Interdisciplinary Intervention Effectiveness on Motivational Approach in Lifestyle Modification in Adolescents With Overweight and Obesity
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Body mass index (BMI) measured by height and weight and taking the z score.
研究概览
简要总结
This study is a randomized clinical trial with two interventions: control group and intervention interdisciplinary group, without cross-over.
Control Group (CG): In this type of intervention, the focus will be the development of skills through educational activities on health using the pedagogy of transmission.
Interdisciplinary Intervention Group (IG): In this type of intervention, the focus will be the development of skills through educational activities on health that provide the development of autonomy and empowerment for behavior change, based on interdisciplinary motivational strategies. All topics will be focused on the major cardiovascular risk factors considered modifiable.
The staff is trained to the techniques of motivational interviewing and transtheoretical model of change and the health issues related to the modification of lifestyle.
So this interdisciplinary intervention with adolescents seeks to measure the result of an educational proposal using the techniques of motivational interviewing and transtheoretical model of change, for all professionals involved independent training in health issues related approach to lifestyle modification and the inclusion of family in this process.
详细描述
This study is a randomized clinical trial with two interventions: control group and intervention interdisciplinary group, without cross-over.
Interventions will take place at the Rehabilitation Hospital São Lucas Center (CR), will have 12 sessions for each of the following ways:
Control Group (CG): In this type of intervention, the focus will be the development of skills through educational activities on health using the pedagogy of transmission. The meetings will be weekly with 45 minutes duration on a schedule of lectures about cardiovascular risk factors and prevention.The sample is 60 adolescents with overweight or obesity.
Interdisciplinary Intervention Group (IG): In this type of intervention, the focus will be the development of skills through educational activities on health that provide the development of autonomy and empowerment for behavior change, based on interdisciplinary motivational strategies. Therefore, group meetings will be performed in the presence of a member of the nursing staff, physiotherapy, nutrition and psychology. The meetings are weekly, lasting 1 hour and 45 minutes. In the first 1 hour and 15 minutes will be addressed health issues related to lifestyle modification (self-care, healthy eating and physical activity) using the fundamentals of motivational interviewing technique. All topics will be focused on the major cardiovascular risk factors considered modifiable.
The staff is trained to the techniques of motivational interviewing and transtheoretical model of change and the health issues related to the modification of lifestyle. During the sessions the team members address the health issue so that the knowledge of a professional complements the other. At the same time occur the integration of knowledge between these professionals from different areas aiming to encourage teens to lifestyle modification based on the techniques of motivational interviewing and transtheoretical model of change. Likewise, it is envisaged to include a time of physical activity (30 minutes) oriented in conjunction with the research team. This activity aims to motivate adolescents to include other physical activity sessions during the week.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 15 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adolescents between 15 and 18 years with BMI ≥ 85th percentile.
排除标准
- •Provide absolute contraindication for physical activity for musculoskeletal, neurological, vascular problems (intermittent claudication), lung and heart; presence of diagnosis of severe psychiatric disorders and / or presence of significant cognitive impairments;pregnant women; diagnosis of Diabetes mellitus type I.
结局指标
主要结局
Body mass index (BMI) measured by height and weight and taking the z score.
时间窗: Measured after three months at the end of intervention
Reduction of at least 0.5 percentile point in body mass index (BMI) measured by height and weight and taking the z score.
次要结局
- Dietary aspects as measured by healthy eating index (IAS)(Measured after three months at the end of intervention)
- Abdominal circumference measured by waist circumference in cm(Measured after three months at the end of intervention)
- Plasma triglycerides measured by the blood sample(Measured after three months at the end of intervention)
- Readiness for change measured by the readiness ruler to physical exercise(Measured after three months at the end of intervention)
- Blood pressure measured by the blood pressure measurement(Measured after three months at the end of intervention)
- Glycemic profile assessed by fasting glucose(Measured after three months at the end of intervention)
- Readiness for change measured by the readiness ruler to physical nutrition(Measured after three months at the end of intervention)
- Capacity cardiopulmonary measured by VO2 max(Measured after three months at the end of intervention)
- Plasma HDL cholesterol measured by the blood sample(Measured after three months at the end of intervention)
- Total cholesterol and LDL measured by the blood sample(Measured after three months at the end of intervention)