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The Journal of School Nursing
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Research Article

Acceptability of a School-Based Intervention for the Prevention of Adolescent Obesity

Leanne M. Mauriello, PhD

Leanne M. Mauriello, PhD, is director of Behavior Change Projects, Pro-Change Behavior Systems, West Kingston, RI

Mary Margaret H. Driskell, MPH

Mary Margaret H. Driskell, MPH, is senior project manager at Pro-Change Behavior Systems, West Kingston, RI

Karen J. Sherman, BA

Karen J. Sherman, BA, is senior project assistant at Pro-Change Behavior Systems, West Kingston, RI

Sara S. Johnson, PhD

Sara S. Johnson, PhD, is director of Behavior Change Projects, Pro-Change Behavior Systems, West Kingston, RI

Janice M. Prochaska, PhD

Janice M. Prochaska, PhD, is president and CEO of Pro-Change Behavior Systems, West Kingston, RI

James O. Prochaska, PhD

James O. Prochaska, PhD, is professor of Psychology and director of Cancer Prevention Research Center, University of Rhode Island, Kingston, RI

This article describes the development and pilot testing of a computer-based, multiple-behavior obesity prevention program for adolescents. Using the Transtheoretical Model as a framework, this intervention offers individualized feedback based on readiness to engage in physical activity, to consume fruits and vegetables, and to limit television viewing. Focus groups and interviews with students, teachers, school administrators, and experts guided the development. Forty-five students participated in a baseline intervention session and completed a 16-item acceptability measure. Ratings were positive, with item means ranging from 3.60–4.75 on a 5-point scale. Student responses to open-ended questions aided in the enhancement of the intervention, for which an effectiveness trial begins in September 2006. This formative work demonstrated the acceptability of this school-based intervention approach, which can be promoted and prescribed by school nurses. Further, if found effective, it can be disseminated as an efficient, low-cost, population-based approach designed to address the epidemic of obesity.

Key Words: childhood obesity • computer-based intervention • health promotion • obesity prevention • school-based intervention

The Journal of School Nursing, Vol. 22, No. 5, 269-277 (2006)
DOI: 10.1177/10598405060220050501
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