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PACE+: Counseling Adolescents for Exercise and Nutrition

An Evidence-Based Practice

Description

Many adolescents do not meet national guidelines for participation in regular moderate or vigorous physical activity; limitations on sedentary behaviors; or dietary intake of fruits and vegetables, fiber, or total dietary fat. PACE+ for adolescents targets these behaviors through a primary care and home-based intervention. Adolescents meet with a health care provider, set goals and are followed by computer-assisted diet and physical activity assessment. Participants also receive 12 months of monthly mail and telephone counseling. Phone counseling and print materials guide adolescents to use cognitive and behavioral skills to make changes in behaviors.

Goal / Mission

The goal of PACE+ for adolescents is to: decrease total dietary fat consumption; increase fruits & vegetable consumption; increase participation in moderate and vigorous physical activity; decrease sedentary habits among adolescents aged 11-15.

Results / Accomplishments

Results from the randomized controlled trial on the PACE+ intervention showed that girls and boys in the diet and physical activity intervention group significantly reduced sedentary behaviors. Girls in the intervention group reduced sedentary behaviors from 4.3 to 3.4 hours per day while girls in the control group changed from 4.2 to 4.4 hours per day (p=0.001). Boys in the intervention reduced sedentary behavior from 4.2 to 3.2 hours per day while boys in the control group changed from 4.2 to 4.3 hours per day (p=0.001). The number of servings of fruits and vegetables for girls approached significance (intervention 3.5 to 4.2 servings per day vs. control 3.5 to 3.9 servings per day [p=0.07]). The percentage of adolescents meeting recommended health guidelines was significantly improved for girls for consumption of saturated fat (intervention 23.4% to 41.0% vs. control 18.5% to 31%, [relative risk = 1.33; 95% confidence interval, 1.01-1.68]).

About this Promising Practice

Organization(s)
Patient-centered Assessment and Counseling for Exercise plus Nutrition (PACE+) Project
Primary Contact
Kevin Patrick
619-594-5949
kpatrick@ucsd.edu
http://www.paceproject.org/
Topics
Health / Physical Activity
Health / Adolescent Health
Organization(s)
Patient-centered Assessment and Counseling for Exercise plus Nutrition (PACE+) Project
Source
San Diego Center for Health Interventions, US Centers for Disease Control and Prevention
Location
California
For more details
http://www.paceproject.org/Adolescents.html
Target Audience
Teens, Families

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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