142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

305084
IMPACT: A Multi-Level Behavioral Intervention Trial for Middle School Urban Youth

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 2:50 PM - 3:10 PM

Elaine A. Borawski, PhD , Prevention Research Center for Healthy Neighborhoods, Case Western Reserve University, Cleveland, OH
Shirley Moore, RN, PhD, FAAN , Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH
Erika S. Trapl, PhD , Prevention Research Center for Healthy Neighborhoods, Case Western Reserve University, Cleveland, OH
Laura Yoder, MPH , Prevention Research Center for Healthy Neighborhoods, Case Western Reserve University, Cleveland, OH
Sarah Jones, MS, RD , Prevention Research Center for Healthy Neighborhoods, Case Western Reserve University, Cleveland, OH
This presentation describes the study design and methods of IMPACT (Ideas Moving Parents and Adolescents to Change Together), one of four NHLBI funded studies within its Childhood Obesity Prevention and Treatment Research Program.  IMPACT is a 3-group randomized, multi-level trial comparing the efficacy of two distinct family-based interventions coupled with a school-based fitness intervention, on body mass index (BMI) in middle school, disadvantaged urban youth who are overweight or obese (>85th percentile BMI).  In addition, the study examines the role of peer norms (collected via a local YRBS) and objectively assessed home, school and neighborhood environments as moderators (i.e., assets or saboteurs) of program impact on outcomes of BMI blood pressure, cardiovascular risk factors, and quality of life.

The study consists of 360 children entering 6th grade from the Cleveland Metropolitan School District, identified through an existing BMI screening program. Baseline data collection was completed in December, 2013; family and school interventions are underway.  The intervention period is 36 months, with follow up measures scheduled at 12, 24, and 36 months.  We will briefly describe the two family-based behavioral interventions (SystemCHANGE™ and HealthyCHANGE), each of which engages the entire family.  In addition, about half of the participants are enrolled in a K-8 public school that offers an innovative YMCA-sponsored fitness program (We Run This City Youth Marathon Program), where students train for 12-14 weeks to walk/run some part (i.e., 1.2 mile, 10k, ½ marathon) of the Cleveland Marathon.   A description of the baseline population and environmental indicators will be provided.

Learning Areas:

Chronic disease management and prevention
Clinical medicine applied in public health
Implementation of health education strategies, interventions and programs
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe the design and methods of the IMPACT study; Describe two different family-based interventions, coupled with a school-based fitness intervention Discuss possible environmental assets and saboteurs of weight loss among a low resource, urban population.

Keyword(s): Obesity, Children and Adolescents

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have served as principal or co-principal of multiple federally funded studies,including the IMPACT study described in this presentation. I have been conducting community-based intervention research for over 20 years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.