COPE/Healthy Lifestyles TEEN Program Juliet Bradley, PhD, LSW - PowerPoint PPT Presentation

COPE/Healthy Lifestyles TEEN Program Juliet Bradley, PhD, LSW Professor, Human Services Department Purdue University Global Email Address: jbradley2@purdueglobal.edu

 Childhood Obesity Statistics  Causes of Childhood Obesity and Impact on Well-Being  Statistics Related to Anxiety/Depression in Adolescents  Causes of Anxiety/Depression in Adolescents Agenda  Risk Factors Related to Anxiety/Depression  Protective Factors Related to Anxiety/Depression  Explanation of COPE/Healthy Lifestyles TEEN Program  Research Related to Program

 Percentage of children that are impacted by obesity has tripled since the 1970s  CDC reports that 1 in 5 children ages 6-19 struggles with obesity Obesity in  Obesity is defined in children/adolescents as BMI at or above 95 th percentile compared with person of similar age Children and  Overweight is defined in children/adolescents as BMI at or above 85 th Adolescents: percentile but below 95 th percentile compared with person of similar age Prevalence and Definitions

 Genetic Predisposition  Metabolism Obesity in  Issues with Community Safety Children and  Behaviors Related to Eating/Physical Adolescents: Activity  Family Habits Causes

 Obesity in childhood/adolescence can cause a higher rate of physical problems such as diabetes, asthma, and sleep apnea  Children with obesity may have a higher likelihood of being Obesity in bullied, and have been shown to have higher rates of depression and lower self-esteem Children and  Children who are obese have a higher likelihood of being obese in Adolescents: adulthood Impact on Well-Being

 Are the rates of anxiety or depression higher in adolescents?  What is the percentage of adolescents ages 12-18 with anxiety? Anxiety/  A: 5% Depression in  B: 16%  C: 31% Adolescents:  What is the percentage of adolescents Statistics ages 12-18 with depression?  A: 12%  B: 22%  C: 33%

 31% of 13-18 year olds experience anxiety and 12% of 12-17 year olds experience depression Anxiety/  Many changes occur during adolescence that can contribute to the onset of anxiety/depression among this population Depression in Adolescents: Statistics

 Some studies indicate that anxiety and especially depression among adolescents has increased over the years, and can be Anxiety/ higher in those struggling with obesity Depression in Adolescents:  Depression rates among Statistics adolescents increased from 8.7% in 2005 to 12.7% in 2015 among those 12 years and older

Causes of Anxiety in Adolescents Anxiety/ Depression in Genetic Predisposition Adolescents: Brain Biochemistry Overactive Fight-Flight Causes of Learned Behavior Anxiety Stressful Events/Circumstances

Causes of Depression in Adolescents Hormonal Changes Anxiety/ Genetic Predisposition Depression in Biology of Person Adolescents: Childhood Trauma Negative Thinking Patterns Causes of Depression

 What are some risk factors related to anxiety and depression in adolescents? Anxiety/  Individual Depression in  Family Adolescents:  School/Neighborhood/ Risk Factors Community

Low Self- Esteem, Shyness Anxiety/ Depression in Parental Marital Parent/ Substance Conflict Child Adolescents: Abuse Conflict Risk Factors for Anxiety Failing School, Peer Drug/Alcohol Issues: Abuse in Aggression, Community Substance Use

School, Individual Family Neighborhood, Anxiety/ Community • Low Self-Esteem • Child Abuse/Neglect • Rejection by Peers Depression in • Need for Social • Divorce, Single • Academic Issues Adolescents: Support/Acceptance Parent Family (Girls • Community Only) • Issues with Social Violence Risk Factors Skills: • Family Conflict • Poverty Communication, • Parental for Depression Problem-Solving Depression/Anxiety

 What are some protective factors related to anxiety and depression in adolescents? Anxiety/  Individual Depression in  Family Adolescents:  School/Neighborhood/ Protective Community Factors

INDIVIDUAL FACTORS Positive Experience with Physical Development Good Academic Performance High Self-Esteem Effective Coping and Problem-Solving Skills Anxiety/ Depression in FAMILY FACTORS Family Structure, Limits, Monitoring Adolescents: Supportive Family Relationships Well-Defined Behavioral Expectations Protective Comprehensive Understanding of Family Values Factors SCHOOL, NEIGHBORHOOD, COMMUNITY FACTORS Positive Mentors/Role Models Understandable Expectations for Behavior Positive Physical and Psychological Well-Being Prosocial Norms

 COPE: Creating Opportunities for Personal Empowerment  TEEN: Thinking, Emotions, Exercise, and Nutrition COPE/Healthy  Instructor delivered 15-session manualized program Lifestyles  Developed for 13-18 year olds in order to address and improve behavioral and physical health outcomes TEEN  Can be integrated into health courses, taught individually or taught in Program: a group setting in a variety of environments (primary/specialty care settings) General  Sessions can be presented in as little as 25-30 minutes or can be Information stretched to 50 minutes-Designed to be delivered in a once/week format

 Instructors can be educators, social workers, healthcare providers, school administrators/counselors, etc. COPE/Healthy  $450/Instructor for first year (includes 5 student Lifestyles manuals), Renewable at $250 each subsequent year TEEN Program:  Student manuals: $32 each or $8 each (print yourself for organizations needing at least 200) Instructor Information  To Be Certified as An Instructor  Take an online course (about 2.5 hours)  Pass a 20 question exam with at least 80% (unlimited number of times to take exam)  Practice delivering program to at least one person (can be own teen, other family member, etc)

 Sessions 1-7 and Session 15 use a cognitive- behavioral approach to build skills such as COPE/Healthy positive thinking, and coping/managing stress more effectively Lifestyles TEEN  Sessions 8 and 9 educate students about Program: physical activity Information on  Sessions 10-14 help students learn about 15 Sessions nutrition and healthy eating touching upon topics such as how to read labels and how to eat a balanced diet

Session One: Healthy Lifestyles Session Two: Self-Esteem and Positive COPE/Healthy Thinking/Self-Talk Lifestyles Session Three: Setting Goals TEEN Session Four: Stress and Coping Program: Session Five: Dealing with Your Emotions in Information on Healthy Ways 15 Sessions Session Six: Personality and Effective Communication Session Seven: Activity: Let’s Keep Moving!

Session Eight: Heart Rate and Stretching Session Nine: Nutrition Basics COPE/Healthy Session Ten: Reading Labels Lifestyles Session Eleven: Portion Sizes TEEN Program: Session Twelve: Eating for Life and Social Eating - Party Heart(y) Information on 15 Sessions Session Thirteen: Snacking Can Be Healthy Too Session Fourteen: Healthy Choices Session Fifteen: Pulling It All Together For a Healthy You!

 All participants are given a manual which includes exercises that they can do at home to reinforce learning  All sessions include a mindfulness exercise and 20 minutes of physical COPE/Healthy activity to build participant’s belief that they can successfully exercise Lifestyles  Participants are given a pedometer to wear daily and encouraged to increase daily steps by 10% each week TEEN  Four parent newsletters sent home summarizing sessions and Program: providing examples of ways for parents to get involved such as taking walks with teen, talking about healthy eating, etc. More Information

 Ardic & Erdogan (2017) Journal of Advanced Nursing  Study conducted with 87 adolescents in Turkish middle school students  Improvement in nutritional knowledge and consumption of healthy COPE/Healthy foods, stress management, physical activity Lifestyles  Decreases in anxiety and weight  Hoying, Melnyk, & Arcoleo (2016) Journal of Pediatric Healthcare TEEN  Study conducted with adolescents in Appalachia Program:  Decreases in anxiety and depression  Increases in self-concept and healthy behavior Evidence of  Melnyk, et al. (2015) Journal of School Health Effectiveness  Study conducted with 779 diverse adolescents  Looked at effects of program after 12 months  Decreases in depression and weight (lower BMI among teens at 12 months)

 America’s children: Key national indicators of well-being 2017. (n.d.). Childstats.gov. Retrieved from https://www.childstats.gov/americaschildren/health4.asp.  Anxiety disorders. (n.d.). TeensHealth from Nemours. Retrieved from https://kidshealth.org/en/teens/anxiety.html.  Ardic, A. & Erdogan, S. (2017). The effectiveness of the COPE healthy References lifestyles program: a school-based intervention in middle school adolescents with 12-month follow up. Journal of Advanced Nursing, 73 (6), 1377-1389.  Bor, W., Dean, A.J., Najman, J., & Hayatbakhsh (2014). Are child and adolescent mental health problems increasing in the 21 st century? A systematic review. Australian and New Zealand Journal of Psychiatry, 48 (7), 606-616.