PMID- 28951440
OWN - NLM
STAT- MEDLINE
DCOM- 20171012
LR  - 20191210
IS  - 1098-4275 (Electronic)
IS  - 0031-4005 (Linking)
VI  - 140
IP  - 4
DP  - 2017 Oct
TI  - A Sports-Based Youth Development Program, Teen Mental Health, and Physical 
      Fitness: An RCT.
LID - e20171543 [pii]
LID - 10.1542/peds.2017-1543 [doi]
AB  - OBJECTIVES: To assess the effectiveness of a positive youth development 
      (PYD)-based sports mentorship program on the physical and mental well-being of 
      adolescents recruited in a community setting. METHODS: This is a randomized 
      controlled trial in which we recruited students from 12 secondary schools in Hong 
      Kong, China. Participants were randomly assigned in a 1:1 ratio to an 
      intervention or a control arm after stratification for school from October 2013 
      to June 2014. Participants were not blinded to allocation because of the nature 
      of the intervention. Students in the intervention arm received an after-school, 
      PYD-based sports mentorship for 18 weeks. Each weekly session lasted 90 minutes. 
      Students in the control arm received exclusive access to a health education Web 
      site. RESULTS: Six hundred and sixty-four students (mean age 12.3 years [SD 
      0.76]; 386 girls [58.1%]) completed baseline and postintervention assessments. 
      The intervention improved students' mental well-being (Cohen's d, 0.25; 95% 
      confidence interval [CI], 0.10 to 0.40; P = .001), self-efficacy (Cohen's d, 
      0.22; 95% CI, 0.07 to 0.37; P = .01), resilience (Cohen's d, 0.19; 95% CI, 0.03 
      to 0.34; P = .02), physical fitness (flexibility [Cohen's d, 0.28; 95% CI, 0.13 
      to 0.43; P = .02], lower limb muscle strength [Cohen's d, 0.18; 95% CI, 0.03 to 
      0.33; P = .03], and dynamic balance [Cohen's d, 0.21; 95% CI, 0.06 to 0.37; P = 
      .01]), and physical activity levels (Cohen's d, 0.39; 95% CI, 0.24 to 0.55; P < 
      .0001). The intervention did not significantly improve physical well-being 
      (Cohen's d, -0.01; 95% CI, -0.17 to 0.14; P = .86), BMI z scores (Cohen's d, 
      -0.03; 95% CI, -0.18 to 0.12; P = .69), body fat proportion (Cohen's d, -0.15; 
      95% CI, -0.31 to 0.00; P = .051), and social connectedness (Cohen's d, -0.03; 95% 
      CI, -0.18 to 0.12; P = .72). CONCLUSIONS: A PYD-based sports mentorship 
      intervention improved healthy adolescents' mental well-being, psychological 
      assets, physical fitness, and physical activity levels.
CI  - Copyright (c) 2017 by the American Academy of Pediatrics.
FAU - Ho, Frederick Ka Wing
AU  - Ho FKW
AD  - Departments of Pediatrics and Adolescent Medicine.
FAU - Louie, Lobo Hung Tak
AU  - Louie LHT
AD  - Department of Physical Education, Hong Kong Baptist University, Kowloon Tong, 
      Hong Kong.
FAU - Wong, Wilfred Hing-Sang
AU  - Wong WH
AD  - Departments of Pediatrics and Adolescent Medicine.
FAU - Chan, Ko Ling
AU  - Chan KL
AD  - Department of Applied Social Sciences, Hong Kong Polytechnic University, Hung 
      Hom, Hong Kong.
FAU - Tiwari, Agnes
AU  - Tiwari A
AD  - School of Nursing, University of Hong Kong, Pok Fu Lam, Hong Kong.
FAU - Chow, Chun Bong
AU  - Chow CB
AD  - Departments of Pediatrics and Adolescent Medicine.
FAU - Ho, Walter
AU  - Ho W
AD  - Faculty of Education, University of Macau, Taipa, Macau; and.
FAU - Wong, William
AU  - Wong W
AD  - Family Medicine and Primary Care, and.
FAU - Chan, Meanne
AU  - Chan M
AD  - Department of Psychology, University of Toronto, Toronto, Ontario, Canada.
FAU - Chen, Eric Yu Hai
AU  - Chen EYH
AD  - Psychiatry, and.
FAU - Cheung, Yiu Fai
AU  - Cheung YF
AD  - Departments of Pediatrics and Adolescent Medicine.
FAU - Ip, Patrick
AU  - Ip P
AD  - Departments of Pediatrics and Adolescent Medicine, patricip@hku.hk.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - United States
TA  - Pediatrics
JT  - Pediatrics
JID - 0376422
SB  - IM
MH  - Adolescent
MH  - *Adolescent Development
MH  - *Adolescent Health
MH  - Female
MH  - Health Promotion/*methods
MH  - Humans
MH  - Male
MH  - *Mental Health
MH  - Mentoring/*methods
MH  - Outcome Assessment, Health Care
MH  - *Physical Fitness
MH  - *Sports/physiology/psychology
COIS- POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential 
      conflicts of interest to disclose.
EDAT- 2017/09/28 06:00
MHDA- 2017/10/13 06:00
CRDT- 2017/09/28 06:00
PHST- 2017/07/26 00:00 [accepted]
PHST- 2017/09/28 06:00 [pubmed]
PHST- 2017/10/13 06:00 [medline]
PHST- 2017/09/28 06:00 [entrez]
AID - peds.2017-1543 [pii]
AID - 10.1542/peds.2017-1543 [doi]
PST - ppublish
SO  - Pediatrics. 2017 Oct;140(4):e20171543. doi: 10.1542/peds.2017-1543.