- Email: [email protected]
91. Association Between Life Satisfaction and Peer Characteristics Among Turkish Adolescents
Poster Abstracts / 50 (2012) S16 –S95
know ‘where I’m at’, and being reminded to ‘hang in there’.Most participants did not focus on the ARM domain of individual protective factors unprompted.Once asked, the theme of gaining knowledge online emerged with four codes: too much information available online, never wanting to look, occasionally checking, and feeling information found ‘saved me.’ Conclusions: These results provide an introduction to the role of cyberspace in the lives of adolescents with cancer, especially as a means to maintain and enhance social supports through what can otherwise be a very isolating experience.As both time online and participation in social networks sites becomes pervasive among adolescents, it is easy to assume adolescents with cancer are doing the same.This qualitative research study validates that assumption and explores the role that both time online and social network sites play in helping adolescents with cancer cope.Maintaining connections with peers is a well-documented positive coping strategy and has been especially researched in adolescents with cancer.The adolescents in this study suggest that being online provides a safe bridge to their social world in a way that overcomes distance and fear. Sources of Support: None. 89. LONGITUDINAL TEEN PREGNANCY PREVENTION RESEARCH: KEY FEATURES OF SUCCESSFUL COMMUNITY-ACADEMIC PARTNERSHIPS Susan Seibold Simpson, PhD, RN1, Hugh Crean, PhD2, Hans DeBruyn, MA2, Richard E. Kreipe, MD, FSAHM2. 1
SUNY Binghamton 2University of Rochester
Purpose: To describe the process for implementing and evaluating a 4-year, federally-funded community-based, teen pregnancy prevention cluster-based RCT replicating an evidence-based Youth Development model. Methods: To describe our study team’s process of 1) documenting events and experiences that could affect (both negatively and positively) study outcomes; 2) establishing and maintaining reciprocal, on-going feedback (oral and written) among community stakeholders, program implementers and academic evaluators, and 3) comparing our experiences with other programs across the U.S. involved in research designs to move from efficacy to effectiveness, interviews were conducted with partners involved in the teen pregnancy prevention project to elicit strengths, weaknesses, threats, and opportunities that arose during the one year planning process. Stakeholders included members from 3 departments at 2 universities; a city agency (primary grantee); community-based advisory board; and the federal-government grantor. Results: Multiple parties with competing priorities created challenges to implementation and evaluation, including: 1) the randomization process; 2) translating rigorous, independent scientific research methodology and evaluation required by the funders into activities that also met the expectations of community-based stakeholders; and 3) navigating the myriad of governmental and organizational structures involved in the effort. Conclusions: Communication was critical to success and key to building mutual, trusting relationships where none previously existed. Other keys to success were: 1) clear delineation of strengthbased roles with reinforcement of boundaries; 2) regularly scheduled meetings with agendas, minutes and a problem-solving focus; 3) community partners coming to realize the differences between research and service programs; 4) commitment to success and togetherness held by everyone involved in the process; and 5) dedication to improving the lives of youth in the community.
S57
Sources Of Support: HRSA/MCHB LEAH #5 T71MC00012-1500DHHS/PHS/NIH TPP #11-00930. 90. ASSOCIATION BETWEEN SELF-RATED HEALTH AND PEER CHARACTERISTICS AMONG TURKISH ADOLESCENTS Mujgan Alikasifoglu, MD1, Ethem Erginoz, MD, PhD1, Oya Ercan, MD1, Omer Uysal, PhD2, Deniz Albayrak Kaymak, PhD3. 1
Istanbul University Cerrahpasa Medical Faculty 2Bezmialem University Medical School 3Bogazici University Purpose: The aim of this study was to determine the relationship between self-rated health and peer characteristics of adolescents. Methods: This study involved the completion of international version of ’Health Behavior in School Age Children (HBSC) 2005/2006’ survey questionnaire by 1597 grade 9th and 10th students. Ethical permission for this study was obtained from the University of Istanbul and Ministry of Education. Relationships between self-rated health and number of male and female close friends, time spent with friends, peer group configuration (age distribution within the group and longevity of the group), group functioning (the status of the group among adults and other peer groups, the social support within the group and how the group functions in terms of decision-making), peer group behavioural characteristics and quality of close friendship was measured by using Chi square test, student t test and logistic regression analysis (Gender and family affluence were entered as confounding factors) as appropriate. Results: There were significant relationships between perceived good health and having ⫽3 close friends, spending more time with friends after school, having a group of friends about the same age, participating in decision- making in the peer group, having a group of friends who are supportive to each other, having a group of friends who are well accepted by the important adults around the adolescent and having a group of friends with prosocial behaviors. The adolescent who had a special friend was more likely to have perceived good health. There was a significant relationship between the quality of the relationship with the special friend and rating health good. In logistic regression analyses, being male, better family affluence, having a group of friends about the same age, having a group of friends who are well accepted by the important adults around the adolescent and having a group of friends who are supportive to each other were found to be significantly associated with self rated good health. Conclusions: The results of this study showed that friends and especially configuration and functioning of the peer group are important determinants of adolescent health. Thus studies that facilitate understanding of peer culture are crucial for the success of programmes that aim healthy adolescent development. Sources Of Support: Turkish Pediatric Association, Research Foundation of Istanbul University. 91. ASSOCIATION BETWEEN LIFE SATISFACTION AND PEER CHARACTERISTICS AMONG TURKISH ADOLESCENTS Oya Ercan, MD1, Mujgan Alikasifoglu, MD1, Ethem Erginoz, MD1, Omer Uysal, PhD2, Deniz Albayrak Kaymak, PhD3. 1
Istanbul University Cerrahpasa Medical Faculty 2Bezmialem University Medical School 3Bogazici University Purpose: The aim of this study was to determine the relationship between life satisfaction and peers characteristics of adolescents.
S58
Poster Abstracts / 50 (2012) S16 –S95
Methods: This study involved the completion of international version of ’Health Behavior in School Age Children (HBSC) 2005/2006’ survey questionnaire by 1597 grade 9th and 10th students. Ethical permission for this study was obtained from the University of Istanbul and Ministry of Education. Relationships between life satisfaction and number of male and female close friends, time spent with friends, peer group configuration (age distribution within the group and longevity of the group), group functioning (the status of the group among adults and other peer groups, the social support within the group and how the group functions in terms of decision-making), peer group behavioural characteristics and quality of close friendship was measured by using Chi square test, student t test and logistic regression analysis (Gender and family affluence were entered as confounding factors) as appropriate. Results: There were significant relationships between life satisfaction and having ⫽3 close friends, having a group of friends about the same age, having at least one long lasting friendship in the group, having a group of friends who are supportive to each other, having a group of friends who are well accepted by the important adults around the adolescent and having a group of friends with prosocial behaviors. The adolescent who had a special friend was more likely to be satisfied withhis/her life. There was a significant relationship between the quality of the relationship with the special friend and being satisfied with life. In logistic regression analyses, better family affluence, having a group of friends about the same age, having at least one long lasting friendship in the group, having a group of friends who are supportive to each other and having a group of friends who are well accepted by the important adults around the adolescent were found to be significantly associated with being satisfied with life. Conclusions: The results of this study showed that in programmes that aimed healthy adolescent development acceptance of peers as partners and understanding of peer culture are need. Sources Of Support: Turkish Pediatric Association, Research Foundation of Istanbul University.
SESSION II: NUTRITION 92. LIVING HEALTHY, THE SOURCES AND FORCES: ADOLESCENTS’ VIEWS ON HEALTHY NUTRITION AND ACTIVITY, RESOURCES AND ROLE MODELS Leslie Gee, MD, W. Stewart Agras, MD.
sex) or Overweight (BMI ⫽ 85th percentile for age and sex).Descriptive statistics and T-tests were performed. Results: Data were collected from 84 adolescents, 43% Hispanic, 26% White, 14.6% Mixed Race, 11% Black, 4% Asian, and 3% Hawaiian/ Pacific Islander.Of the 56 participants where weight status could be determined, 34 (61%) were Not Overweight and 22 (39%) were Overweight.T-test analyses revealed that overweight adolescents were significantly more likely to live with someone who “Encourages me to diet to control my weight” (p⬍.01) and to agree with the statements that “I know enough information about healthy foods and physical activity” (p⬍.05) and “My family can help me make healthier changes in food and activity” (p⬍.01) compared to Not Overweight adolescents.Adolescents, both in the total sample and the subset classified by weight status, identified family, teachers/school, and doctors as the top three sources of health information.Family, friends, and athletes were the top three health role models. Conclusions: Overweight adolescents report having sufficient knowledge about healthy nutrition and exercise and identify family as a significant influence in their health.However, overweight adolescents may be receiving inconsistent messages from their family.Adolescents view family members as role models and sources of support yet family encouragement to restrict or diet has been predictive of increased BMI in other studies.Additionally, it is unclear from this study if family members are providing appropriate and accurate health information and role modeling.Future interventions focused on the adolescent may help address the potential mixed messages adolescents receive about healthy lifestyle changes.Interventions incorporating problem-solving therapy could help adolescents critically evaluate their health goals and the associated barriers including possible conflicting messages.As family is identified as a significant influence, involving family members in the problem-solving process, providing counseling on appropriate role modeling, and ensuring the availability of accurate sources of health information could also be helpful. Sources of Support: No financial sources of support to report. 93. USING INDIRECT CALORIMETRY (RMR) TO ESTABLISH ENERGY REQUIREMENTS IN ADOLESCENTS PARTICIPATING IN A SUMMER WEIGHT LOSS CAMP Jennifer Rankin, MS1, Bonnie A. Spear, PhD, FSAHM1, Ruth Bouler, RD1, Sara Dallam, BS2, Stephenie Wallace, MD, MPH1, Heather Austin, PhD3. 1
University of Alabama at Birmingham 2University of Alabama Children’s of Alabama
Stanford University School of Medicine
3
Purpose: Current efforts by physicians to encourage healthy eating and activity habits in adolescents have not demonstrated consistent, effective, and enduring results.Developing a greater understanding of adolescents’ view of health, their influences, and their information sources may inform how physicians could more effectively guide adolescents towards healthier habits. The purpose of this study is to explore adolescents’ attitudes about nutrition and activity and to identify their health resources and role models. Methods: A convenience sample of 84 adolescents, 12-18⫹ years old, and 45.6% male presenting to an academic teen clinic during summer 2010 completed voluntary, anonymous, written surveys.Survey questions explored attitudes about nutrition and exercise and the influence of friends and family.Participants also identified sources of health information and health role models.Participants with measured height and weight data where weight status could be determined were used in the final analyses.These participants were dichotomized as Not Overweight (BMI ⬍85th percentile for age and
Purpose: Adolescent residential weight-loss camps are growing in popularity as a solution for the treatment of adolescent obesity. Unfortunately, most camps provide a standardized menu with no individualized planning.The purpose of this study was to determine resting metabolic rate (RMR) as measured by indirect calorimetry to estimate camper’s individual energy needs.Additionally, the study compared measure RMR to commonly used pediatric predictive equations to evaluate the usefulness of predicted equations in this population. Methods: This pilot study aims were to determine if measured RMR could be used as an appropriate method for determining individual energy needs in an obesity camp for adolescents.Nine obese 10- to 15-year-olds adolescence participated in a weeklong comprehensive multidisciplinary treatment approach weightloss camp (physical activity, behavioral & nutritional education & counseling).Campers learned culinary techniques by preparing each evening meal.Ht, Weight, BMI, Hr, BP and RMR were obtained baseline, end of camp and 1-month post camp. RMR was measured in a fully fasted and
know ‘where I’m at’, and being reminded to ‘hang in there’.Most participants did not focus on the ARM domain of individual protective factors unprompted.Once asked, the theme of gaining knowledge online emerged with four codes: too much information available online, never wanting to look, occasionally checking, and feeling information found ‘saved me.’ Conclusions: These results provide an introduction to the role of cyberspace in the lives of adolescents with cancer, especially as a means to maintain and enhance social supports through what can otherwise be a very isolating experience.As both time online and participation in social networks sites becomes pervasive among adolescents, it is easy to assume adolescents with cancer are doing the same.This qualitative research study validates that assumption and explores the role that both time online and social network sites play in helping adolescents with cancer cope.Maintaining connections with peers is a well-documented positive coping strategy and has been especially researched in adolescents with cancer.The adolescents in this study suggest that being online provides a safe bridge to their social world in a way that overcomes distance and fear. Sources of Support: None. 89. LONGITUDINAL TEEN PREGNANCY PREVENTION RESEARCH: KEY FEATURES OF SUCCESSFUL COMMUNITY-ACADEMIC PARTNERSHIPS Susan Seibold Simpson, PhD, RN1, Hugh Crean, PhD2, Hans DeBruyn, MA2, Richard E. Kreipe, MD, FSAHM2. 1
SUNY Binghamton 2University of Rochester
Purpose: To describe the process for implementing and evaluating a 4-year, federally-funded community-based, teen pregnancy prevention cluster-based RCT replicating an evidence-based Youth Development model. Methods: To describe our study team’s process of 1) documenting events and experiences that could affect (both negatively and positively) study outcomes; 2) establishing and maintaining reciprocal, on-going feedback (oral and written) among community stakeholders, program implementers and academic evaluators, and 3) comparing our experiences with other programs across the U.S. involved in research designs to move from efficacy to effectiveness, interviews were conducted with partners involved in the teen pregnancy prevention project to elicit strengths, weaknesses, threats, and opportunities that arose during the one year planning process. Stakeholders included members from 3 departments at 2 universities; a city agency (primary grantee); community-based advisory board; and the federal-government grantor. Results: Multiple parties with competing priorities created challenges to implementation and evaluation, including: 1) the randomization process; 2) translating rigorous, independent scientific research methodology and evaluation required by the funders into activities that also met the expectations of community-based stakeholders; and 3) navigating the myriad of governmental and organizational structures involved in the effort. Conclusions: Communication was critical to success and key to building mutual, trusting relationships where none previously existed. Other keys to success were: 1) clear delineation of strengthbased roles with reinforcement of boundaries; 2) regularly scheduled meetings with agendas, minutes and a problem-solving focus; 3) community partners coming to realize the differences between research and service programs; 4) commitment to success and togetherness held by everyone involved in the process; and 5) dedication to improving the lives of youth in the community.
S57
Sources Of Support: HRSA/MCHB LEAH #5 T71MC00012-1500DHHS/PHS/NIH TPP #11-00930. 90. ASSOCIATION BETWEEN SELF-RATED HEALTH AND PEER CHARACTERISTICS AMONG TURKISH ADOLESCENTS Mujgan Alikasifoglu, MD1, Ethem Erginoz, MD, PhD1, Oya Ercan, MD1, Omer Uysal, PhD2, Deniz Albayrak Kaymak, PhD3. 1
Istanbul University Cerrahpasa Medical Faculty 2Bezmialem University Medical School 3Bogazici University Purpose: The aim of this study was to determine the relationship between self-rated health and peer characteristics of adolescents. Methods: This study involved the completion of international version of ’Health Behavior in School Age Children (HBSC) 2005/2006’ survey questionnaire by 1597 grade 9th and 10th students. Ethical permission for this study was obtained from the University of Istanbul and Ministry of Education. Relationships between self-rated health and number of male and female close friends, time spent with friends, peer group configuration (age distribution within the group and longevity of the group), group functioning (the status of the group among adults and other peer groups, the social support within the group and how the group functions in terms of decision-making), peer group behavioural characteristics and quality of close friendship was measured by using Chi square test, student t test and logistic regression analysis (Gender and family affluence were entered as confounding factors) as appropriate. Results: There were significant relationships between perceived good health and having ⫽3 close friends, spending more time with friends after school, having a group of friends about the same age, participating in decision- making in the peer group, having a group of friends who are supportive to each other, having a group of friends who are well accepted by the important adults around the adolescent and having a group of friends with prosocial behaviors. The adolescent who had a special friend was more likely to have perceived good health. There was a significant relationship between the quality of the relationship with the special friend and rating health good. In logistic regression analyses, being male, better family affluence, having a group of friends about the same age, having a group of friends who are well accepted by the important adults around the adolescent and having a group of friends who are supportive to each other were found to be significantly associated with self rated good health. Conclusions: The results of this study showed that friends and especially configuration and functioning of the peer group are important determinants of adolescent health. Thus studies that facilitate understanding of peer culture are crucial for the success of programmes that aim healthy adolescent development. Sources Of Support: Turkish Pediatric Association, Research Foundation of Istanbul University. 91. ASSOCIATION BETWEEN LIFE SATISFACTION AND PEER CHARACTERISTICS AMONG TURKISH ADOLESCENTS Oya Ercan, MD1, Mujgan Alikasifoglu, MD1, Ethem Erginoz, MD1, Omer Uysal, PhD2, Deniz Albayrak Kaymak, PhD3. 1
Istanbul University Cerrahpasa Medical Faculty 2Bezmialem University Medical School 3Bogazici University Purpose: The aim of this study was to determine the relationship between life satisfaction and peers characteristics of adolescents.
S58
Poster Abstracts / 50 (2012) S16 –S95
Methods: This study involved the completion of international version of ’Health Behavior in School Age Children (HBSC) 2005/2006’ survey questionnaire by 1597 grade 9th and 10th students. Ethical permission for this study was obtained from the University of Istanbul and Ministry of Education. Relationships between life satisfaction and number of male and female close friends, time spent with friends, peer group configuration (age distribution within the group and longevity of the group), group functioning (the status of the group among adults and other peer groups, the social support within the group and how the group functions in terms of decision-making), peer group behavioural characteristics and quality of close friendship was measured by using Chi square test, student t test and logistic regression analysis (Gender and family affluence were entered as confounding factors) as appropriate. Results: There were significant relationships between life satisfaction and having ⫽3 close friends, having a group of friends about the same age, having at least one long lasting friendship in the group, having a group of friends who are supportive to each other, having a group of friends who are well accepted by the important adults around the adolescent and having a group of friends with prosocial behaviors. The adolescent who had a special friend was more likely to be satisfied withhis/her life. There was a significant relationship between the quality of the relationship with the special friend and being satisfied with life. In logistic regression analyses, better family affluence, having a group of friends about the same age, having at least one long lasting friendship in the group, having a group of friends who are supportive to each other and having a group of friends who are well accepted by the important adults around the adolescent were found to be significantly associated with being satisfied with life. Conclusions: The results of this study showed that in programmes that aimed healthy adolescent development acceptance of peers as partners and understanding of peer culture are need. Sources Of Support: Turkish Pediatric Association, Research Foundation of Istanbul University.
SESSION II: NUTRITION 92. LIVING HEALTHY, THE SOURCES AND FORCES: ADOLESCENTS’ VIEWS ON HEALTHY NUTRITION AND ACTIVITY, RESOURCES AND ROLE MODELS Leslie Gee, MD, W. Stewart Agras, MD.
sex) or Overweight (BMI ⫽ 85th percentile for age and sex).Descriptive statistics and T-tests were performed. Results: Data were collected from 84 adolescents, 43% Hispanic, 26% White, 14.6% Mixed Race, 11% Black, 4% Asian, and 3% Hawaiian/ Pacific Islander.Of the 56 participants where weight status could be determined, 34 (61%) were Not Overweight and 22 (39%) were Overweight.T-test analyses revealed that overweight adolescents were significantly more likely to live with someone who “Encourages me to diet to control my weight” (p⬍.01) and to agree with the statements that “I know enough information about healthy foods and physical activity” (p⬍.05) and “My family can help me make healthier changes in food and activity” (p⬍.01) compared to Not Overweight adolescents.Adolescents, both in the total sample and the subset classified by weight status, identified family, teachers/school, and doctors as the top three sources of health information.Family, friends, and athletes were the top three health role models. Conclusions: Overweight adolescents report having sufficient knowledge about healthy nutrition and exercise and identify family as a significant influence in their health.However, overweight adolescents may be receiving inconsistent messages from their family.Adolescents view family members as role models and sources of support yet family encouragement to restrict or diet has been predictive of increased BMI in other studies.Additionally, it is unclear from this study if family members are providing appropriate and accurate health information and role modeling.Future interventions focused on the adolescent may help address the potential mixed messages adolescents receive about healthy lifestyle changes.Interventions incorporating problem-solving therapy could help adolescents critically evaluate their health goals and the associated barriers including possible conflicting messages.As family is identified as a significant influence, involving family members in the problem-solving process, providing counseling on appropriate role modeling, and ensuring the availability of accurate sources of health information could also be helpful. Sources of Support: No financial sources of support to report. 93. USING INDIRECT CALORIMETRY (RMR) TO ESTABLISH ENERGY REQUIREMENTS IN ADOLESCENTS PARTICIPATING IN A SUMMER WEIGHT LOSS CAMP Jennifer Rankin, MS1, Bonnie A. Spear, PhD, FSAHM1, Ruth Bouler, RD1, Sara Dallam, BS2, Stephenie Wallace, MD, MPH1, Heather Austin, PhD3. 1
University of Alabama at Birmingham 2University of Alabama Children’s of Alabama
Stanford University School of Medicine
3
Purpose: Current efforts by physicians to encourage healthy eating and activity habits in adolescents have not demonstrated consistent, effective, and enduring results.Developing a greater understanding of adolescents’ view of health, their influences, and their information sources may inform how physicians could more effectively guide adolescents towards healthier habits. The purpose of this study is to explore adolescents’ attitudes about nutrition and activity and to identify their health resources and role models. Methods: A convenience sample of 84 adolescents, 12-18⫹ years old, and 45.6% male presenting to an academic teen clinic during summer 2010 completed voluntary, anonymous, written surveys.Survey questions explored attitudes about nutrition and exercise and the influence of friends and family.Participants also identified sources of health information and health role models.Participants with measured height and weight data where weight status could be determined were used in the final analyses.These participants were dichotomized as Not Overweight (BMI ⬍85th percentile for age and
Purpose: Adolescent residential weight-loss camps are growing in popularity as a solution for the treatment of adolescent obesity. Unfortunately, most camps provide a standardized menu with no individualized planning.The purpose of this study was to determine resting metabolic rate (RMR) as measured by indirect calorimetry to estimate camper’s individual energy needs.Additionally, the study compared measure RMR to commonly used pediatric predictive equations to evaluate the usefulness of predicted equations in this population. Methods: This pilot study aims were to determine if measured RMR could be used as an appropriate method for determining individual energy needs in an obesity camp for adolescents.Nine obese 10- to 15-year-olds adolescence participated in a weeklong comprehensive multidisciplinary treatment approach weightloss camp (physical activity, behavioral & nutritional education & counseling).Campers learned culinary techniques by preparing each evening meal.Ht, Weight, BMI, Hr, BP and RMR were obtained baseline, end of camp and 1-month post camp. RMR was measured in a fully fasted and