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A primary care school age Healthy Ch...

Arizona State University.

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A primary care school age Healthy Choices Intervention program.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	A primary care school age Healthy Choices Intervention program./
作者:	Jacobson, Diana.
面頁冊數:	291 p.
附註:	Source: Dissertation Abstracts International, Volume: 70-04, Section: B, page: 2205.
Contained By:	Dissertation Abstracts International70-04B.
標題:	Health Sciences, Mental Health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3353881
ISBN:	9781109107531

A primary care school age Healthy Choices Intervention program.
Jacobson, Diana.

A primary care school age Healthy Choices Intervention program. - 291 p.

Source: Dissertation Abstracts International, Volume: 70-04, Section: B, page: 2205.

Thesis (Ph.D.)--Arizona State University, 2009.

Childhood overweight and obesity have reached epidemic proportions in the United States. Primary care providers could intervene in this escalating health crisis by providing evidence-based interventions to address this chronic health problem, but there has been limited experimental research conducted in primary care settings to guide interventions to improve the physical and psychosocial outcomes of overweight in school age children. Therefore, the primary aim of this study was to pilot test a comprehensive Cognitive Theory-based Healthy Choices Intervention (HCI) program with overweight and obese 9- to 12-year-old children and their parents in order to determine the program's feasibility and acceptability in a primary care setting. Secondary aims included an evaluation of the psychosocial and anthropometric child and parent outcomes in order to determine the intervention's preliminary effects. The relationships among the outcomes for participants also were examined.

ISBN: 9781109107531Subjects--Topical Terms:

1017693
Health Sciences, Mental Health.

A primary care school age Healthy Choices Intervention program.
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502 $a Thesis (Ph.D.)--Arizona State University, 2009.
520 $a Childhood overweight and obesity have reached epidemic proportions in the United States. Primary care providers could intervene in this escalating health crisis by providing evidence-based interventions to address this chronic health problem, but there has been limited experimental research conducted in primary care settings to guide interventions to improve the physical and psychosocial outcomes of overweight in school age children. Therefore, the primary aim of this study was to pilot test a comprehensive Cognitive Theory-based Healthy Choices Intervention (HCI) program with overweight and obese 9- to 12-year-old children and their parents in order to determine the program's feasibility and acceptability in a primary care setting. Secondary aims included an evaluation of the psychosocial and anthropometric child and parent outcomes in order to determine the intervention's preliminary effects. The relationships among the outcomes for participants also were examined.
520 $a Overweight and obese children (Sample size = 17; Mean = 10.9 years; Standard Deviation = 0.88 years) identified in primary care, and their parents, participated in this 7-week one-group pretest posttest intervention study. Outcome measures included: weight and body mass index (BMI), BMI percentile, physical activity and nutrition knowledge, beliefs, choices, and behaviors, anxiety and depression and self-concept and social competence. The internal consistency of instruments adapted for this age group of children also was assessed.
520 $a Results indicated that participants found the weekly cognitive behavior skills building HCI with its alternating clinic and telephone sessions, to be useful and informative. Significant effects of the HCI for the children included decreased BMI percentile, increased knowledge, beliefs, choices, and behaviors, and self-reported increased physical activity and self-control. Significant preliminary effects of the HCI for the parents included increased knowledge, beliefs, and behaviors, and decreased anxiety. Significant medium to large correlations were demonstrated among beliefs, choices, and behaviors and the measured psychosocial outcomes.
520 $a This pilot study provides evidence to support the feasibility, acceptability, and preliminary effects of the HCI with overweight and obese school-age children and their parents in a primary care setting. Information obtained provides support for operational refinements to the intervention and informs future testing of the HCI in a randomized controlled trial.
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