Please select the eligibility criteria that correspond to the clinical trial below.
Title: COPE/Healthy Lifestyles for Teens: A School-Based RCT
Brief Summary: The prevention and treatment of obesity and mental health disorders in adolescence are two major public health problems in the United States today. To address the increasing incidence and adverse health outcomes associated with both obesity and mental health problems, a theory-based 15 session intervention program entitled COPE (Creating Opportunities for Personal Empowerment)/ Healthy Lifestyles TEEN(Thinking, Feeling, Emotions \& Exercise), will be delivered within high school health classes in order to improve the physical and mental health outcomes of 800 culturally diverse adolescents (14 to 16 years of age).


Options:
A: Inclusion Criteria:

* child is enrolled in Head Start

Exclusion Criteria:

* Significant developmental disabilities that would preclude participation
* Child is a foster child
* Parent is non-English speaking
B: Inclusion Criteria:

Inclusion criteria for school districts:

1. District does not report BMI results to caregivers and has no history of doing so
2. District has at least eight schools that meet all of the school-level eligibility criteria

Inclusion criteria for schools:

1. School does not report BMI results to caregivers and has no history of doing so
2. School has an enrollment of 15% to 85% Latino students
3. School has an enrollment of at least 30 students in grades 3 through 8

Inclusion criteria for students: Student is enrolled in 3rd-8th grade

Inclusion criteria for parents: Parent has a child who is enrolled in study

Inclusion criteria for teachers: Teacher measures the heights and weights of students for the study

Exclusion Criteria: None
C: Inclusion Criteria:

* Children between the ages of 9-12 years old.
* Child and family are able to speak, understand, read and write English.
* No medical problems, including epileptic seizures, that would prevent child from playing inactive or active video games.
* No family history of epileptic seizures.
* Parents will allow child to play our video games.
* Household does not currently has a Wii video game console.
* Baseline visit activity monitor wear will be a compliance criterion for moving forward in the study. Although we ask for 7 days of data, if they return 5 complete days, then they meet the criteria. Without 5 complete days, they are dropped before randomization and thus before receiving the Wii. If we cannot get 5 or 7 days at baseline, it is unlikely that we will get 5 of 7 days at ensuing assessments (based on our 10+ years experience of collecting this type of data).

Exclusion Criteria:

* Children not between the ages of 9-12 years old.
* Child having epilepsy (since playing video games may lead to seizures among those with epilepsy).
* Family history of epileptic seizures.
* Household members not able to speak, understand, read and write English.
* Other medical problems that prevent child from playing inactive or active video games.
* Parents will not allow child to play our video games.
* Household currently has a Wii video game console.
* Child not wearing nor completing the initial baseline 7 day, minimum 800 minutes per day, activity monitor data collection.
D: Inclusion Criteria:

* Teens and parents of any gender, ethnicity/race, or socioeconomic status.
* Teens 14 to 16 years of age who are freshmen and sophomores taking a health class at one of the participating high schools.
* Teens who assent to participation.
* Teens with a custodial parent who consents for themselves and their teen's participation in the study.
* Teens who can speak and read in English (educational instruction in Arizona High Schools is conducted in English)

Exclusion Criteria:

* Teens who are under age 14 will be excluded because:

  * They are not likely to be enrolled in high school, and
  * They are unlikely to have sufficient cognitive development to benefit from the proposed intervention
* Teens who are over age 16 will be excluded for two key reasons:

  * We believe that the cognitive development of and social expectations for older teens requires a more complex and flexible intervention than that proposed, and
  * Teens need to be available for 12 month follow-up sessions (our pilot studies indicated that this becomes less likely once teens are old enough to leave/graduate from high school, emancipate from parents, and/or leave home).

Answer: D