Impact of mHealth Implementation Program on Improving Nursing Students' Lifestyle

Not Applicable

Completed

Brief Summary: Healthy lifestyles are crucial for preventing chronic diseases. This study evaluated the effectiveness of mHealth intervention program in adopting healthy lifestyles.

Detailed Description: Healthy lifestyles are crucial for preventing chronic diseases. Nonetheless, approximately 90% of university students regularly engage in at least one unhealthy lifestyle. Mobile smart devices-based health interventions (mHealth) that incorporate theoretical frameworks regarding behavioral change in interaction with the environment may provide an appealing and cost-effective approach for promoting sustainable adaptations of healthier lifestyles.

The aim of this study was to evaluate the effectiveness of mHealth intervention program compared to traditional (face-to-face) program in adopting healthy lifestyles among students of the Faculty of Nursing.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

on diet regimen or have a history of diet regimen
with history of chronic diseases e.g., DM, hypothyroidism or other endocrinal diseases
with history of medications that may cause weight gain e.g., antipsychotics, antidepressants, antiepileptics or steroids
with mental or psychological disorders

Arm && Interventions

Group	Intervention	Description
mHealth education program	Education program	They received 1 session every 2 weeks for 3 months using Zoom meeting (each session lasts for 1 hour). The message emphasizes the importance of quality of life and positive psychology and highlights the steps to change one's lifestyle, including self-reflection, habit modification, and commitment to a comprehensive lifestyle change include importance of physical activity, management of stress, quality and quantity of sleep and specific recommendations are provided regarding drinking water, organizing meals, and adopting a healthy balanced diet with attention to portion sizes. Daily engagement with the intervention was assessed using text message replies and number of coaching calls completed. Participants were asked to reply "Done" via Emails, Facebook, WhatsApp, Telegram, Instagram, or Zoom meeting.
Traditional education program	Education program	They received 1 session every 2 weeks for 3 months at their convenience place (each session lasts for 1 hour). The same message as the Intervention group. Small group discussions and display of educational messages, posters, handout, and power point presentation lectures.

Primary Outcome Measures

Name	Time	Method
Sleep quality scale.	Assessed just before and immediately after the intervention	It assesses the quality of sleep for the last one month and consists of 28 questions with four Likert scale (rarely, sometimes, often, and almost always). The total score can range from 0 to 84, with higher scores demoting more more frequent sleep disturbances (Good quality of sleep ≤ 28, Fair 29 - ≤ 56, and poor \> 56).
Physical activity time and levels of participants as assessed by Global/International Physical Activity Questionnaire (GPAQ/IPAQ).	Assessed just before and immediately after the intervention	The total weekly time spent on physical activity and the time spent in each domain (work, transportation, and recreational time) are determined by multiplying the number of days per week in each category by the average daily duration. Minutes per week in each category are then multiplied by metabolic equivalents (MET). The overall GPAQ score is described as "Low" if \< 600 MET-minutes/week, "Moderate" if = 600-1500 MET-minutes/week, or "High" if \> 1500 MET-minutes/week.
Dietary assessment using Food frequency questionnaire (FFQ).	Assessed just before and immediately after the intervention	It consists of 140 food items categorized under 27 categories with three Likert scale (usually eat, sometimes eat, and rarely eat). Score of 27-45 indicates bad healthy choices, 46-63 indicate fair healthy choices, and 64-81 indicate good healthy choices.

Secondary Outcome Measures

Name	Time	Method
The weight in kilograms and height in meters will be combined to report the body mass index (BMI) in kg/m2.	Assessed just before and immediately after the intervention	Participants are categorized according to the BMI according to WHO into: * Underweight (BMI \< 18.5 kg/m2) * Normal weight (BMI = 18.5 - 24.9 kg/m2) * Overweight (BMI = 25 - 29.9 kg/m2) * Obese (BMI ≥ 30 kg/m2)
Blood Pressure Level assessed with the sphygmomanometer.	Assessed just before and immediately after the intervention	Participants are categorized according to their blood pressure into: * Normal blood pressure: Less than 120/80 mmHg * At risk for high blood pressure (prehypertension): Between 120/80 and 140/90 * High blood pressure (hypertension): More than 140/90 mmHg

Locations (1): College of Nursing Princess Nourah bint Abdulrahman University
🇸🇦
Riyadh, Saudi Arabia