“Real World” Adolescent Intervention Research Meets Randomized Controlled Trial Methodology: Lessons Learned

2.50
Hdl Handle:
http://hdl.handle.net/10755/602428
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
“Real World” Adolescent Intervention Research Meets Randomized Controlled Trial Methodology: Lessons Learned
Other Titles:
Cognitive-Behavioral Skills Building to Promote Healthy Lifestyle Behavior Change in Adolescents and Their Parents [Symposium]
Author(s):
Jacobson, Diana L.
Lead Author STTI Affiliation:
Beta Upsilon
Author Details:
Diana L. Jacobson, RN, PNP-BC, diana.jacobson@asu.edu
Abstract:
Session presented on Tuesday, November 10, 2015: The purpose of this presentation is to delineate some practical factors inherent in conducting successful healthy lifestyle intervention research within school settings with adolescents. Implementation of the Creating Opportunities for Personal Empowerment (COPE) Healthy Lifestyles TEEN (Thinking, Emotions, Exercise and Nutrition) Program was challenged by a number of delivery and setting issues. The development of the COPE intervention components and delivery methodology are guided by Cognitive Theory (Beck, 1979) which postulates that cognitive distortions, learned misconceptions and/or exposure to unhealthy environments can negatively influence an individual’s emotions and behaviors. Utilizing cognitive behavior skills building techniques, behavior change is supported by increasing the adolescent’s evaluation of his or her own emotional responses and behavior and by correcting misconceptions to help guide the adolescent to choose more adaptive, realistic attitudes in response to negative thoughts, emotions and behavior. Therefore, it is vital that intervention researchers examine how the critical inputs of the planned intervention and theorized mediating processes are linked to selected measured outcomes and implementation processes in order to be able to explain the study’s results (Braden, 1998). Major points for discussion will focus on implementation challenges that center on recruitment and training of high school teachers to deliver the intervention with fidelity; presence of the problems of interest in the participants at baseline (i.e., overweight and obesity; depressive and anxiety symptomology); the emphasis on intervention components that facilitate negative schema change (i.e., homework completion; problem solving utilizing case scenarios; creation of positive self-statements); the creation and delivery of the comparison group, Health for Teens , attention control intervention; techniques utilized to increase parent involvement; and adaptation of the study team to school and health class scheduling, semester breaks and obtaining student information from the school districts (i.e., attendance, grades, and number of in or out of “house” suspensions). Approaches found to be successful in resolving some of the dilemmas and challenges encountered will be discussed.
Keywords:
Intervention Research; Adolescents; Methodology
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15H28
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.title“Real World” Adolescent Intervention Research Meets Randomized Controlled Trial Methodology: Lessons Learneden
dc.title.alternativeCognitive-Behavioral Skills Building to Promote Healthy Lifestyle Behavior Change in Adolescents and Their Parents [Symposium]en
dc.contributor.authorJacobson, Diana L.en
dc.contributor.departmentBeta Upsilonen
dc.author.detailsDiana L. Jacobson, RN, PNP-BC, diana.jacobson@asu.eduen
dc.identifier.urihttp://hdl.handle.net/10755/602428en
dc.description.abstractSession presented on Tuesday, November 10, 2015: The purpose of this presentation is to delineate some practical factors inherent in conducting successful healthy lifestyle intervention research within school settings with adolescents. Implementation of the Creating Opportunities for Personal Empowerment (COPE) Healthy Lifestyles TEEN (Thinking, Emotions, Exercise and Nutrition) Program was challenged by a number of delivery and setting issues. The development of the COPE intervention components and delivery methodology are guided by Cognitive Theory (Beck, 1979) which postulates that cognitive distortions, learned misconceptions and/or exposure to unhealthy environments can negatively influence an individual’s emotions and behaviors. Utilizing cognitive behavior skills building techniques, behavior change is supported by increasing the adolescent’s evaluation of his or her own emotional responses and behavior and by correcting misconceptions to help guide the adolescent to choose more adaptive, realistic attitudes in response to negative thoughts, emotions and behavior. Therefore, it is vital that intervention researchers examine how the critical inputs of the planned intervention and theorized mediating processes are linked to selected measured outcomes and implementation processes in order to be able to explain the study’s results (Braden, 1998). Major points for discussion will focus on implementation challenges that center on recruitment and training of high school teachers to deliver the intervention with fidelity; presence of the problems of interest in the participants at baseline (i.e., overweight and obesity; depressive and anxiety symptomology); the emphasis on intervention components that facilitate negative schema change (i.e., homework completion; problem solving utilizing case scenarios; creation of positive self-statements); the creation and delivery of the comparison group, Health for Teens , attention control intervention; techniques utilized to increase parent involvement; and adaptation of the study team to school and health class scheduling, semester breaks and obtaining student information from the school districts (i.e., attendance, grades, and number of in or out of “house” suspensions). Approaches found to be successful in resolving some of the dilemmas and challenges encountered will be discussed.en
dc.subjectIntervention Researchen
dc.subjectAdolescentsen
dc.subjectMethodologyen
dc.date.available2016-03-21T16:28:40Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:28:40Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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