Initiative Description: Schools were randomized to either the Coping skills training (CST) intervention (4 schools) or the general education (GE) intervention (2 schools). All seventh graders in the schools received the same nutrition and activity educational component (8 classes), but the CST schools received an additional 5 classes in CST and 9 months of telephone health coaching. The intervention components were developed by the study team, which included a nutritionist, two advanced practice nurses, a psychologist, and an exercise physiologist. A non-diet, family-centered approach was used as the nutrition education component. The major dietary goal was to provide the highest nutritional quality for the lowest caloric intake. PA was non-structured (e.g., hip-hop, break dancing, Afro-Caribbean, Latin dance).
Study Results: Reductions in 2-hour glucose were significantly greater in the intervention group, The treatment effect for HDL approached significance.
Reference: Grey, M., Jaser, S. S., Holl, M. G., Jefferson, V., Dziura, J., & Northrup, V. (2009). A multifaceted school-based intervention to reduce risk for type 2 diabetes in at-risk youth. Preventive Medicine, 49(2/3), 122-128. doi:10.1016/j.ypmed.2009.07.01
Level of Evidence: Very Good