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Service Delivery Innovation Profile

Comprehensive School-Based Program Increases Positive Health Behaviors and Reduces Risk Factors for Type 2 Diabetes Among Mexican-American and Other At-Risk Youth

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It is certainly remarkable the impact of this innovation. Is there a plan to look into the long term effects of this innovation? The program creates an environment in which students improve on these measurements, because they are required to participate in exercise and have access to and social support for choosing healthier foods. I'm wondering what happens to the students who graduate from this program and if their behaviors persist?
FriendlyNP, Friday, November 30, 2012 9:11 am| University; Nurse
Our study in the NEJM 2010;363:443 we followed children up to 3 years. After 3 years children in our program, compared to control, had lower obesity rates, BMIz scores, waist circumference and insulin levels. We have no studies where we have followed children for more than 3 years.
robert trevino, Friday, November 30, 2012 10:31 am| Research or consulting organization; Physician
I really appreciate your study and think it is a great complement to clinical practice. The school is one of the most effective ways to reach children and reinforce basic concepts that practitioners try to get across in an office visit but are not so successful at doing single-handedly within such a tight time frame.
RN, Sunday, December 02, 2012 6:58 pm| University; Nurse
I agree. The control of most chronic illnesses will not be solved in the clinic, but at home, schools, and neighborhoods. Thank you.
roberto trevino, Tuesday, December 04, 2012 4:15 pm| Research or consulting organization; Physician
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Original publication: November 14, 2008.
Original publication indicates the date the profile was first posted to the Innovations Exchange.

Last updated: March 12, 2014.
Last updated indicates the date the most recent changes to the profile were posted to the Innovations Exchange.

Date verified by innovator: September 25, 2013.
Date verified by innovator indicates the most recent date the innovator provided feedback during the annual review process. The innovator is invited to review, update, and verify the profile annually.