title: A three-year evaluation of the know your body program in inner-city schoolchildren.
abstract: The impact of the Know Your Body (KYB) comprehensive school health education program was evaluated in a sample of first through sixth-grade students from New York City, using two analytic strategies: a longitudinal cohort and a "posttest only" cohort. In both cohorts, program impact was examined between condition (i.e., KYB vs. no-treatment comparison group) as well as within condition (i.e., low, moderate, and high student exposure). Students in the longitudinal cohort (n = 1,209) who were exposed to high implementation teachers had significantly (p < .05) lower total plasma cholesterol and systolic blood pressure at 3-year posttest than comparison students. Students in the posttest only cohort (n = 3,066) who had high implementation teachers showed significantly (p < .05) lower total plasma cholesterol, systolic blood pressure, self-reported intake of meat and desserts, as well as higher health knowledge and self-reported intake of "heart healthy" foods and vegetables than comparison students. In both cohorts, program effects for several outcome variables were linearly related to level of student exposure to the curriculum, suggesting a dose-response effect. While several methodologic limitations may have influenced study outcomes, these data nonetheless appear to confirm that the KYB program can have a significant positive impact on the knowledge, behavior, and selected risk factors of students in primary grades and that efforts to disseminate and evaluate school health education programs should include strategies to monitor and enhance teacher implementation.
authors.affiliation: American Health Foundation, New York, NY 10017.
authors.forename: K
authors.initials: K
authors.lastname: Resnicow
authors.forename: L
authors.initials: L
authors.lastname: Cohn
authors.forename: J
authors.initials: J
authors.lastname: Reinhardt
authors.forename: D
authors.initials: D
authors.lastname: Cross
authors.forename: R
authors.initials: R
authors.lastname: Futterman
authors.forename: E
authors.initials: E
authors.lastname: Kirschner
authors.forename: E L
authors.initials: EL
authors.lastname: Wynder
authors.forename: J P
authors.initials: JP
authors.lastname: Allegrante
mesh_terms: D001794:Blood Pressure; D015992:Body Mass Index; D002648:Child; D002784:Cholesterol / Q000097:blood; D015331:Cohort Studies; D003327:Coronary Disease / Q000209:etiology / Q000517:prevention & control*; D005247:Feeding Behavior; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008019:Life Style; D008137:Longitudinal Studies; D008297:Male; D009519:New York City; D012307:Risk Factors; D014505:Urban Population
chemical_list: D002784:Cholesterol