Effectiveness analysis of an internet-based intervention for overweight adolescents: next steps for researchers and clinicians

Fonseca, Helena; Prioste, Ana; Sousa, Pedro; Gaspar, Pedro; Machado, Maria do Céu

doi:10.1186/s40608-016-0094-4

Cited by 12 publications

(5 citation statements)

References 20 publications

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“…Therefore, families proposed the use of technology to help reduce low participation and to improve the communication linkage between school and family. This study is supported by previous research stating that applying these technologies enhances strong participation and linkage between school and family ( 45 ) . Moreover, the collaboration between school and family to design child obesity prevention video clips resulted in media that met the needs and was more interesting to follow ( 46 ) .…”

Section: Discussionsupporting

confidence: 87%

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Ecological system theory and community participation to promote healthy food environments for obesity and non-communicable diseases prevention among school-age children

Suwannawong¹,

Auemaneekul²,

Powwattana³

et al. 2023

Public Health Nutr.

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Objectives: To implement and evaluate the effectiveness of the community participatory program between school and family based on Ecological System Theory and Participatory Action Research. The intervention covers three levels at the individual, family and school levels comprising educating students and parents by using technologies, reducing sedentary behaviors, increasing exercise and changing to healthy food environments at school and home. Design: A quasi-experimental design was used in this study. Setting: Public primary school in Thailand. Subjects: The participants in the study were 138 school-age children in Grades 2-6 with their parents/guardians. The control group was 134 school-age children at a school of the same size with their parents/guardians. Results: Results shows that nutritional status is significantly improve within experimental group (p-value = 0.000) and between group during follow up (p-value = 0.032). Students’ knowledge about obesity and non-communicable chronic diseases (NCDs) prevention as well as the physical activity and exercise behaviors in the experimental group were significantly higher than the control group (P-value = 0.000 and 0.044, respectively). Parents’ perception of child obesity and the family modelling behaviors in the experimental group were also significantly higher than the control group; P-value = 0.013 and 0.000, respectively). Conclusion: The community participation program was found to be successful. Not only students, families and schools improved health behaviors and healthy food environments at home and school, but the students’ long-term nutritional status also improved.

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Section: Discussionsupporting

confidence: 87%

“…Therefore, families proposed the use of technology to help reduce low participation and improve the communication linkage between school and family. This study is supported by previous research stating that applying these technologies enhances strong participation and linkage between school and family (45) .…”

Section: Discussionsupporting

confidence: 87%

Ecological system theory and community participation to promote healthy food environments for obesity and non-communicable diseases prevention among school-age children

Suwannawong¹,

Auemaneekul²,

Powwattana³

et al. 2023

Public Health Nutr.

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“…The option for this control group was based on the intention to minimize the dropout rate and on ethical aspects. Furthermore, we chose to use mHealth as an add‐on and not as a substitute of the standard intervention, assuming the importance of the face‐to‐face contact with health professionals (Fonseca, Prioste, Sousa, Gaspar, & Machado, ). Interestingly, the mean scores of nutrition, positive life perspective, and global lifestyle decreased in the control group during the study period.…”

Section: Discussionmentioning

confidence: 99%

Controlled trial of an mHealth intervention to promote healthy behaviours in adolescence (TeenPower): Effectiveness analysis

Sousa

Martinho

Reis

et al. 2020

Journal of Advanced Nursing

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Aim To evaluate the effectiveness on lifestyle change of an mHealth intervention to promote healthy behaviours in adolescence (TeenPower) and to analyse the predictors of the mHealth intervention effectiveness. Design This study is designed as a non‐randomized controlled trial with a two‐arm structure. Methods Adolescents of 12–16‐year old were recruited from three school districts, with access to the Internet and smartphone/tablet devices. The intervention group was invited to engage in the mHealth intervention (TeenPower) for 6 months in addition to a school‐based intervention. The control group only followed the school‐based intervention. A repeated measures factorial ANOVA was used and the main effectiveness outcome was the lifestyle change measured by the adolescent lifestyle profile. Results The outcomes of the mHealth intervention (TeenPower) show a significant effect on nutrition (ƞ2p = 0.03, p = .03), positive life perspective (ƞ2p = 0.04, p = .01), and global lifestyle (ƞ2p = 0.02, p = .05), with a dropout rate of 62.1%. The analysis of the effectiveness predictors of the mHealth intervention suggested that older adolescents tended to show a significant increase in the rates of stress management (r = .40; p < .05). Conclusions Although the considerable dropout rate, the mHealth intervention presented significant impact on multiple lifestyle domains, providing support for the effectiveness of mHealth interventions for health promotion as an add‐on to standard interdisciplinary interventions. Impact Adolescents must have the necessary and appropriate knowledge for the correct and responsible decision‐making regarding their health and lifestyle. Innovative strategies (mHealth intervention) were used to promote healthy behaviours. This study evaluates the effectiveness of an mHealth intervention (TeenPower) specifically designed for adolescents. We found a significant impact in several lifestyle domains such as health responsibility, nutrition, positive life perspective, and global lifestyle.

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“…This opinion is further refined by Halberstadt (2017) who stated that consumption patterns and eating habits in the Eastern Mediternia Region have changed in the past four decades (Halberstadt et al, 2017). These changes indicate an increase in energy and fat intake per capita in almost all countries and this has a role in increasing the risk of obesity in this region (Fonseca et al, 2016). Changes are marked by a shift from the habit of eating traditional foods to western-style foods with characteristics of fat content, cholesterol, high salt and low fiber (Pahlevi, 2012;Mahdali et al, 2013).…”

Section: Relationship Between Consumption Pattern and Student Obesitymentioning

confidence: 97%

“…Information obtained from nutrition counseling is expected to help individuals and families who have never performed nutrition counseling to take steps in overcoming nutritional problems inclu-ding changes in diet and solving nutritional-related problems towards healthy living habits (Fonseca et al, 2016). Nutrition counseling is still carried out conventionally, namely by conducting food history taking, reviewing nutritional problems, determining nutritional problems and nutrition interventions by determining the amount and type of food that must be consumed, then communicated to clients without regard to the client's readiness to receive information and intervention (Gifari et al, 2018).…”

Section: Relationship Between Nutrition Counseling and Student Obesitmentioning

confidence: 99%

Consumption Pattern and Nutrition Conseling Roles on Obesity of Integrated Primary School Students

Hadi

Manggabarani

R³

et al. 2019

UJPH

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Tumbuh kembangnya anak usia sekolah yang optimal tergantung pemberian zat gizi dengan kualitas dan kuantitas yang baik dan benar. Salah satu upaya kesehatan tersebut adalah dengan perbaikan gizi anak usia sekolah dasar. Tujuan penelitian ini untuk menganalisis hubungan pola konsumsi dan konseling gizi terhadap kejadian obesitas. Jenis penelitian yang digunakan adalah observasional dengan pendekatan cross sectional study. Populasi dan sampel penelitian ini adalah siswa dengan pengambilan sampel secara exhaustic sampling dengan jumlah 146 sampel. Penelitian ini dilaksanakan di Sekolah Dasar Islam Terpadu Rama Kota Makassar. Hasil penelitian diperoleh bahwa pola konsumsi berhubungan dengan kejadian obesitas dengan nilai p (0,00) < 0,05, konseling gizi berhubungan dengan kejadian obesitas dengan nilai p (0,01) < 0,05. Kesimpulan diperoleh bahwa ada hubungan pola konsumsi dan konseling gizi terhadap kejadian obesitas. Bagi siswa yang sudah terlanjur menderita obesitas agar menjaga pola makan dan aktivitas fisik secara teratur dan ketat serta berkonsultasi ke ahli gizi. Abstract The optimal growth of school-age children depends on providing nutrients with good and correct quality and quantity. One of the health efforts is to improve nutrition of elementary school age children. The purpose of this study was to analyze the relationship of consumption patterns and nutrition counseling to the incidence of obesity. The type of research used was observational with a cross sectional study approach. The population and sample of this study were students with exhaustic sampling with 146 samples. This research was conducted at the Rama Integrated Islamic Primary School in Makassar City. The results showed that consumption patterns associated with the incidence of obesity with a value of p (0.00) <0.05, nutritionlcounseling was associated with the incidence of obesity with a value of p (0.01) <0.05. The conclusion is that there is a relationship between consumption patterns and nutritional counseling on the incidence of obesity. For students who have already suffered from obesity in order to maintain regular and strict diet and physical activity and consult a nutritionist.

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Effectiveness analysis of an internet-based intervention for overweight adolescents: next steps for researchers and clinicians

Cited by 12 publications

References 20 publications

Ecological system theory and community participation to promote healthy food environments for obesity and non-communicable diseases prevention among school-age children

Ecological system theory and community participation to promote healthy food environments for obesity and non-communicable diseases prevention among school-age children

Controlled trial of an mHealth intervention to promote healthy behaviours in adolescence (TeenPower): Effectiveness analysis

Consumption Pattern and Nutrition Conseling Roles on Obesity of Integrated Primary School Students

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