title: Implementation of a school-based internet obesity prevention program for adolescents.
abstract: OBJECTIVE
  To evaluate the reach, adoption, and implementation of HEALTH[e]TEEN, a school-based Internet obesity prevention program, and examine differences in student participation and satisfaction by school, gender, age, and race/ethnicity.
  
  
  METHODS
  Concurrent mixed method evaluation.
  
  
  METHODS
  Three public high schools in Connecticut.
  
  
  METHODS
  Three hundred eighty-four adolescents, 8 teachers.
  
  
  METHODS
  HEALTH[e]TEEN vs HEALTH[e]TEEN plus coping skills training.
  
  
  METHODS
  Demographic and state-available data, measurements of student satisfaction and participation, interviews with school administrators and teachers.
  
  
  METHODS
  Mixed and logistic models, content analysis.
  
  
  RESULTS
  The sample (n = 384) was diverse (35% white), with a mean age of 15.3 years and mean body mass index of 24.7 kg/m(2). Student participation (83% of lessons completed) and satisfaction (mean 3.6 out of 5) was high. Schools implementing the program in class had higher satisfaction and participation compared with schools that implemented the program as homework (P ≤ .001 and < .001, respectively). Girls had higher satisfaction and participation compared with boys (P = .02 and .03, respectively). Younger students had higher participation compared with older students, but no difference in satisfaction was noted (P = .03).
  
  
  CONCLUSIONS
  Two school-based Internet programs to decrease obesity reached diverse adolescents, and were adopted and implemented with high student satisfaction and participation. Implementation of the intervention was influenced by setting (classroom vs homework), teacher characteristics, student age, and gender.
authors.affiliation: Yale School of Nursing, New Haven, CT.
authors.forename: Robin
authors.initials: R
authors.lastname: Whittemore
authors.forename: Ariana
authors.initials: A
authors.lastname: Chao
authors.forename: Myoungock
authors.initials: M
authors.lastname: Jang
authors.forename: Sangchoon
authors.initials: S
authors.lastname: Jeon
authors.forename: Tara
authors.initials: T
authors.lastname: Liptak
authors.forename: Rachel
authors.initials: R
authors.lastname: Popick
authors.forename: Margaret
authors.initials: M
authors.lastname: Grey
mesh_terms: D000293:Adolescent; D002648:Child; D003237:Connecticut; D005178:Faculty; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D020407:Internet; D008297:Male; D009765:Obesity / Q000517:prevention & control*; D012572:School Health Services; D013334:Students / Q000523:psychology / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Internet; adolescent; health; obesity; prevention