Youth Peer Led Lifestyle Modification Interventions: A Narrative Literature Review |
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| Affiliation: | 1. Departments of Pediatrics and Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place Box 1202A, New York, NY, 10029, United States;2. Departments of Pediatrics and Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place Box 1077, New York, NY 10029, United States;3. TEEN HEED Community Action Board, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Place Box 1077, New York, NY 10029, United States;4. Institute for Family Health, 1824 Madison Ave, New York, NY, 10035, United States;5. Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place Box 1077, New York, NY, 10029, United States;1. School of Economics and Management, Xidian University, No. 2 South Taibai Street, Xi’an, Shaanxi Province, PR China;2. Shaanxi Xi ''an Yanta District, Shida Road, Shaanxi Normal University, Xi’an, Shaanxi Province, PR China;1. Texas A&M University, College of Education and Human Development, Department of Health and Kinesiology, MS 4243, College Station, TX 77843-4243, USA;2. Texas A&M University, Health Science Center, School of Public Health, MS 1266, College Station, TX 77843-1266, USA;1. Department of Nursing, Brock University, 1812 Sir Isaac Brock Way, St. Catharines, Ontario, L2S 3A1, Canada;2. Department of Geography & Tourism Studies, Brock University, 1812 Sir Isaac Brock Way St. Catharines, Ontario, Canada;1. Duke Global Health Institute, Duke University, Durham, NC, USA;2. Gilling School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA;3. Kilimanjaro Clinical Research Institute, Moshi, Tanzania;4. Kilimanjaro Christian Medical Centre, Moshi, Tanzania;5. Kilimanjaro Christian Medical University College, Moshi, Tanzania;6. London School of Hygiene and Tropical Medicine, London, UK;7. Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA;1. Claremont Graduate University, United States;2. California State University, Los Angeles, United States |
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| Abstract: | The prevalence of obesity remains high among school age children and continues to rise among adolescents in the United States. One strategy to address this challenge is to use peer rather than professional leaders to run weight management programs. Youth peer-led lifestyle interventions have become increasingly common over the last few decades, but there is a lack of review and synthesis of these programs. The purpose of this manuscript was to critically review and synthesize results and lessons learned from evaluated youth peer-led lifestyle modification and weight management programs. We searched the PubMed/MEDLINE database to identify articles published between March 2002 and December 2015. We identified 29 interventions including children from kindergarten to 12th grade from different settings and racial/ethnic and economic backgrounds. We first summarized descriptive information about the interventions and then compared outcomes based on intervention type, peer leader characteristics and training, and other related factors. Our review indicated that youth peer-led interventions of varying structure and content can result in positive changes in behavioral influences, diet, physical activity, body measures and other clinical outcomes. We used information from our analysis to formulate recommendations for design of future youth peer-led lifestyle interventions. |
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| Keywords: | health education diet peer led interventions youth obesity physical activity |
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