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S79Poster Abstracts / 48 (2011) S18–S120
Results: The four Positive Youth Development outcome scalesdemonstrated good internal consistency (Cronbachs alphas.788-.860). A similar pattern of relative importance was seenfor students and parents, however parents had significantlyhigher scores (p � .002).Conclusions: Students andparents in this economically disad-vantaged urban Latino community had remarkably similarPositive Youth Development priorities. Parents’ beliefsstrongly influence children’s beliefs. After reviewing the re-sults of the community survey, the CCC established the follow-ing two goals for the Healthy Adolescent Initiative 1. Increaseeducational success andpride- including graduating fromhighschool, going to college, and/or attaining job and career skills.2. Increase the ability of families to support children to achieveacademic success. Community-Based Participatory Action Re-search methods can be used to help develop relevant locallydriven Positive Youth Development priorities and goals.Sources of Support: Texas Department of State Health Ser-vices.
119.
LONGITUDINAL OUTCOMES OF A SCHOOL-BASED LIFESTYLEPROMOTION PROGRAM: PRELIMINARY RESULTSSandra Martins, Exercise Physiologist, Msc,Antonio Palmeira, Claudia Minderico, LuisSardinha. Exercise and Health Laboratory,Faculty of Human Movement, TechnicalUniversity of Lisbon
Purpose: To analyze the impact of a school-based lifestylepromotion program in anthropometric indicators, physical fit-ness, and physical activity (PA) indicators.Methods: Study participants were recruited from 14 schoolsin one Lisbon county (Oeiras). After school, parents and stu-dents consent to study participation, schools were randomlydistributed into three groups: lifestyle-changing interventiondelivered by the schoolteachers with specific audiovisual ma-terials (Group 1), the same intervention plus 2 additionalhours/week (beside Physical Education class) of sports physi-cal activity (Group 2), and the same intervention as Group 2plus parental counseling (Group 3). Previously to the interven-tion and before the start of each school year, all the teachersenrolled in the study participated in briefing sessions to guidetheir intervention and to assure procedures consistency. In thecurrent preliminary analysis, the study sample comprised 156early adolescents (10.8 � 1.1 years), fromwhich 81 girls (43.2� 10.8 kg, 1.5 � 0.1 m, 18.6 � 3.4 kg/m2) and 75 boys (42.2 �10.7 kg, 1.5 � 0.1 m, 18.6 � 3.4 kg/m2), from groups 2 and 3.Anthropometry data was acquired, and physical fitness wasassessed with the FITNESSGRAM battery (shuttle-run, armextension and curl-ups), at baseline, after 1-year, and after2-years follow-up. Objectively assessed daily physical activitywas obtained through accelerometry (Actigraph GT1-M).Results: ANOVA repeatedmeasures revealed an increase in allthe anthropometric variables: weight, height, and BMI (p �.001 for all). Boys presented a higher height (F � 16.434, p �.001), while girls showed a greater BMI (F � 5.071, p � .01) atthe end of year 2. Despite these results, a significant decreasein overweight and obese conditions was observed during the
intervention (F � 4.835, p � .01). Increments were also ob-served in cardio respiratory fitness (CRF; F� 93.051, p� .001),arm strength (F � 18.86, p � .001), and abdominal strength (F
27.683, p � .001) in both groups, from the beginning to the-years follow-up, with greater results in group 2 concerningRF (F� 8.076, p� .001), and abdominal strength (F� 3.157, p.05). Both genders presented an increment in physical fit-
ess variables (p � .001 for all), with boys showing higheresults regarding CRF and arm strength (F � 5.926, p � .01 and� 3.956, p � .05, respectively). Nevertheless, daily PA pre-ented a decrease throughout the intervention, in both studyroups and genders, considering either light intensity PA (F �6.741, p � .001 and F � 20.757, p � .001, respectively),oderate intensity PA (F � 13.763, p � .001 and F � 16.761, p.001, respectively), and vigorous intensity PA (F � 24.246, p.001 and F � 29.187, p � .001, respectively). Sedentary
ctivities revealed no changes concerning study groups orender (p � .05).onclusions: Preliminary results of a 2-year follow-up school-ased lifestyle promotion program in early adolescents, pro-uced an improvement in BMI condition along with an in-rease in physical fitness parameters, with particularmphasis in boys, representing important health benefits.evertheless, overall PA declined during this time period indi-ating a decrease in PA habits with adolescence progress. Theompletion of the analysis will allow increasing sample size,tudy groups and power of the results.ources of Support: Foundation for Science and Technology.
120.
BECAUSE I SURVIVED, I’M GONNA BE DENIED THE BESTCARE: PERCEPTIONS OF TRANSITIONS BY YOUNG ADULTSWITH CYSTIC FIBROSISAlexis Light, BA, MD/MPH Candidate 20132,Laura Sherman1, Julie Polvinen1, Richardhalfen1, Michael Rich, MD, MPH1. 1Children’sospital Boston 2Tulane School of Medicine
Purpose: To examine experiences of patientswith cystic fibro-sis (CF) as they transition from pediatric to adult-orientedmedical care in order to developmore responsive and effectivetransition strategies.Methods:Adultswith CF ages 18-44 years (n� 11,median age3 years) used Video Intervention/Prevention AssessmentVIA) to record their experiences in 3 patient-centered visualarratives created before, during, and after attempted transi-ion to adult-oriented care. Transition status was reviewed byhart review 2 years after 3rd narrative. Visual narratives in-cluded self-care tasks, visits with clinicians, interviews withfamily and friends, monologues, and daily activities. Audiovi-sual datawere logged and coded for transition-related percep-tions, challenges, and resources using linked Transana andNVivo qualitative analysis software, then analyzed for keythemes using grounded theory.Results: Participants generated 397 hours of visual illnessnarratives (median 26 hours/participant). Of the 9 participantswho completed all 3 cycles of data, 0 successfully transferredto adult hospitals, 5 transferred care to adult-certified provid-ers at the pediatric hospital, and 4 remained in pediatric care.In 2 years following data collection, 2 transferred care to adult
hospitals, 1 to adult providers at the pediatric clinic and 1 did