title: Effects of the COPE Cognitive Behavioral Skills Building TEEN Program on the Healthy Lifestyle Behaviors and Mental Health of Appalachian Early Adolescents.
abstract: BACKGROUND
  Appalachian adolescents have a high prevalence of obesity and mental health problems that exceed national rates, with the two conditions often co-existing. The purpose of this study was to evaluate the feasibility and preliminary efficacy of a 15-session cognitive-behavioral skills building intervention (COPE [Creating Opportunities for Personal Empowerment] Healthy Lifestyles TEEN [Thinking, Emotions, Exercise, and Nutrition] Program) on healthy lifestyle behaviors, physical health, and mental health of rural early adolescents.
  
  
  METHODS
  A pre- and posttest pre-experimental design was used with follow-up immediately after the intervention.
  
  
  RESULTS
  Results support improvement in the students' anxiety, depression, disruptive behavior, and self-concept scores after the COPE intervention compared with baseline. Additionally, healthy lifestyle behavior scores improved before the intervention compared with after the intervention.
  
  
  CONCLUSIONS
  COPE is a promising intervention that improves mental health and healthy lifestyle behaviors and can be integrated routinely into school-based settings.
authors: Jacqueline
authors: J
authors: Hoying
authors: Bernadette Mazurek
authors: BM
authors: Melnyk
authors: Kimberly
authors: K
authors: Arcoleo
mesh_terms: D000293:Adolescent; D001061:Appalachian Region; D002648:Child; D015928:Cognitive Behavioral Therapy; D015438:Health Behavior; D006801:Humans; D008019:Life Style; D008603:Mental Health
keywords: Appalachian early adolescence; healthy lifestyle behaviors; obesity; physical and mental health outcomes; school-based intervention