CABLE Child and Adolescent Behaviors in Long-Term Evolution: A School-Based Healthy Lifestyle Study PI Lee-Lan Yen ( ) Szu-Hsien T. Lee ( ) Likwang Chen ( ) Chuhsing K. Hsiao ( ) Ling-Yen Pan ( ) CABLE Research Team OUTLINE CABLE as a Five-Year Prospective Project Previous Work Accomplished l CABLE 2001 l CABLE 2002 Follow-Up (CABLE 2003) l Specific Aims l Methods Anticipated Results CABLE A FIVE-YEAR PROSPECTIVE PROJECT BACKGROUND Childhood experiences have long-term influences on physical and psychological health and social behavior in later life. Early and successful interventions improve childrens health behaviors, health status and cognitive ability, and reduce their anti-social behavior. There have been a few long-term studies investigating child development relevant to his/her health behaviors. SPECIFIC AIMS To understand the status and types of healthy lifestyle among the selected metropolitan and rural students in Taiwan To investigate their developments and changes of healthy lifestyle over time To explore the factors on determinants of students healthy/unhealthy lifestyle To analyze the relationship between healthy lifestyle and health status among the selected students M25 C25M15 C M24 C24M14 C M23 C23M13 C M22 C22M12 C M21 C21M11 C Grade8Grade7Grade6Grade5Grade4Grade3Grade2Grade1Year RESEARCH DESIGN M1: The 1st cohort in metropolitan area M2: The 2nd cohort in metropolitan area C1: The 1st cohort in countryside area C2: The 2nd cohort in countryside area SAMPLING DESIGN Students and their parents are also our study participants STUDY FRAMEWORK Intrapersonal Factors Interpersonal Factors Organizational Factors Health Lifestyle Health Status PROGRESS (Year 2001) CABLE 2001 survey completed l 18 schools had been selected. l The questionnaires were developed. l A pilot study was conducted to test the validity and reliability of questionnaires. l Data were collected during October and December, l Data was keyed in and cleaned between December, 2001 and January, l Four datasets were checked, corrected, and strung for analyses. PROGRESS (Year 2002) Collected students school records Plan the second wave of data collection l The descriptive analysis of wave 1(year 2001) had been done. l Questionnaires were revised. l Pilot test had been done in June, l Data will be collected during September and November, l Datasets will be ready by December, 2002. PROGRESS (Year 2002) The conference on CABLE 2001 is held in Taipei City on August 14. Schools principals, teachers, representatives of parents, scholars, and government officers are invited. Five original papers will be presented. (cont.) PROGRESS (Year 2002) Publications l Conference abstracts l Master thesis One thesis has been done four thesis are undergoing l Annual report will be published l Several manuscripts are undergoing (cont.) CABLE 2003 [Following Years] SPECIFIC AIMS OF CABLE 2003 (1) To investigate trends in healthy lifestyle and health status among the primary school children. (2) To determine the factors influencing the changes in healthy lifestyle and health status among the primary school children. SPECIFIC AIMS OF CABLE 2003 (cont.) (3) To identify the health behaviors with significant changes among the primary school children in order to conduct in-depth qualitative research in 2004. STUDY METHODS Conceptual framework a follow-up data collection will be implemented among the same cohort (third graders and sixth graders then) with their parents. Using the same instruments (with some modification) to facilitate the comparisons of measures. Students health examination records will be linked. Analytical models, including time-dependent techniques (such as ANCOVA and GEE) and multilevel analysis, will be used. ANTICIPATED RESULTS (1) To establish a model for long-term study in the field of health behavioral sciences; (2) To help the development of theories related to health behaviors; (3) To systematically describe the patterns of behavioral developments and changes in childhood and adolescence; (4) To identify the factors influencing childrens and adolescents lifestyles; ANTICIPATED RESULTS (5) To provide our government the research results as references for making health policies for children and adolescents; (6) To provide the students and research assistants various learning opportunities for becoming a researcher in future; (7) To establish a cooperative relationship between the universities and the NHRI. (cont.) ~Thank You~ Procedure of Data Collection Collect students name list Collect inform consents Interviewer training Field Survey -- Children -- Parents Rearrange name list Study Subjects in 2001 Student: Population (n) Sampling (n) Completed (n) Students father Stuednts mother 1 st graders4 th graders Taipei City Hsinchu County Total Taipei City Hsinchu County Total Complete rate (%) Completed (n) Completed (n) Instruments Development ( ) Preliminary studies referring to several well- developed questionnaires of HBSC PSID YRBSS HRBS.etc. Weekly meeting is held Content Validity (2001.7) Standardization and verification of questionnaires Pilot Study ( ) Finalization of questionnaires Core of questionnaires Four versions of questionnaire l Pupil versions for 1st and 4th grade l Parental versions for mother and father The core of questionnaires l CABLE intra-personal questionnaire l CABLE interpersonal questionnaire l CABLE health behavior questionnaire CABLE CABLE2001 Conference Abstracts Four abstracts have been accepted by the Annual Meeting of APHA Poster l Child and Adolescent Behaviors in Long-term Evolution (CABLE):A School-based Health Lifestyle Study l Locus of control and social loneliness in school children Oral l Formation of Habitual Health Behaviors --- with a Focus on Parental Demonstration Effects l Family Interaction and Childrens Mental Health results from CABLE study, 2001 Annual Report ~ Tentative article titles Child and adolescent behaviors in long-term evolution [CABLE Study]: Design, Instruments, Implementation and Preliminary findings Childrens clusters of health behaviors The relationships between community level variables and childrens health behaviors The relationship of mental states and health risk behaviors in children Locus of control and social loneliness in forth graders Annual Report ~ Tentative Article titles (cont.) Family interaction and childrens mental health Formation of habitual health behaviors with a focus of parental demonstration effects The association between parents and school childrens health behaviors Sampling design of CABLE Study Official Propaganda