The Impact of a School-Based Weight Management Program Involving Parents via mHealth for Overweight and Obese Children and Adolescents with Intellectual Disability: A Randomized Controlled Trial

Abstract

There is a scarcity of resources and studies that utilize targeted weight management interventions to engage parents via mHealth tools targeting obese children and adolescents with mild intellectual disabilities (MIDs) extended from school to a home setting. To test the feasibility and acceptability of a school-based weight program (SBWMP) involving parents via mHealth tools designed to reduce weight, enhance knowledge and adopt healthy lifestyles, and thereby achieve better psychosocial well-being among children and adolescents with MIDs. Four special schools were randomly assigned as intervention or control schools. Students from the intervention group (n = 63) were compared to those in the control group (n = 52), which comprised those with usual school planned activities and no parental involvement. Demographics were considered as covariates in a general linear model, an ordinal regression model and a binary logistic regression model analyzing the relationships between the SBWMP and the outcome variables at baseline (T0) and six months later (T1). Body weight, body mass index, and triceps and subscapular skinfold thickness were lower in the intervention group compared to the control group, although the differences were not statistically significant. There was a positive and direct impact of the SBWMP on students’ health knowledge and psychological impacts in the intervention group. The SBWMP extended to the home involving parents via mHealth tools is a feasible and acceptable program for this group with MIDs and their parents.

Family carers’ experiences of participating in a weight management programme for overweight children and adolescents with intellectual disabilities: An exploratory study

“…This qualitative study result will also guide school nurses in the development of a structured school‐based weight reduction program using mHealth tools to interact with family carers (Lee, Leung, et al., ). Dishman et al.…”

TEKHNOLOGI MOBILE HEALTH DALAM KASUS OBESITAS PADA ANAK: A Literature Review

“…Pada tujuh artikel jurnal yang dianalisis, teridentifikasi partisipan yang diteliti tidak hanya anak saja [4], akan tetapi melibatkan atau berpasangan dengan ibu atau orang tua dari anaknya baik turut diukur atau menjadi partisipan [5], maupun tidak [6]; [7]; [8]; [9]. Selain itu, usia dari anak yang diteliti bervariasi, mulai dari usia infant [5]), pre-school [7]; [8]; [10], school [6]; [7], dan adolescent [4]; [9]. Tidak ditemukan partisipan yang berusia toodler.…”

“…Tidak ditemukan partisipan yang berusia toodler. Besar sampel penelitian juga bervariasi, mulai dari sampel yang berjumlah di bawah 100 [7]; [5]; [10]; [4] sampai di atas 100 sampel [6]; [8]; [9].…”

“…Jenis variabel yang diukur pada masing-masing penelitian bervariasi. Beberapa studi melakukan penelitian dengan mengukur asupan nutrisi dan komposisi diet anak [7]; [6]; [10]; [4], beberapa penelitian mengukur asupan anak disertai beberapa variable lainnya, misalnya: (1) aktivitas [6]; [4]; (2) BMI [6]; [4]; [9]; (3) Berat Badan [10]; [9] ; (4) lifestyle [4]; (5) ketebalan tricep & subcapular & SBWMP [9]; (6) FMI [8]. Selain itu, ditemukan 1 artikel yang mengukur variable tunggal yaitu Persepsi ibu terhadap pencegahan obesitas pada infant dengan aplikasi [5].…”

“…Berdasarkan hasil analisis, ditemukan hanya satu artikel yang melakukan uji coba mobile health secara langsung kepada anak obesitas [9] dan satu artikel kepada ibu obesitas [10]. Beberapa artikel melakukan uji coba sebagai upaya pencegahan obesitas dengan mengukur dan mengontrol berat badan pada anak sehat [7]; [5]; [4]; [6]; [8].…”