title: A multifaceted school-based intervention to reduce risk for type 2 diabetes in at-risk youth.
abstract: OBJECTIVE
  To evaluate the impact of a multifaceted, school-based intervention on inner city youth at high risk for type 2 diabetes mellitus (T2DM) and to determine whether the addition of coping skills training (CST) and health coaching improves outcomes.
  
  
  METHODS
  198 students in New Haven, CT at risk for T2DM (BMI>85th percentile and family history of diabetes) were randomized by school to an educational intervention with or without the addition of CST and health coaching. Students were enrolled from 2004 to 2007 and followed for 12 months.
  
  
  RESULTS
  Students in both groups showed some improvement in anthropometric measures, lipids, and depressive symptoms over 12 months. BMI was not improved by the intervention. Students who received CST showed greater improvement on some indicators of metabolic risk than students who received education only.
  
  
  CONCLUSIONS
  A multifaceted, school-based intervention may hold promise for reducing metabolic risk in urban, minority youth.
authors: Yale University School of Nursing, New Haven, CT 06536, USA. margaret.grey@yale.edu
authors: Margaret
authors: M
authors: Grey
authors: Sarah S
authors: SS
authors: Jaser
authors: Marita G
authors: MG
authors: Holl
authors: Vanessa
authors: V
authors: Jefferson
authors: James
authors: J
authors: Dziura
authors: Veronika
authors: V
authors: Northrup
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D015331:Cohort Studies; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000517:prevention & control*; D037001:Directive Counseling / Q000458:organization & administration*; D005260:Female; D006266:Health Education / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D012572:School Health Services; D020377:Self Efficacy; D012959:Socioeconomic Factors; D014504:Urban Health