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Thirty six percent of consented students in intervention schools participated in some form of public commitment activity (the PC group), with approximately equal numbers participating in SPC activities (13.8%) and SGM activities (13.5%) and a smaller proportion participating in both (8.9%).
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None of the analyses suggested that "dose" of public commitment activities significantly impacted study outcomes.
Without such a vision and political commitment, activities will not move beyond pilot program status.
We found that the intervention had a significant effect on the prevalence of obesity within the group that participated in public commitment activities, although there was no intervention effect within the group that did not participate in public commitment activities.
Finally, to examine the relationship between greater involvement in public commitment activities and improved anthropometric and health behavior outcomes, we totaled the number of semesters that each intervention student participated in any public commitment activities.
Participating in public commitment activities during the HEALTHY study may have potentiated the changes promoted by the behavioral, nutrition, and physical activity intervention components.
These results indicate that participating in public commitment activities during the HEALTHY study may have potentiated changes promoted by the behavioral, nutrition, and physical activity intervention components.
Future studies may want to examine the impact of the various types of public commitment activities separately (e.g., peer leadership and student-generated media).
Within the intervention schools, the group not participating in public commitment activities were nearly as likely to be obese (≥ 95th BMI percentile) as the control group.
Interestingly, it appeared that the act of participation--rather than amount of participation--in public commitment activities was the critical factor in affecting outcomes.
There was no difference in obesity rates between the group not participating in public commitment activities and the control group (26.4% vs. 26.6%).
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CEO of Professional Science Editing for Scientists @ prosciediting.com