A multifaceted school-based intervention to reduce risk for type 2 diabetes in at-risk youth.
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.
Grey
Margaret
M
Yale University School of Nursing, New Haven, CT 06536, USA. margaret.grey@yale.edu
Jaser
Sarah S
SS
Holl
Marita G
MG
Jefferson
Vanessa
V
Dziura
James
J
Northrup
Veronika
V
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