A School-Based, Peer-Led, Social Marketing Intervention To Engage Spanish Adolescents in a Healthy Lifestyle ("We Are Cool"-Som la Pera Study): A Parallel-Cluster Randomized Controlled Study

Magaly Aceves Martins, Elisabe llaurado, Lucia Tarro, David Morina, Ignasi Papell-Garcia , Jordi Prades-Tena, Helle Kettner-Høeberg, Francesc Puiggròs, Luis Arola, Amy Davies, Montse Giralt, Rosa Sola

Research output: Contribution to journalArticle

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Abstract

BACKGROUND: Encouraging adolescents to adopt healthy lifestyles can be challenging. The aim of the "Som la Pera" study was to engage adolescents by applying new strategies to increase both their fruit and vegetable consumption and their physical activity (PA) while reducing their sedentary behavior. METHODS: In disadvantaged neighborhoods of Reus (Spain), two high schools were randomly assigned to the intervention (n = 170 adolescents 13- to 16-year-olds) and two were assigned to the control group (n = 223 adolescents 13- to 16-year-olds). The intervention, which lasted 12 months and spanned 2 academic years (2013-2015), used social marketing (SM) to improve healthy choices. The peer-led strategy involved 5 adolescents who designed and implemented 10 activities as challenges for their 165 school-aged peers. The control group received no intervention. To assess self-reported lifestyles in both groups, the Health Behavior in School-Aged Children Survey was used at baseline and end of study. RESULTS: After 12 months, intervention adolescents showed an increase of 28.9% in ≥1 fruit/day (p < 0.01) and of 18.5% in ≥6 hours/week of PA (p < 0.01) compared with controls. Additionally, intervention group males had an increase of 28.8% in ≥1 vegetable/day (p < 0.01) and of 15.6% in ≤2 hours/day of sedentary activity (p = 0.01) compared with controls. CONCLUSIONS: A school-based, peer-led, SM intervention developed by adolescents attending high schools in low-income neighborhoods effectively improved the healthy choices of their school-aged peers, leading to increased fruit consumption and PA in adolescents of both genders. Furthermore, adolescent males were more sensitive to improvements in healthy choices, showing increased vegetable consumption and decreased sedentary behavior.
Original languageEnglish
Pages (from-to)300-313
Number of pages14
JournalChildhood Obesity
Volume13
Issue number4
Early online date27 Apr 2017
DOIs
Publication statusPublished - 1 Aug 2017

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Social Marketing
Vegetables
Fruit
Exercise
Healthy Lifestyle
Control Groups
Health Behavior
Vulnerable Populations
Spain
Life Style

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A School-Based, Peer-Led, Social Marketing Intervention To Engage Spanish Adolescents in a Healthy Lifestyle ("We Are Cool"-Som la Pera Study): A Parallel-Cluster Randomized Controlled Study. / Aceves Martins, Magaly; llaurado, Elisabe; Tarro, Lucia; Morina, David; Papell-Garcia , Ignasi; Prades-Tena, Jordi ; Kettner-Høeberg, Helle; Puiggròs, Francesc; Arola, Luis; Davies, Amy; Giralt, Montse ; Sola, Rosa.

In: Childhood Obesity, Vol. 13, No. 4, 01.08.2017, p. 300-313.

Research output: Contribution to journalArticle

Aceves Martins, M, llaurado, E, Tarro, L, Morina, D, Papell-Garcia , I, Prades-Tena, J, Kettner-Høeberg, H, Puiggròs, F, Arola, L, Davies, A, Giralt, M & Sola, R 2017, 'A School-Based, Peer-Led, Social Marketing Intervention To Engage Spanish Adolescents in a Healthy Lifestyle ("We Are Cool"-Som la Pera Study): A Parallel-Cluster Randomized Controlled Study' Childhood Obesity, vol. 13, no. 4, pp. 300-313. https://doi.org/10.1089/chi.2016.0216
Aceves Martins, Magaly ; llaurado, Elisabe ; Tarro, Lucia ; Morina, David ; Papell-Garcia , Ignasi ; Prades-Tena, Jordi ; Kettner-Høeberg, Helle ; Puiggròs, Francesc ; Arola, Luis ; Davies, Amy ; Giralt, Montse ; Sola, Rosa. / A School-Based, Peer-Led, Social Marketing Intervention To Engage Spanish Adolescents in a Healthy Lifestyle ("We Are Cool"-Som la Pera Study): A Parallel-Cluster Randomized Controlled Study. In: Childhood Obesity. 2017 ; Vol. 13, No. 4. pp. 300-313.
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T1 - A School-Based, Peer-Led, Social Marketing Intervention To Engage Spanish Adolescents in a Healthy Lifestyle ("We Are Cool"-Som la Pera Study): A Parallel-Cluster Randomized Controlled Study

AU - Aceves Martins, Magaly

AU - llaurado, Elisabe

AU - Tarro, Lucia

AU - Morina, David

AU - Papell-Garcia , Ignasi

AU - Prades-Tena, Jordi

AU - Kettner-Høeberg, Helle

AU - Puiggròs, Francesc

AU - Arola, Luis

AU - Davies, Amy

AU - Giralt, Montse

AU - Sola, Rosa

PY - 2017/8/1

Y1 - 2017/8/1

N2 - BACKGROUND: Encouraging adolescents to adopt healthy lifestyles can be challenging. The aim of the "Som la Pera" study was to engage adolescents by applying new strategies to increase both their fruit and vegetable consumption and their physical activity (PA) while reducing their sedentary behavior. METHODS: In disadvantaged neighborhoods of Reus (Spain), two high schools were randomly assigned to the intervention (n = 170 adolescents 13- to 16-year-olds) and two were assigned to the control group (n = 223 adolescents 13- to 16-year-olds). The intervention, which lasted 12 months and spanned 2 academic years (2013-2015), used social marketing (SM) to improve healthy choices. The peer-led strategy involved 5 adolescents who designed and implemented 10 activities as challenges for their 165 school-aged peers. The control group received no intervention. To assess self-reported lifestyles in both groups, the Health Behavior in School-Aged Children Survey was used at baseline and end of study. RESULTS: After 12 months, intervention adolescents showed an increase of 28.9% in ≥1 fruit/day (p < 0.01) and of 18.5% in ≥6 hours/week of PA (p < 0.01) compared with controls. Additionally, intervention group males had an increase of 28.8% in ≥1 vegetable/day (p < 0.01) and of 15.6% in ≤2 hours/day of sedentary activity (p = 0.01) compared with controls. CONCLUSIONS: A school-based, peer-led, SM intervention developed by adolescents attending high schools in low-income neighborhoods effectively improved the healthy choices of their school-aged peers, leading to increased fruit consumption and PA in adolescents of both genders. Furthermore, adolescent males were more sensitive to improvements in healthy choices, showing increased vegetable consumption and decreased sedentary behavior.

AB - BACKGROUND: Encouraging adolescents to adopt healthy lifestyles can be challenging. The aim of the "Som la Pera" study was to engage adolescents by applying new strategies to increase both their fruit and vegetable consumption and their physical activity (PA) while reducing their sedentary behavior. METHODS: In disadvantaged neighborhoods of Reus (Spain), two high schools were randomly assigned to the intervention (n = 170 adolescents 13- to 16-year-olds) and two were assigned to the control group (n = 223 adolescents 13- to 16-year-olds). The intervention, which lasted 12 months and spanned 2 academic years (2013-2015), used social marketing (SM) to improve healthy choices. The peer-led strategy involved 5 adolescents who designed and implemented 10 activities as challenges for their 165 school-aged peers. The control group received no intervention. To assess self-reported lifestyles in both groups, the Health Behavior in School-Aged Children Survey was used at baseline and end of study. RESULTS: After 12 months, intervention adolescents showed an increase of 28.9% in ≥1 fruit/day (p < 0.01) and of 18.5% in ≥6 hours/week of PA (p < 0.01) compared with controls. Additionally, intervention group males had an increase of 28.8% in ≥1 vegetable/day (p < 0.01) and of 15.6% in ≤2 hours/day of sedentary activity (p = 0.01) compared with controls. CONCLUSIONS: A school-based, peer-led, SM intervention developed by adolescents attending high schools in low-income neighborhoods effectively improved the healthy choices of their school-aged peers, leading to increased fruit consumption and PA in adolescents of both genders. Furthermore, adolescent males were more sensitive to improvements in healthy choices, showing increased vegetable consumption and decreased sedentary behavior.

U2 - 10.1089/chi.2016.0216

DO - 10.1089/chi.2016.0216

M3 - Article

VL - 13

SP - 300

EP - 313

JO - Childhood Obesity

JF - Childhood Obesity

SN - 2153-2168

IS - 4

ER -