Balance Adolescent Lifestyle Activities and Nutrition Choices for Energy (BALANCE) was a multilevel intervention that reduced postpartum weight retention in teen moms.

Project Staff

Principal Investigator: Debra Haire-Joshu, PhD;

Co-Investigators: Sarah Barlow, MD, MPH; Ross Brownson, PhD; Matthew Kreuter, PhD, MPH; Doug Luke, PhD; Susie Nanney, PhD, MPH, RD

Project Staff: Nicki Caito, MPH, MS, RD; Mike Elliott, PhD; Balaji Golla, MS; Margie Sawicki, MS, RD; Cindy Schwarz, MPH,MS,RD, Byron Yount, PhD

External Collaborators: Margaret Albrecht, Angela Rau, Jadine Walters, Loretta Walters,  (Parents as Teachers)

Graduate Research Assistants: Holly Bante, Elizabeth Budd, Monique Norfolk, Jamie Phillips, Rebecca Schermbeck

Project Partners

Parents as Teachers;

Project Dates: 2005-2011
Funding Source

National Institutes of Health/National Cancer Institutes


Haire-Joshu, D., Schwarz, C.D., Peskoe, S.B., Budd, E.L., Brownson, R.C., Joshu, C.E. A Group Randomized Controlled Trial Integrating Obesity Prevention and Control for Postpartum Adolescents in a Home Visiting Program. 2015. International Journal Of Behavioral Nutrition and Physical Activity. 12:88

Tabak, R.G., Joshu, C.E., Clarke, M.A., Schwarz, C.D., Haire-Joshu, D. Postpartum Teens’ Perception of the Food Environments at Home and School. 2016. 43(1):76-85

Clarke, M.A., Haire-Joshu, D., Schwarz, C.D., Tabak, R.G., Joshu, C.E. Influence of Home and School Environments on Specific Dietary Behaviors Among Postpartum, High-risk, Teens, 27 States, 2007-2009. 2015. Preventing Chronic Disease. 7;12:E68

Budd, E.L., Schwarz, C.D., Yount, B.W., Haire-Joshu, D. Factors Influencing the Implementation of School Wellness Policies in the United States, 2009. 2012. Preventing Chronic Disease. 9:E118

Haire-Joshu, D., Yount, B.W., Budd, E.L., Schwarz, C.D., Schermbeck, R., Green, S., Elliott, M. The Quality of School Wellness Policies and Energy-balance Behaviors of Adolescent Mothers. 2011. Preventing Chronic Disease. 8(2):A34

Haire-Joshu, D., Schwarz, C.D., Budd, E.L., Yount, B.W., Lapka, C. Postpartum Teens’ Breakfast Consumption is Associated with Snack and Beverage Intake and Body Mass Index. 2011. Journal of the American Dietetic Association. 111(1):124-30


Haire-Johsu, D., Schwarz, C.D., Yount, B. The BALANCE Program for Postpartum Teens: Integrating Obesity Prevention Within a National Home Visiting Program. Institute of Public Health at Washington University’s Annual Conference, St. Louis, MO, United States. (October, 2012)

Budd, E.L., Yount, B.W., Schwarz, C.D., Elliott, M., Haire-Joshu, D. Accountability is Related to Higher Implementation Ratings of Local School Wellness Policies. Society of Behavioral Medicine. Washington DC. (July, 2011)

Haire-Joshu, D.,Elliott, M., Schermbeck, R., Schwarz, C.D. Are School Wellness Policies Associated with Weight and Related Behaviors Among Postpartum Teens? Weight of the Nation Conference, Washington DC. (July, 2009)

Haire-Joshu, D.,Elliott, M., Schwarz, C.D. Budd, E.L., Norfolk, M. BALANCE: A multilevel intervention to reduce weight retention among postpartum teens. International Society of Behavioral Nutrition and Physical Activity, Lisbon, Portugal. (June, 2009)

Budd, E.L., Schwarz, C.D., Elliott, M., Haire-Joshu, D. Reaching the Unreachable: Web-based Program for Overweight Postpartum Teen.  Society of Behavioral Medicine. Montreal, Canada. (April, 2009)

Lapka, C., Budd, E.L., Yount, B., Schwarz, C.D., Elliott, M., Haire-Joshu, D. Yount Mothers’ Perception of Child’s Weight Status is Related to Feeding Attitudes and Behavior. Society of Behavioral Medicine. Montreal, Canada. (April, 2009)

Haire-Joshu, D., Schwarz, C., Elliott, M., Sawicki, M., Budd, E., Norfolk, M., Kreuter, M., Brownson, R. Preliminary results from BALANCE: A national trial to prevention obesity in postpartum adolescents. Institute of Public Health at Washington University’s Annual Conference, St. Louis, MO (October 2008)


Breakfast is an important meal, especially for teen moms and their kids.

By Jessica Martin, Washington University School of Medicine in St. Louis, February 9, 2011