ACTION PAC: Adolescents Committed to Improvement of Nutrition & Physical Activity

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

991 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-02-01

Study Completion Date

2017-11-29

Brief Summary

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Using a previously created weight management program for adolescents, the intervention will be implemented through school-based health centers (SBHC) and will be delivered by SBHC providers trained in Motivational Interviewing. Students at intervention school sites will be compared to students at control school sites. All students will have baseline, 1 year, and 2 year follow-up to assess if students in the intervention school sites will have improved risk factor profile for metabolic syndrome, improved nutrition and increased physical activity when compared with students at control school sites.

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Detailed Description

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Conditions

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Overweight Obesity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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ACTION PAC Behavioral Intervention

Students attending intervention schools will receive the ACTION PAC intervention and communication of BMI and other health results to parents via a letter.

Group Type EXPERIMENTAL

ACTION PAC

Intervention Type BEHAVIORAL

School-based health center providers will use motivational interviewing to assist students with adopting strategies for improving nutrition and increasing physical activity. All participants will receive annual BMI and other health results discussion with clinical providers. Adolescents with overweight/obesity will meet with providers for 16 sessions over 2 years.

Communication with parents

Intervention Type BEHAVIORAL

A letter containing BMI and other health results and obesity prevention recommendations will be sent to parent/guardians.

Comparison

Students attending comparison schools will receive communication of BMI and other health results to parents via a letter.

Group Type ACTIVE_COMPARATOR

Communication with parents

Intervention Type BEHAVIORAL

A letter containing BMI and other health results and obesity prevention recommendations will be sent to parent/guardians.

Interventions

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ACTION PAC

School-based health center providers will use motivational interviewing to assist students with adopting strategies for improving nutrition and increasing physical activity. All participants will receive annual BMI and other health results discussion with clinical providers. Adolescents with overweight/obesity will meet with providers for 16 sessions over 2 years.

Intervention Type BEHAVIORAL

Communication with parents

A letter containing BMI and other health results and obesity prevention recommendations will be sent to parent/guardians.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* enrolled in 9th or 10th grade at participating schools

Exclusion Criteria

* blood pressure in the range of stage 2 hypertension
* previously diagnosed type 1 or type 2 diabetes
* use of corticosteroids, antipsychotics, metformin, antihypertensive medications, and medications used for dyslipidemia
* inability to perform moderate to vigorous physical activity
* not ambulatory
* a score of 20 or more on Eating Attitudes Test (EAT)-26 screening measure
* developmental disorders that affect weight or ability to understand the study procedures or counseling

Minimum Eligible Age

13 Years

Maximum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes