A sports-based youth development program, teen mental health, and physical fitness: An RCT

Frederick Ka Wing Ho, Lobo Hung Tak Louie, Wilfred Hing-Sang Wong, Edward Ko Ling Chan, Agnes Tiwari, Chun Bong Chow, Walter Ho, William Wong, Meanne Chan, Eric Yu Hai Chen, Yiu Fai Cheung, Patrick Ip

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

OBJECTIVES: To assess the effectiveness of a positive youth development (PYD)-based sports mentorship program on the physical and mental well-being of adolescents recruited in a community setting. METHODS: This is a randomized controlled trial in which we recruited students from 12 secondary schools in Hong Kong, China. Participants were randomly assigned in a 1:1 ratio to an intervention or a control arm after stratification for school from October 2013 to June 2014. Participants were not blinded to allocation because of the nature of the intervention. Students in the intervention arm received an after-school, PYD-based sports mentorship for 18 weeks. Each weekly session lasted 90 minutes. Students in the control arm received exclusive access to a health education Web site. RESULTS: Six hundred and sixty-four students (mean age 12.3 years [SD 0.76]; 386 girls [58.1%]) completed baseline and postintervention assessments. The intervention improved students' mental well-being (Cohen's d, 0.25; 95% confidence interval [CI], 0.10 to 0.40; P = .001), self-efficacy (Cohen's d, 0.22; 95% CI, 0.07 to 0.37; P = .01), resilience (Cohen's d, 0.19; 95% CI, 0.03 to 0.34; P = .02), physical fitness (flexibility [Cohen's d, 0.28; 95% CI, 0.13 to 0.43; P = .02], lower limb muscle strength [Cohen's d, 0.18; 95% CI, 0.03 to 0.33; P = .03], and dynamic balance [Cohen's d, 0.21; 95% CI, 0.06 to 0.37; P = .01]), and physical activity levels (Cohen's d, 0.39; 95% CI, 0.24 to 0.55; P < .0001). The intervention did not significantly improve physical well-being (Cohen's d, -0.01; 95% CI, -0.17 to 0.14; P = .86), BMI z scores (Cohen's d, -0.03; 95% CI, -0.18 to 0.12; P = .69), body fat proportion (Cohen's d, -0.15; 95% CI, -0.31 to 0.00; P = .051), and social connectedness (Cohen's d, -0.03; 95% CI, -0.18 to 0.12; P = .72). CONCLUSIONS: A PYD-based sports mentorship intervention improved healthy adolescents' mental well-being, psychological assets, physical fitness, and physical activity levels.

Original languageEnglish
Article numbere20171543
JournalPediatrics
Volume140
Issue number4
DOIs
Publication statusPublished - 2017 Oct 1

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Physical Fitness
Mental Health
Confidence Intervals
Mentors
Students
Sports
Arm
Child Welfare
Youth Sports
Adolescent Health
Exercise
Muscle Strength
Hong Kong
Self Efficacy
Health Education
Adipose Tissue
Lower Extremity
China
Randomized Controlled Trials
Psychology

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Cite this

Ho, F. K. W., Louie, L. H. T., Hing-Sang Wong, W., Chan, E. K. L., Tiwari, A., Chow, C. B., ... Ip, P. (2017). A sports-based youth development program, teen mental health, and physical fitness: An RCT. Pediatrics, 140(4), [e20171543]. https://doi.org/10.1542/peds.2017-1543
Ho, Frederick Ka Wing ; Louie, Lobo Hung Tak ; Hing-Sang Wong, Wilfred ; Chan, Edward Ko Ling ; Tiwari, Agnes ; Chow, Chun Bong ; Ho, Walter ; Wong, William ; Chan, Meanne ; Chen, Eric Yu Hai ; Cheung, Yiu Fai ; Ip, Patrick. / A sports-based youth development program, teen mental health, and physical fitness : An RCT. In: Pediatrics. 2017 ; Vol. 140, No. 4.
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title = "A sports-based youth development program, teen mental health, and physical fitness: An RCT",
abstract = "OBJECTIVES: To assess the effectiveness of a positive youth development (PYD)-based sports mentorship program on the physical and mental well-being of adolescents recruited in a community setting. METHODS: This is a randomized controlled trial in which we recruited students from 12 secondary schools in Hong Kong, China. Participants were randomly assigned in a 1:1 ratio to an intervention or a control arm after stratification for school from October 2013 to June 2014. Participants were not blinded to allocation because of the nature of the intervention. Students in the intervention arm received an after-school, PYD-based sports mentorship for 18 weeks. Each weekly session lasted 90 minutes. Students in the control arm received exclusive access to a health education Web site. RESULTS: Six hundred and sixty-four students (mean age 12.3 years [SD 0.76]; 386 girls [58.1{\%}]) completed baseline and postintervention assessments. The intervention improved students' mental well-being (Cohen's d, 0.25; 95{\%} confidence interval [CI], 0.10 to 0.40; P = .001), self-efficacy (Cohen's d, 0.22; 95{\%} CI, 0.07 to 0.37; P = .01), resilience (Cohen's d, 0.19; 95{\%} CI, 0.03 to 0.34; P = .02), physical fitness (flexibility [Cohen's d, 0.28; 95{\%} CI, 0.13 to 0.43; P = .02], lower limb muscle strength [Cohen's d, 0.18; 95{\%} CI, 0.03 to 0.33; P = .03], and dynamic balance [Cohen's d, 0.21; 95{\%} CI, 0.06 to 0.37; P = .01]), and physical activity levels (Cohen's d, 0.39; 95{\%} CI, 0.24 to 0.55; P < .0001). The intervention did not significantly improve physical well-being (Cohen's d, -0.01; 95{\%} CI, -0.17 to 0.14; P = .86), BMI z scores (Cohen's d, -0.03; 95{\%} CI, -0.18 to 0.12; P = .69), body fat proportion (Cohen's d, -0.15; 95{\%} CI, -0.31 to 0.00; P = .051), and social connectedness (Cohen's d, -0.03; 95{\%} CI, -0.18 to 0.12; P = .72). CONCLUSIONS: A PYD-based sports mentorship intervention improved healthy adolescents' mental well-being, psychological assets, physical fitness, and physical activity levels.",
author = "Ho, {Frederick Ka Wing} and Louie, {Lobo Hung Tak} and {Hing-Sang Wong}, Wilfred and Chan, {Edward Ko Ling} and Agnes Tiwari and Chow, {Chun Bong} and Walter Ho and William Wong and Meanne Chan and Chen, {Eric Yu Hai} and Cheung, {Yiu Fai} and Patrick Ip",
year = "2017",
month = "10",
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doi = "10.1542/peds.2017-1543",
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volume = "140",
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Ho, FKW, Louie, LHT, Hing-Sang Wong, W, Chan, EKL, Tiwari, A, Chow, CB, Ho, W, Wong, W, Chan, M, Chen, EYH, Cheung, YF & Ip, P 2017, 'A sports-based youth development program, teen mental health, and physical fitness: An RCT', Pediatrics, vol. 140, no. 4, e20171543. https://doi.org/10.1542/peds.2017-1543

A sports-based youth development program, teen mental health, and physical fitness : An RCT. / Ho, Frederick Ka Wing; Louie, Lobo Hung Tak; Hing-Sang Wong, Wilfred; Chan, Edward Ko Ling; Tiwari, Agnes; Chow, Chun Bong; Ho, Walter; Wong, William; Chan, Meanne; Chen, Eric Yu Hai; Cheung, Yiu Fai; Ip, Patrick.

In: Pediatrics, Vol. 140, No. 4, e20171543, 01.10.2017.

Research output: Contribution to journalArticle

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T1 - A sports-based youth development program, teen mental health, and physical fitness

T2 - An RCT

AU - Ho, Frederick Ka Wing

AU - Louie, Lobo Hung Tak

AU - Hing-Sang Wong, Wilfred

AU - Chan, Edward Ko Ling

AU - Tiwari, Agnes

AU - Chow, Chun Bong

AU - Ho, Walter

AU - Wong, William

AU - Chan, Meanne

AU - Chen, Eric Yu Hai

AU - Cheung, Yiu Fai

AU - Ip, Patrick

PY - 2017/10/1

Y1 - 2017/10/1

N2 - OBJECTIVES: To assess the effectiveness of a positive youth development (PYD)-based sports mentorship program on the physical and mental well-being of adolescents recruited in a community setting. METHODS: This is a randomized controlled trial in which we recruited students from 12 secondary schools in Hong Kong, China. Participants were randomly assigned in a 1:1 ratio to an intervention or a control arm after stratification for school from October 2013 to June 2014. Participants were not blinded to allocation because of the nature of the intervention. Students in the intervention arm received an after-school, PYD-based sports mentorship for 18 weeks. Each weekly session lasted 90 minutes. Students in the control arm received exclusive access to a health education Web site. RESULTS: Six hundred and sixty-four students (mean age 12.3 years [SD 0.76]; 386 girls [58.1%]) completed baseline and postintervention assessments. The intervention improved students' mental well-being (Cohen's d, 0.25; 95% confidence interval [CI], 0.10 to 0.40; P = .001), self-efficacy (Cohen's d, 0.22; 95% CI, 0.07 to 0.37; P = .01), resilience (Cohen's d, 0.19; 95% CI, 0.03 to 0.34; P = .02), physical fitness (flexibility [Cohen's d, 0.28; 95% CI, 0.13 to 0.43; P = .02], lower limb muscle strength [Cohen's d, 0.18; 95% CI, 0.03 to 0.33; P = .03], and dynamic balance [Cohen's d, 0.21; 95% CI, 0.06 to 0.37; P = .01]), and physical activity levels (Cohen's d, 0.39; 95% CI, 0.24 to 0.55; P < .0001). The intervention did not significantly improve physical well-being (Cohen's d, -0.01; 95% CI, -0.17 to 0.14; P = .86), BMI z scores (Cohen's d, -0.03; 95% CI, -0.18 to 0.12; P = .69), body fat proportion (Cohen's d, -0.15; 95% CI, -0.31 to 0.00; P = .051), and social connectedness (Cohen's d, -0.03; 95% CI, -0.18 to 0.12; P = .72). CONCLUSIONS: A PYD-based sports mentorship intervention improved healthy adolescents' mental well-being, psychological assets, physical fitness, and physical activity levels.

AB - OBJECTIVES: To assess the effectiveness of a positive youth development (PYD)-based sports mentorship program on the physical and mental well-being of adolescents recruited in a community setting. METHODS: This is a randomized controlled trial in which we recruited students from 12 secondary schools in Hong Kong, China. Participants were randomly assigned in a 1:1 ratio to an intervention or a control arm after stratification for school from October 2013 to June 2014. Participants were not blinded to allocation because of the nature of the intervention. Students in the intervention arm received an after-school, PYD-based sports mentorship for 18 weeks. Each weekly session lasted 90 minutes. Students in the control arm received exclusive access to a health education Web site. RESULTS: Six hundred and sixty-four students (mean age 12.3 years [SD 0.76]; 386 girls [58.1%]) completed baseline and postintervention assessments. The intervention improved students' mental well-being (Cohen's d, 0.25; 95% confidence interval [CI], 0.10 to 0.40; P = .001), self-efficacy (Cohen's d, 0.22; 95% CI, 0.07 to 0.37; P = .01), resilience (Cohen's d, 0.19; 95% CI, 0.03 to 0.34; P = .02), physical fitness (flexibility [Cohen's d, 0.28; 95% CI, 0.13 to 0.43; P = .02], lower limb muscle strength [Cohen's d, 0.18; 95% CI, 0.03 to 0.33; P = .03], and dynamic balance [Cohen's d, 0.21; 95% CI, 0.06 to 0.37; P = .01]), and physical activity levels (Cohen's d, 0.39; 95% CI, 0.24 to 0.55; P < .0001). The intervention did not significantly improve physical well-being (Cohen's d, -0.01; 95% CI, -0.17 to 0.14; P = .86), BMI z scores (Cohen's d, -0.03; 95% CI, -0.18 to 0.12; P = .69), body fat proportion (Cohen's d, -0.15; 95% CI, -0.31 to 0.00; P = .051), and social connectedness (Cohen's d, -0.03; 95% CI, -0.18 to 0.12; P = .72). CONCLUSIONS: A PYD-based sports mentorship intervention improved healthy adolescents' mental well-being, psychological assets, physical fitness, and physical activity levels.

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Ho FKW, Louie LHT, Hing-Sang Wong W, Chan EKL, Tiwari A, Chow CB et al. A sports-based youth development program, teen mental health, and physical fitness: An RCT. Pediatrics. 2017 Oct 1;140(4). e20171543. https://doi.org/10.1542/peds.2017-1543