Intervention to increase physical activity and healthy eating among under-represented adolescents: GOAL trial protocol

Introduction To reduce obesity-related disparities, reaching economically disadvantaged and/or minority status adolescents to assist them in meeting physical activity (PA) and nutrition recommendations is important. To address the problem, a 16-week intervention called Guys/Girls Opt for Activities...

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Main Authors: Karin A Pfeiffer, Lorraine B Robbins, Kenneth Resnicow, Jiying Ling, Jean M Kerver, Harlan McCaffery, Aisha Hilliard, Logan Hobbs, Sheldon Donald, Niko Kaciroti
Format: Article
Language:English
Published: BMJ Publishing Group 2024-01-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/1/e080437.full
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author Karin A Pfeiffer
Lorraine B Robbins
Kenneth Resnicow
Jiying Ling
Jean M Kerver
Harlan McCaffery
Aisha Hilliard
Logan Hobbs
Sheldon Donald
Niko Kaciroti
author_facet Karin A Pfeiffer
Lorraine B Robbins
Kenneth Resnicow
Jiying Ling
Jean M Kerver
Harlan McCaffery
Aisha Hilliard
Logan Hobbs
Sheldon Donald
Niko Kaciroti
author_sort Karin A Pfeiffer
collection DOAJ
description Introduction To reduce obesity-related disparities, reaching economically disadvantaged and/or minority status adolescents to assist them in meeting physical activity (PA) and nutrition recommendations is important. To address the problem, a 16-week intervention called Guys/Girls Opt for Activities for Life (GOAL) was designed. The purpose of this randomised controlled trial is to evaluate any effect of the intervention, compared with a control condition, on improving: (1) adolescents’ % body fat (primary outcome), moderate-to-vigorous PA (MVPA), diet quality and cardiorespiratory fitness from 0 to 4 months; (2) body mass index (BMI), overweight/obesity percentage and quality of life from 0 to 4 months and to 13 months; and (3) perceived social support, self-efficacy and motivation from 0 to 4 months with evaluation of any mediating effect on adolescent PA and diet quality. An exploratory aim is to evaluate any effect of the intervention, compared with the control, on improving parents’/guardians’ home environment, MVPA and diet quality from 0 to 4 months; and BMI from 0 to 4 months and to 13 months.Methods and analysis Adolescents (fifth to eighth grade) in 14 schools located in underserved urban communities are randomly assigned to the intervention or usual school offerings. One parent per adolescent is enrolled (882 dyads total). Cohort 1 includes four schools (2022–2023). Cohorts 2 and 3 include 5 schools in 2023–2024 and 2024–2025, respectively. The 16-week intervention has three components: (1) after-school GOAL club for adolescents to engage in PA and healthy eating/cooking activities; (2) three parent–adolescent meetings to empower parents to assist adolescents; and (3) GOAL social networking website for parents to share how they helped their adolescent.Ethics and dissemination The Michigan State University Biomedical Institutional Review Board provided ethical approval for the study. Findings will be shared via the trial registration database, peer-reviewed publications, conferences and community-oriented strategies.Trial registration number NCT04213014.
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spelling doaj-art-3e587f0a2aa243a9998c7a93fc4ece032025-08-20T03:12:36ZengBMJ Publishing GroupBMJ Open2044-60552024-01-0114110.1136/bmjopen-2023-080437Intervention to increase physical activity and healthy eating among under-represented adolescents: GOAL trial protocolKarin A Pfeiffer0Lorraine B Robbins1Kenneth Resnicow2Jiying Ling3Jean M Kerver4Harlan McCaffery5Aisha Hilliard6Logan Hobbs7Sheldon Donald8Niko Kaciroti9Department of Kinesiology, College of Education, Michigan State University, East Lansing, Michigan, USA1 Michigan State University College of Nursing, East Lansing, Michigan, USASchool of Public Health, University of Michigan, Ann Arbor, Michigan, USA1 College of Nursing, Michigan State University, East Lansing, Michigan, USA2 Department of Epidemiology and Biostatistics, Michigan State University College of Human Medicine, East Lansing, Michigan, USADepartment of Pediatrics, Medical School, University of Michigan, Ann Arbor, Michigan, USACollege of Nursing, Michigan State University, East Lansing, Michigan, USACollege of Nursing, Michigan State University, East Lansing, Michigan, USACollege of Nursing, Michigan State University, East Lansing, Michigan, USADepartment of Pediatrics, Medical School, University of Michigan, Ann Arbor, Michigan, USAIntroduction To reduce obesity-related disparities, reaching economically disadvantaged and/or minority status adolescents to assist them in meeting physical activity (PA) and nutrition recommendations is important. To address the problem, a 16-week intervention called Guys/Girls Opt for Activities for Life (GOAL) was designed. The purpose of this randomised controlled trial is to evaluate any effect of the intervention, compared with a control condition, on improving: (1) adolescents’ % body fat (primary outcome), moderate-to-vigorous PA (MVPA), diet quality and cardiorespiratory fitness from 0 to 4 months; (2) body mass index (BMI), overweight/obesity percentage and quality of life from 0 to 4 months and to 13 months; and (3) perceived social support, self-efficacy and motivation from 0 to 4 months with evaluation of any mediating effect on adolescent PA and diet quality. An exploratory aim is to evaluate any effect of the intervention, compared with the control, on improving parents’/guardians’ home environment, MVPA and diet quality from 0 to 4 months; and BMI from 0 to 4 months and to 13 months.Methods and analysis Adolescents (fifth to eighth grade) in 14 schools located in underserved urban communities are randomly assigned to the intervention or usual school offerings. One parent per adolescent is enrolled (882 dyads total). Cohort 1 includes four schools (2022–2023). Cohorts 2 and 3 include 5 schools in 2023–2024 and 2024–2025, respectively. The 16-week intervention has three components: (1) after-school GOAL club for adolescents to engage in PA and healthy eating/cooking activities; (2) three parent–adolescent meetings to empower parents to assist adolescents; and (3) GOAL social networking website for parents to share how they helped their adolescent.Ethics and dissemination The Michigan State University Biomedical Institutional Review Board provided ethical approval for the study. Findings will be shared via the trial registration database, peer-reviewed publications, conferences and community-oriented strategies.Trial registration number NCT04213014.https://bmjopen.bmj.com/content/14/1/e080437.full
spellingShingle Karin A Pfeiffer
Lorraine B Robbins
Kenneth Resnicow
Jiying Ling
Jean M Kerver
Harlan McCaffery
Aisha Hilliard
Logan Hobbs
Sheldon Donald
Niko Kaciroti
Intervention to increase physical activity and healthy eating among under-represented adolescents: GOAL trial protocol
BMJ Open
title Intervention to increase physical activity and healthy eating among under-represented adolescents: GOAL trial protocol
title_full Intervention to increase physical activity and healthy eating among under-represented adolescents: GOAL trial protocol
title_fullStr Intervention to increase physical activity and healthy eating among under-represented adolescents: GOAL trial protocol
title_full_unstemmed Intervention to increase physical activity and healthy eating among under-represented adolescents: GOAL trial protocol
title_short Intervention to increase physical activity and healthy eating among under-represented adolescents: GOAL trial protocol
title_sort intervention to increase physical activity and healthy eating among under represented adolescents goal trial protocol
url https://bmjopen.bmj.com/content/14/1/e080437.full
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