Abstract
The objective of this study was to assess changes in adolescent girls’ health-enhancing cognitions and behaviors targeted by the Go Girls! group-based mentorship lifestyle program. Three hundred and ten adolescent girls (nested within 40 Go Girls! groups) completed questionnaires that assessed cognitions (attitudes, self-regulatory efficacy, and intentions) and behaviors (physical activity and dietary) at four time points (two pre-program, one at the end of the program, and one at 7-week follow-up). Hierarchical linear modeling was used to examine changes in the outcome variables among Go Girls! participants (M age = 11.68 years, SD = 0.80). No significant changes occurred in the outcome variables during the baseline comparison period (Time 1–2). When compared to the average of the baseline assessments, 7 weeks after completing the program, girls reported significant improvements in physical activity (M Baseline PAtotal = 3.82, SD = 3.49; M T4 PAtotal = 4.38, SD = 3.75) and healthy eating (M Baseline = 10.71, SD = 1.13; M T4 = 11.35, SD = 1.05) behavior and related cognitions (d values ≥0.65). Findings provide preliminary support for programs that foster belongingness and target health behaviors through mentorship models.
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Notes
The Big Brothers Big Sisters general policy is that girls can only participate in the Go Girls! program once. However, after one group of girls completed Time 4 questionnaires, the research assistant was informed that these girls had completed the program once before (twice in total). We felt that it was not conceptually and methodologically appropriate to compare girls who had completed the program once to girls who had completed it more than once. As such, 11 girls who had completed the program before were excluded from the analyses.
Teachers and/or school liaisons in participating schools ask adolescent girls if they would like to participate in the program. All adolescent girls in participating schools are eligible to participate in the program. There is no cost associated with participating in Go Girls!
Note that effect sizes may be overestimated due to the correction for repeated measures (over time) and the nesting effect of girls in groups [40].
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Acknowledgments
The research team is grateful to the Big Brothers Big Sisters’ staff, specifically Karen Shaver, Matthew Chater, Farishta Zarify, Allison Boughner, Theresa Bowler, Susan Nomi, and Lonni Meisner, and the Go Girls!’ program staff and participants, for their time and assistance in facilitating this program evaluation. The research team would also like to thank the following research assistants for their contributions: Aliyah Deane, Paulina Ezer, Angela Fong, Christina Gigliotti, Shellie McParland, Jessie Rodger, Eva Pila, Tanya Scarapicchia, and Danielle Tobin. This research was supported by a Program Evaluation Grant from the Ontario Ministry of Education awarded to AJD, MRB, and MEJ as well as a doctoral research scholarship from the Canadian Institutes of Health Research awarded to AJD. The funders played no role in the design, conduct, or analysis of the study, nor in the interpretation and reporting of the study findings. The researchers were independent from the funders. All authors had full access to all of the data (including statistical reports and tables) in the study and can take responsibility for the integrity of the data and the accuracy of the data analysis.
Authors’ Statement of Conflict of Interest and Adherence to Ethical Standards
Justine Dowd, Michelle Chen, Mary Jung, and Mark Beauchamp declare that they have no conflict of interest. All procedures, including the informed consent process, were conducted in accordance with the ethical standards according to the American Psychological Association.
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Implications
Practice: Interventions that foster belongingness and target health behavior change through mentorship models may represent a viable means to improve health-enhancing behaviors among adolescent girls.
Researchers: Future research is warranted that further examines the effectiveness of the Go Girls! program through use of a stepped wedge, full time series, or an experimental design with a parallel control group.
Policymakers: Resources should be directed toward the implementation and dissemination of interventions to improve health-enhancing cognitions and behaviors among adolescents.
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Dowd, A.J., Chen, M.Y., Jung, M.E. et al. “Go Girls!”: psychological and behavioral outcomes associated with a group-based healthy lifestyle program for adolescent girls. Behav. Med. Pract. Policy Res. 5, 77–86 (2015). https://doi.org/10.1007/s13142-014-0285-9
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DOI: https://doi.org/10.1007/s13142-014-0285-9