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. 2013 Mar 12;86(1):49–62.

Table 1. Description and outcomes of school-based Internet obesity prevention studies [19-23,28-35].

Sample Characteristics Program Description Implementation Outcome: BMI Outcome: Self-efficacy Outcome: Dietary Behavior Outcome: Physical Activity (PA)
School-based Internet program compared to standard care (no treatment control group)
Ezendam et al., 2007, 2012 n=883 (Netherlands); Age: 12-13 years; Non-western: 28%; Female: 46% Framework: Theory of Planned Behavior; Principles: Education, tailored feedback, goal setting, action plan; Content: PA (PA and sedentary behavior) and Nutrition (sugar, snacking, fruits and vegetables); Dose: 8 modules over 10 weeks Follow-up: 4 months & 2 years; Attrition: 13.5% No effect Decrease in sugar beverage, snacking Increase in vegetable intake; High risk students increase in fruit intake Decrease in PA at 4 months; High risk students increase in PA at 2 years
Frenn et al., 2005 n=103 (US, Midwest); Age: 12-14 years; Non-white: 87%; Female: 70% Framework: Health promotion and Transtheoretical Model; Principles: Education and content based on stage of change; Content: PA (PA and sedentary behavior) and Nutrition (decrease fat, increase healthy snacking, eat food during day); Dose: 8 modules Decrease in fat intake for students who completed more than 50% modules Increase in PA for students who completed more than 50% modules
Haerens, De Bourdeaudhuij et al., 2007 n=281 (Belgium); Age: 11-15 years; Female: 52% Framework: Transtheoretical Model; Principles: Assessment and tailored advice; Content: PA; Dose: 1 module (50 minutes) Follow-up: 3 months No effect on PA or leisure time sports; Increase in school PA
Haerens, Deforche et al., 2007 n=304 (Belgium); Age (mean): 13.2 years Framework: Transtheoretical Model; Principles: Assessment and tailored advice; Content: Nutrition (fat intake); Dose: 1 module (50 minutes) Follow-up: 3 months No effect on fat intake of total sample; Decrease in fat intake girls at technical school and boys and girls of general education
Mauriello et al., 2010 n=1800 (US, New England, Tennessee); Age: 9th – 11th grade; Female: 51% Framework: Transtheoretical Model; Principles: Assessment and tailored feedback; Content: PA (PA and sedentary behavior) and Nutrition (fruits and vegetables); Dose: 1 module Follow-up: 12 months Increase in fruit and vegetable intake at 2, 6, 12 months Increase in PA at 2 month; No effect on sedentary behavior (TV)

School-based Internet program compared to print program
Marks et al., 2006 n=359 (US, North Carolina); Age: 12.2 years; Non-white: 62% Framework: Social Cognitive Theory and Theory of Reasoned Action; Principles: Not specified; Content: PA; Dose: 1 module, reviewed 4 times over 2 weeks Follow-up: 2 weeks; Attrition: 11%; Web usage was 89 minutes (SD 65); Print usage was 95 minutes (SD 66) Increase in self efficacy in both groups ncrease in PA in both groups, greater in print program compared to Internet
Robbins et al., 2006 n= 77 (US Midwest); Age: 11-14 years; Non-white: 67%; Female: 100% Framework: Health Promotion and Transtheoretical Model; Principles: Tailored feedback reinforced with brief counseling by nurse practitioner; Content: PA; Dose: Not specified Follow-up: 3 months; Attrition: 0% Increase in PA in both groups

School-based Internet program compared to traditional classroom education
Casazza et al., 2007 n= 311; Age: 13-18 years; Non-white: 85%; Female: 51% Framework: Cognitive, affective and behavioral approach; Principles: Education, goal setting, skill building, incentives; Content: Nutrition and PA; Dose: Not specified Follow-up: 3 months; Attrition: 12% Follow-up: 3 months; Attrition: 12% Increase in CDI in Internet program Decrease in meals skipped in Internet program; Decrease in calories in both programs Increase in PA in Internet program
Long & Stevens, 2004 n= 121; Age: 12-16 years; Non-white: 54%; Female: 52% Framework: Social Cognitive Theory; Principles: Not specified; Content: Nutrition ; Dose: 3 modules (5 hours) Follow-up: 1 month Increase in BMI both programs Increase in self efficacy for fat and usual choices in Internet program Increase in fruit and vegetable intake, decrease in fat intake both programs

School-based Internet program compared to print program
Winett et al., 1999 = 180; Age: 9th - 10th grade; Female: 100% Framework: Social Cognitive Theory; Principles: Assessments, prescriptive strategies, personalized goals and feedback; Content: PA and Nutrition (regular meals, increase fruits, vegetables, and fiber, decrease sugar and soda); Dose: 5 modules Follow-up: after completion of modules Decrease in fast food in Internet program; Increase in regular meals, fruits, vegetables, and fiber and decrease in soda both programs Increase in PA in Internet program

Two different school-based Internet programs
Haerens et al., 2009 n= 1171 (Belgium); Age:14.6 years Framework: Transtheoretical Model; Principles: Interactive assessment and tailored advice; Content: PA; Dose: 1 module (50 minutes); Control Group: Internet non-tailored advice Follow-up: 3 month No difference between programs
Whitttemore et al., (In press) n=384 (US, Northeast); Age: 14-17 years; Non-white: 65%; Female: 62% Framework: Social Cognitive Theory; Principles: Interactive education, behavioral support (e.g., goal setting), coping skills training; Content: PA (PA and sedentary behavior) and Nutrition (Sugar beverages, fruits and vegetables, breakfast, fast food); Dose: 12 modules; Control group: Interactive education and behavioral support Follow-up: 6 months; Attrition: 3% No effect No difference between programs; Increase in self efficacy both programs No difference between programs; Increase in fruit and vegetable intake, healthy eating and decrease in sugar beverages and junk food both programs Increase in PA both programs; No difference between programs; Increase in PA and decrease in sedentary behavior both programs