{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T16:43:34Z","timestamp":1788799414702,"version":"build-2803163510"},"reference-count":57,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2023,1,6]],"date-time":"2023-01-06T00:00:00Z","timestamp":1672963200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"The Bohen Stanford Youth Diabetes Coaches Program","award":["KL2 TR002346"],"award-info":[{"award-number":["KL2 TR002346"]}]},{"name":"National Center for Advancing Translational Sciences of the National Institutes of Health","award":["KL2 TR002346"],"award-info":[{"award-number":["KL2 TR002346"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Adapting existing health programs for synchronous remote implementation has the potential to support vulnerable youth during the COVID 19 pandemic and beyond. Methods: The Stanford Youth Diabetes Coaches Program (SYDCP), a school-based health promotion and coaching skills program, was adapted for remote implementation and offered to adolescents from low-income communities in the US: an urban site in San Jose, CA and rural sites in Lawrence County, MO, and Central Valley, CA. Participants completed online pre- and post- surveys. Analysis included paired T-tests, linear regression, and qualitative coding. Results: Of 156 enrolled students, 100 completed pre- and post-surveys. Of those: 84% female; 40% Hispanic; 37% White; 28% Asian; 3% African American; 30% other race. With T-tests and regression models, the following measures showed statistically significant improvements after program participation: health knowledge, patient activation, health understanding and communication, consumption of fruits and vegetables, psychosocial assets of self-esteem, self-efficacy, problem-solving, and ability to reduce stress. Technology barriers were frequently reported at Lawrence County site. 96% participants reported making a lifestyle change after program participation. Conclusions: Remote implementation of health promotion programs for vulnerable youth in diverse settings has potential to support adoption of healthy behaviors, enhance patient activation levels, and improve psychosocial assets.<\/jats:p>","DOI":"10.3390\/ijerph20021044","type":"journal-article","created":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T01:36:17Z","timestamp":1673228177000},"page":"1044","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Remote Implementation of a School-Based Health Promotion and Health Coaching Program in Low-Income Urban and Rural Sites: Program Impact during the COVID-19 Pandemic"],"prefix":"10.3390","volume":"20","author":[{"given":"Liana","family":"Gefter","sequence":"first","affiliation":[{"name":"Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA 94304, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Morioka-Douglas","sequence":"additional","affiliation":[{"name":"Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA 94304, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashini","family":"Srivastava","sequence":"additional","affiliation":[{"name":"Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA 94304, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Can Angela","family":"Jiang","sequence":"additional","affiliation":[{"name":"Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA 94304, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonal J.","family":"Patil","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Community Care, Cleveland Clinic, Cleveland, OH 44195, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2571-6921","authenticated-orcid":false,"given":"Eunice","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Division of General Pediatrics, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA 94304, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,6]]},"reference":[{"key":"ref_1","unstructured":"(2022, March 15). The Lancet: Latest Global Disease Estimates Reveal Perfect Storm of Rising Chronic Diseases and Public Health Failures Fueling COVID-19 Pandemic. Available online: https:\/\/www.healthdata.org\/news-release\/lancet-latest-global-disease-estimates-reveal-perfect-storm-rising-chronic-diseases-and."},{"key":"ref_2","first-page":"547","article-title":"Evidence mounts on the disproportionate effect of COVID-19 on ethnic minorities","volume":"8","author":"Kirby","year":"2020","journal-title":"Lancet"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1419","DOI":"10.1056\/NEJMoa1610187","article-title":"Incidence trends of type 1 and type 2 diabetes among youths, 2002\u20132012","volume":"376","author":"Lawrence","year":"2017","journal-title":"N. Engl. J. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1038\/s41575-020-0330-8","article-title":"COVID-19 and the other pandemic: Populations made vulnerable by systemic inequity","volume":"17","author":"Gray","year":"2020","journal-title":"Nat. Rev. Gastroenterol. Hepatol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2466","DOI":"10.1001\/jama.2020.8598","article-title":"COVID-19 and racial\/ethnic disparities","volume":"323","author":"Hooper","year":"2020","journal-title":"JAMA"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1177\/17579759211000975","article-title":"\u2018Back to better\u2019: Amplifying health equity, and determinants of health perspectives during the COVID-19 pandemic","volume":"28","author":"Muzumdar","year":"2021","journal-title":"Glob. Health Promot."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1016\/j.dsx.2020.05.035","article-title":"Psychosocial impact of COVID-19","volume":"14","author":"Dubey","year":"2020","journal-title":"Diabetes Metab. Syndr. Clin. Res. Rev."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"101271","DOI":"10.1016\/j.pmedr.2020.101271","article-title":"The path ahead: From global pandemic to health promotion","volume":"21","author":"Finch","year":"2021","journal-title":"Prev. Med. Rep."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e2020016824","DOI":"10.1542\/peds.2020-016824","article-title":"Well-being of parents and children during the COVID-19 pandemic: A national survey","volume":"146","author":"Patrick","year":"2020","journal-title":"Pediatrics"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.pedn.2020.11.004","article-title":"When pandemics collide: The impact of COVID-19 on childhood obesity","volume":"56","author":"Browne","year":"2021","journal-title":"J. Pediat. Nurs."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1434","DOI":"10.1001\/jama.2021.15036","article-title":"Changes in Body Mass Index Among Children and Adolescents During the COVID-19 Pandemic","volume":"326","author":"Woolford","year":"2021","journal-title":"JAMA"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"52","DOI":"10.3389\/fsoc.2021.642662","article-title":"The COVID-19 Pandemics: Why intersectionality matters","volume":"6","author":"Maestripieri","year":"2021","journal-title":"Front. Sociol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1038\/s41390-020-1039-7","article-title":"Acute-on-chronic stress in the time of COVID-19: Assessment considerations for vulnerable youth populations","volume":"88","author":"Gabrielli","year":"2020","journal-title":"Pediatr. Res."},{"key":"ref_14","unstructured":"(2022, March 15). Serving Youth Remotely. Available online: https:\/\/www.urban.org\/sites\/default\/files\/publication\/103944\/serving-youth-remotely_strategies-for-practitioners_resource-guide_0.pdf."},{"key":"ref_15","first-page":"800","article-title":"What e-Health can offer","volume":"82","author":"Kwankam","year":"2004","journal-title":"Bull. World Health Organ."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3109\/17538157.2014.948171","article-title":"Navigating the digital divide: A systematic review of eHealth literacy in underserved populations in the United States","volume":"41","author":"Chesser","year":"2016","journal-title":"Inform. Health Soc. Care."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1111\/josh.12865","article-title":"High School Students\u2019 Perceptions of Traditional and Online Health and Physical Education Courses","volume":"90","author":"Williams","year":"2020","journal-title":"J. Sch. Health."},{"key":"ref_18","first-page":"e272","article-title":"Leveraging text messaging and mobile technology to support pediatric obesity-related behavior change: A qualitative study using parent focus groups and interviews","volume":"15","author":"Sharifi","year":"2013","journal-title":"JMIR"},{"key":"ref_19","first-page":"899","article-title":"An online educational program to increase student understanding of threat assessment","volume":"89","author":"Stohlman","year":"2019","journal-title":"Int. J. Sch. Health"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1001\/jamapediatrics.2017.0042","article-title":"Mobile health interventions for improving health outcomes in youth: A meta-analysis","volume":"171","author":"Fedele","year":"2017","journal-title":"JAMA Pediatr."},{"key":"ref_21","unstructured":"Reimers, F.M., and Schleicher, A. (2020). A Framework to Guide an Education Response to the COVID-19 Pandemic of 2020, OECD Publishing."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Gefter, L., Morioka-Douglas, N., Srivastava, A., and Rodriguez, E. (2016). Supporting At-Risk Youth and Their Families to Manage and Prevent Diabetes: Developing a National Partnership of Medical Residency Programs and High Schools. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0158477"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1177\/0145721714549676","article-title":"Training at-risk youth to become diabetes self-management Coaching for family members: Partnering family medicine residents with underserved schools","volume":"40","author":"Gefter","year":"2014","journal-title":"Diabetes Educ."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1016\/j.pec.2020.08.035","article-title":"Increasing patient activation scores of vulnerable youth by partnering medical residency programs with public high schools","volume":"104","author":"Gefter","year":"2021","journal-title":"Patient Educ. Couns."},{"key":"ref_25","first-page":"256","article-title":"Effect of a self-management program on patients with chronic disease","volume":"4","author":"Lorig","year":"2001","journal-title":"Eff. Clin. Pract."},{"key":"ref_26","unstructured":"Bandura, A. (1986). Social Foundations of Thought and Action, Prentice Hall."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1370\/afm.1443","article-title":"Impact of peer health coaching on glycemic control in low-income patients with diabetes: A randomized controlled trial","volume":"11","author":"Thom","year":"2013","journal-title":"Ann. Fam. Med."},{"key":"ref_28","unstructured":"(2022, March 15). Defining Rural at the U.S. Census Bureau, Available online: https:\/\/www2.census.gov\/geo\/pdfs\/reference\/ua\/Defining_Rural.pdf."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1007\/BF03354904","article-title":"Validating adolescent socioeconomic status: Comparing school free or reduced price lunch with community measures","volume":"2","author":"Nicholson","year":"2014","journal-title":"Spat. Demogr."},{"key":"ref_30","unstructured":"(2021, August 02). Ed Data Education Data Partnership. Available online: https:\/\/www.ed-data.org\/."},{"key":"ref_31","unstructured":"(2021, August 02). Public School Review. Available online: https:\/\/www.publicschoolreview.com\/."},{"key":"ref_32","unstructured":"(2021, August 02). K-12 School and District Rankings. Available online: https:\/\/www.niche.com\/k12\/rankings\/."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1177\/0145721715624968","article-title":"Validation of the revised brief diabetes knowledge test (DKT2)","volume":"42","author":"Fitzgerald","year":"2016","journal-title":"Diabetes Educ."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1177\/0145721705275002","article-title":"The spoken knowledge in low literacy in diabetes scale","volume":"31","author":"Rothman","year":"2005","journal-title":"Diabetes Educ."},{"key":"ref_35","unstructured":"(2021, August 02). Increasing Activation Starts with Measurement. Available online: https:\/\/s3.amazonaws.com\/insigniahealth.com-assets\/PAM-Fact-Sheet.20200505.pdf?mtime=20200505094829&focal=none."},{"key":"ref_36","first-page":"1045","article-title":"Remote Implementation of a Health Promotion Program in an Underserved High School during COVID-19: Lessons Learned","volume":"6","author":"Gefter","year":"2021","journal-title":"J. Pediatr. Health Car."},{"key":"ref_37","unstructured":"(2021, August 02). California Healthy Kids Survey, Available online: https:\/\/www.cde.ca.gov\/ls\/he\/at\/chks.asp."},{"key":"ref_38","unstructured":"(2021, August 02). Stanford Mind and Body Lab, Available online: https:\/\/mbl.stanford.edu\/."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Rosenberg, M. (1965). Rosenberg, M. Rosenberg self-esteem scale (RSE). Acceptance and Commitment Therapy. Measures Package, University of Wollongong.","DOI":"10.1037\/t01038-000"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1377\/hlthaff.2012.1061","article-title":"What the evidence shows about patient activation: Better health outcomes and care experiences; fewer data on costs","volume":"32","author":"Hibbard","year":"2013","journal-title":"Health Aff."},{"key":"ref_41","unstructured":"(2021, August 02). PAM Reliably Predicts Future ER Visits, Hospital Admissions and Readmissions, Medication Adherence and More. Available online: https:\/\/www.insigniahealth.com\/products\/pam-survey."},{"key":"ref_42","unstructured":"(2021, August 01). Carolina Farm Stewards Survey, Appendix F: Surveys and Interview Questions. Available online: https:\/\/www.carolinafarmstewards.org\/wp-content\/uploads\/2013\/11\/Appendices-F-I.pdf."},{"key":"ref_43","unstructured":"(2021, August 01). PRAPARE: Protocol for Responding to and Assessing Patients\u2019 Assets, Risks, and Experiences. Available online: https:\/\/prapare.org\/wp-content\/uploads\/2021\/10\/PRAPARE-English.pdf."},{"key":"ref_44","unstructured":"Strauss, A.L., and Corbin, J.M. (1998). Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory, Sage Publications."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1016\/j.pec.2015.02.005","article-title":"The association between patient activation and medication adherence, hospitalization, and emergency room utilization in patients with chronic illnesses: A systematic review","volume":"98","author":"Kinney","year":"2015","journal-title":"Patient Educ. Couns."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1097\/00004479-200701000-00005","article-title":"Is Patient Activation Associated with Outcomes of Care for Adults with Chronic Conditions?","volume":"30","author":"Mosen","year":"2007","journal-title":"J. Ambul. Care Manag."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1377\/hlthaff.2014.0452","article-title":"When patient activation levels change, health outcomes and costs change, too","volume":"34","author":"Greene","year":"2015","journal-title":"Health Aff."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1080\/10410236.2012.674911","article-title":"The Role of Family Communication in Individual Health Attitudes and Behaviors Concerning Diet and Physical Activity","volume":"28","author":"Talley","year":"2013","journal-title":"Health Commun."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1207\/s1532480xads0204_4","article-title":"Developmental assets: Measurement and prediction of risk behaviors among adolescents","volume":"2","author":"Leffert","year":"1998","journal-title":"Appl. Dev. Sci."},{"key":"ref_50","first-page":"1454","article-title":"Associations among adolescent risk behaviours and self-esteem in six domains","volume":"45","author":"Wild","year":"2004","journal-title":"J. Child Psychol. Psychiatry."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"S29","DOI":"10.1016\/j.jadohealth.2016.06.022","article-title":"Interventions to Improve Adolescent Nutrition: A Systematic Review and Meta-Analysis","volume":"59","author":"Salam","year":"2016","journal-title":"J. Adolesc. Health"},{"key":"ref_52","first-page":"A40","article-title":"Exploring stress and coping among urban African American adolescents: The Shifting the Lens study","volume":"3","author":"Chandra","year":"2006","journal-title":"PCD"},{"key":"ref_53","first-page":"99","article-title":"School-based mindfulness intervention for stress reduction in adolescents: Design and methodology of an open-label, parallel group, randomized controlled trial","volume":"4","author":"Johnstone","year":"2016","journal-title":"Contemp. Clin."},{"key":"ref_54","unstructured":"(2022, March 15). Mobile Technology and Home Broadband 2021, Pew Research Center. Available online: https:\/\/www.pewresearch.org\/internet\/2021\/06\/03\/mobile-technology-and-home-broadband-2021\/."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"63","DOI":"10.5820\/aian.2902.2022.63","article-title":"Feasibility and Acceptability of Virtual Implementation of a Sexual Reproductive Health Teen Pregnancy Prevention Program for Native Youth","volume":"29","author":"Patel","year":"2022","journal-title":"Am. Indian Alsk. Native Ment. Health Res."},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Parekh, J., McClay, A., Faccio, B., Gates, C., Garcia, J., Coryell, A., and Manlove, J. (2021). Adapting an in-person sexual health program for a virtual setting. Child Trends.","DOI":"10.56417\/5085e1747r"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"126","DOI":"10.5820\/aian.2902.2022.126","article-title":"Adapting PC CARES to continue suicide prevention in rural Alaska during the COVID-19 pandemic: Narrative overview of an in-person community-based suicide prevention program moving online","volume":"29","author":"Wells","year":"2022","journal-title":"Am. Indian Alsk. Native Ment. Health Res."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/2\/1044\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:01:26Z","timestamp":1760119286000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/2\/1044"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,6]]},"references-count":57,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,1]]}},"alternative-id":["ijerph20021044"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20021044","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,6]]}}}