The Effect of Online Transtheoretic Model Based Health Education on Overweight University Students

The Effect of Online Transtheoretic Model Based Health Education on Overweight University Students on Nutrition and Physical Activity Change Processes.

Aim: In this study, it was aimed to determine the effect of health education given to overweight university students based on the Transtheoretic Model (TTM) on nutrition and physical activity behaviors.

Materials and Methods: The research was conducted in a randomized controlled experimental design. The sample of the study consisted of 54 students, 27 of which were in the experimental group and 27 in the control group, who met the inclusion criteria between October 2021 and November 2021. Students were divided into nutrition and exercise change stages groups according to TTM. The students in the experimental group were given one-on-one health education in accordance with the TTM change stages, using the online method. In the study, data were collected using the Sociodemographic Form, Nutrition and Exercise Stage Determination Form according to TTM, Nutrition Change Processes Scale (NCPS) and Exercise Change Processes Scale (ECPS). Chi-square test and t test for dependent and independent groups were used in the analysis of the data obtained. Statistical significance level was accepted as p<0.05.

Study Overview

• Status: Completed
• Conditions: Public Health Nursing
• Intervention / Treatment: Behavioral: Health education on healthy nutrition and regular physical activity based on the transtheoretic model

• Study Type: Interventional
• Enrollment (Actual): 54
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Küme Evler Mahallesi
    • Kayseri, Küme Evler Mahallesi, Turkey, 38170
      • Nuh Naci Yazgan University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Agreeing to participate in the research,
• University students without chronic diseases
• BMI level between 24.9 and 30,
• Open to communication and cooperation,
• Internet and smartphone/tablet/computer etc. owner.

Exclusion Criteria:

• BMI level of 24.9 and below,
• Using any drug,
• Who left the research voluntarily.
• Under the age of 18

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental; Health education on healthy nutrition and regular physical activity based on the transtheoretic model was given to overweight university students in the experimental group once a week (every 4 weeks) using the online education method.	Behavioral: Health education on healthy nutrition and regular physical activity based on the transtheoretic model; An announcement was made by visiting all the faculties at Nuh Naci Yazgan University, stating the content of the research and the duration of the research. Among the volunteer students, students who met the inclusion criteria were included in the study. Afterwards, the students were assigned to the groups by the statistician using a simple randomization method. As a result of the pre-test, it was determined which change stage each student was in according to the Transtheoretic model (TTM). The students were not given information about which group they were in and what stage they were in according to TTM. Health education was given to university students once a week by online education method and it took 4 weeks-30 days to complete the research. The average duration of the health education given to each student is 30-45 minutes. When the training process was over, the post-test questions were sent to the students by the online survey method.
No Intervention: control group; No attempt was made to the students in the control group during the intervention process. When the intervention process of the experimental group was finished, the materials used in health education were shared with the students.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Stages of change according to the transtheoretic model - pre-intervention and post-intervention	The stages of change of the transtheoretic model were measured before and after the intervention to determine that university students changed their unhealthy diet and insufficient physical activity behaviors.	4 weeks

Collaborators and Investigators

• Sponsor: Saglik Bilimleri Universitesi
• Investigators: Principal Investigator: Cansu Yaşar, 1, cyasar@nny.edu.tr

Study record dates

Study Major Dates

• Study Start (Actual): June 25, 2021
• Primary Completion (Actual): November 30, 2021
• Study Completion (Actual): February 25, 2022

Study Registration Dates

• First Submitted: July 28, 2022
• First Submitted That Met QC Criteria: July 29, 2022
• First Posted (Actual): August 1, 2022

Study Record Updates

• Last Update Posted (Actual): August 1, 2022
• Last Update Submitted That Met QC Criteria: July 29, 2022
• Last Verified: July 1, 2022

More Information

Terms related to this study

• Keywords: transtheoretical model; Public Health Nursing; University Student
• Additional Relevant MeSH Terms: Body Weight; Overweight
• Other Study ID Numbers: SaglikBilimleriUniversity

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No