Effect Of HCP On Nutrition, Physical Activity And Body Mass Index

Effect Of Healthy Choices Program On Nutrition, Physical Activity And Body Mass Index In Adolescents

The goal of this clinical trial is to test effectiveness of "The Healthy Choices Program, in adolescents. The main question[s] it aims to answer are:

1. Effectiveness of Healthy Choices on Body Mass Index
2. Effectiveness of Healthy Choices on Health Attitude, Nutrition and Physical Activity Knowledge
3. Effectiveness of Healthy Choices on Fruit,vegetable, water consumption

Study Overview

• Status: Completed
• Conditions: Obesity; Adolescent Obesity
• Intervention / Treatment: Other: Health Education: Healthy Choices Program

Detailed Description

In our study, a quasi-experimental design with a pre-test and post-test control group was used. This study was carried out between May 2022 and January 2023. 150 adolescents in the 5th, 6th and 7th grades of two secondary schools in Istanbul were included in the study. One of the schools was designated as the intervention group (n=75) and the other as the control group (n=75). Six sessions of training were given to the intervention group. Data were collected using the Descriptive Characteristics Form, Healthy Habits Questionnaire, Adolescent Attitude Scale, Adolescent Physical Activity Knowledge Scale, Adolescent Nutrition Knowledge Scale and Physical Activity Questionnaire. Chi-square test, t test, Mann-Whitney U test, Wilcoxon test were used to analyze the data.

• Study Type: Interventional
• Enrollment (Actual): 150
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Istanbul, Turkey, 34100
    • Tugba Duygu OZMET

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Male and female adolescents in 6th, 7th and 8th grades

  • Adolescents without mental disabilities
  • Families and adolescents who agree to participate in the study

Exclusion Criteria:

• Families and adolescents who did not agree to participate in the study were not included in the study.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Non-Randomized
• Interventional Model: Crossover Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention Group; 10-14 years old adolescent are given health education Health education was given	Other: Health Education: Healthy Choices Program; Six session for students and school personel
No Intervention: Control Group; 10-14 years old adolescent are not given health education

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Increasing consumption of fruit and vegetables in the experimental group	It was measured by using Healthy Habits Questionnaire. (Item 1:How many servings of ruits or vegetables do you eat a day? (One serving is most easily identified by the size of the palm of your hand.) There is no scoring for this questionnaire.	Up to six months
Decreasing screen time of adolescents in the experimental group	It was measured by using the Healthy Habits Questionnaire. (Item 5:How many hours a day do you watch TV/movies or sit and play video/computer games? There is no scoring for this questionnaire.)	Up to six months
Increasing physical activity level of adolescents in the experimental group	It was measured using the Healthy Habits and Physical Activity Questionnaire. In Healthy Habits Questionnaire Item 8:How much time a day do you spend in active play (faster breathing/heart rate or sweating)? was used. The Physical Activity Questionnaire is a 7-day recall-based measurement tool designed to assess overall physical activity levels throughout the school year.The minimum score for each item of the questionnaire is 1 and the maximum score is 5. The minimum score to be obtained from questionnaire is 9 and the maximum score is 45. Item 10 is not included in scoring.	Up to six months
Decreasing consumption sugary drinks of adolescents in the experimental group	It was measured by Healthy Habits Questionnaire (Item 9:How How many 8-ounce servings of the following do you drink a day (soda,fruit juice,sport drinks)	Up to six months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Increasing consumption water and milk of adolescents in the experimental group	It was measured by using Healthy Habits Questionnaire (Item 9:How many 8-ounce servings of the following do you drink water/milk a day?)There is no scoring for this questionnaire.	Up to six months
Increasing healthy lifestyle attitude scale score of adolescents in the experimental group	It was measured using the healthy lifestyle attitude scale. The scale was composed of 14 items to determine adolescents' attitudes toward nutrition, physical activity, and sleep behavior. The responses are scored on a 5-point Likert-type scale ranging from strongly disagree (1) to agree (5) strongly. The Cronbach's alpha of the original scale is 0.84 and the item-total score correlations are between 0.43 and 0.68 .	Up to six months
Increasing adolescent nutrition knowledge of adolescents in the experimental group	It was measured using the adolescent nutrition knowledge scale. The scale consisted of 20 items and was developed to determine the level of knowledge about nutrition in adolescents, such as the types of nutrients, portion size, and eating habits. The answer categories of each question are structured as "yes", "no" or "do not know". The Cronbach's alpha of the original scale is 0.86, and item-total score correlations are between 0.13 and 0.59.	Up to six months
Increasing Adolescent activity knowledge of adolescents in the experimental group	It was measured using the adolescent activity knowledge scale. The Activity Scale consists of 12 items and was developed to determine the knowledge level of physical activity and exercise in adolescents. The answers categories of each question are structured as "yes", "no", and "do not know". The Cronbach's alpha of the original scale is 0.69, and item-total score correlations are between 0.22 and 0.46.	Up to six months
Reducing Body Mass Index of adolescents in the experimental group	The weight and height of adolescents were measured by the researcher. Tanita Bc-730 was used as a weighing machine. Mesilife Mst-200 was used as a height meter. They were measured in schools. After, body mass indexes were calculated for each adolescent.	Up to six months

Collaborators and Investigators

• Sponsor: Bahçeşehir University
• Investigators: Principal Investigator: Tugba D Ozmet, PhD, Bahçeşehir University; Study Chair: Tugba D Ozmet, PhD, Bahçeşehir University

Study record dates

Study Major Dates

• Study Start (Actual): May 15, 2022
• Primary Completion (Actual): June 15, 2022
• Study Completion (Actual): January 15, 2023

Study Registration Dates

• First Submitted: February 7, 2024
• First Submitted That Met QC Criteria: May 29, 2024
• First Posted (Estimated): June 4, 2024

Study Record Updates

• Last Update Posted (Estimated): June 4, 2024
• Last Update Submitted That Met QC Criteria: May 29, 2024
• Last Verified: May 1, 2024

More Information

Terms related to this study

• Keywords: Physical Activity; Nutrition; School nursing; Healthy choices
• Additional Relevant MeSH Terms: Overnutrition; Nutrition Disorders; Overweight; Body Weight; Obesity; Pediatric Obesity
• Other Study ID Numbers: 123 (Giresun University Scientific Research Project)

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