undergraduate students from the disciplines of public health, nutrition, and kinesiology were hired as peer facilitators. Ten area high schools were invited to participate, were matched on demographics and then randomized to intervention or control. The primary outcomes of the study included body mass status, dietary behaviors, PA, and sedentary behaviors which were assessed at baseline and at three and twelve months post baseline. Intervention schools received Team Up for Healthy Living curriculum, which consists of eight 40-minute sessions. The curriculum focused on improving nutrition awareness, PA, leadership and communication. Control schools received their regularly scheduled Lifetime Wellness curriculum. The long-term goal of the study was to establish an effective academia–community partnership program to address adolescent obesity disparity in Southern Appalachia.
机译：南部阿巴拉契亚州肥胖青少年的比例是全国最高的。通过美国国家少数族裔健康与健康差距研究所（National Institutes of Health）的资助，“健康生活团队”项目是一项集群随机试验，旨在通过跨同行干预来预防青少年肥胖。该项目的具体目标是：1）建立一个基于同龄人的健康教育计划，重点是在高中学生中建立对健康饮食和体育锻炼（PA）的积极同伴规范； 2）测试计划的有效性；以及3）探索机制该程序的基础。该研究以计划行为理论为指导，该理论假设人类行为主要由态度，主观规范，感知的行为控制和社会支持所驱动。为了提供干预措施，聘请了公共卫生，营养学和运动学学科的本科生作为同伴促进者。邀请了十个地区的中学参加，根据人口统计学进行配对，然后随机进行干预或控制。该研究的主要结果包括体重状况，饮食行为，PA和久坐行为，这些都是在基线以及基线后三个月和十二个月进行评估的。干预学校接受了“健康生活团队合作”课程，该课程包括八个40分钟的课程。该课程的重点是提高营养意识，PA，领导能力和沟通。对照学校接受了定期安排的终身健康课程。这项研究的长期目标是建立一个有效的学术界-社区伙伴关系计划，以解决南部阿巴拉契亚地区的青少年肥胖差异。

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