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A Facebook-based Weight Loss Programme for Obese Adults in Hong Kong

Not Applicable
Completed
Conditions
Obesity
Interventions
Behavioral: Lifestyle Intervention
Registration Number
NCT02616237
Lead Sponsor
The Hong Kong Polytechnic University
Brief Summary

The purpose of this study is to determine the feasibility and efficacy of a 6-month weight loss intervention program for obese working adults through a popular social networking site - Facebook.

Detailed Description

Obese individuals often are at higher risk for developing non-communicable diseases such as diabetes and cardiovascular disease. The regular physical activity, healthy diet and social support have been shown to be beneficial for weight loss.

This is a two-arm parallel design randomized controlled trial for 6 months. Participants who completed the baseline assessment will be randomly allocated, after stratified by gender, to either a control group or Facebook-based intervention group. The control group will receive information on healthy eating, physical activity, obesity and cancer via three government printed health pamphlets. In addition to the government health pamphlets, the intervention group will receive a programme delivered through Facebook.

The interventions include participation in a private research group on Facebook for health education, self monitoring and social support. Participants will receive 12 weekly lessons related to nutrition, physical activity, Chinese food therapy, acupressure, weight loss. A registered nutritionist and a registered Chinese medicine practitioner will join the Facebook group as health partners. Both of them are also registered nurses.

Data collection will be carried out at baseline, 3 months and 6 months. Each time, both groups will complete online questionnaires and attend in-person anthropometric measurements

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
59
Inclusion Criteria
  • university full-time employees;
  • age 18 to 60 years,
  • BMI of 25 to 40 kg/m2,
  • have access to Internet and Facebook;
  • able to communicate in both English and Chinese at F.5 secondary school level or above.
  • agree to communicate with Internet, email, Facebook group and respect privacy.
Exclusion Criteria
  • Smoker;
  • an unstable medical or mental status;
  • history of myocardial infarction or stroke, or cancer in the past 5 years;
  • orthopedic or joint problems that would prohibit exercise;
  • in treatment for alcohol or drug dependency;
  • an eating disorder;
  • pregnant, breastfeeding, or planning on becoming pregnant within the next 6 months;
  • use of medication that might affect body weight;
  • a recent weight loss of more than 4.5 kg in the previous 6 months;
  • currently participating in a weight loss program;
  • organic obesity;
  • unable to attend assessments or increase physical activity.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Intervention GroupLifestyle InterventionLifestyle Intervention: The interventions include participation in a private research group on Facebook for health education, self monitoring and social support. Participants will receive 12 weekly lessons related to nutrition, physical activity, Chinese food therapy, acupressure, weight loss. A registered nutritionist and a registered Chinese medicine practitioner will join the Facebook group as health partners. Both of them are also registered nurses. Besides the Facebook contents, the participants will also receive government printed health information on healthy eating, physical activity, obesity and cancers.
Primary Outcome Measures
NameTimeMethod
Changes in body weightMeasures are done in three time points: baseline, 3 months and 6 months

Weights will be taken in light clothes without shoes using a digital scale

Changes in waist circumferenceMeasures are done in three time points: baseline, 3 months and 6 months

Waist circumference will be measured by using an inelastic tape measure

Changes in Body Mass IndexMeasures are done in three time points: baseline, 3 months and 6 months

Height will be taken at baseline using a wall-mounted stadiometer. BMI will be calculated as weight (kg)/height (m2)

Secondary Outcome Measures
NameTimeMethod
Changes in social supportMeasures are done in three time points: baseline, 3 months and 6 months

A questionnaire will be used to measure the perceived support and sabotage from friends and family for healthy eating and physical activity

Changes in dietary intake of fruits and vegetablesMeasures are done in three time points: baseline, 3 months and 6 months

A questionnaire will be used to assess self-reported intake of fruits and vegetables in terms of portion size and frequency

Changes in physical activityMeasures are done in three time points: baseline, 3 months and 6 months

The International Physical Activity Questionnaire will be used to assess the changes in physical activity

Changes in Stages of ChangeMeasures are done in three time points: baseline, 3 months and 6 months

A 5-item questionnaire will be used to categorize participants into stages of change (pre-contemplation, contemplation, preparation, action, maintenance)

Changes in weight self-efficacyMeasures are done in three time points: baseline, 3 months and 6 months

Self-efficacy for weight loss will be assessed by using a 20-item Weight Efficacy Lifestyle Questionnaire (WEL).

Changes in physical activity self-efficacyMeasures are done in three time points: baseline, 3 months and 6 months

A questionnaire of perceived confidence to engage in physical activity under a variety of circumstances on a 5-point Likert scale will be used.

Changes in weight decisional balanceMeasures are done in three time points: baseline, 3 months and 6 months

A 20-item questionnaire of perceived pros and cons of weight loss on a 5-point Likert scale. The balance of the two scores \>0 indicate more advantages than disadvantages to weight loss

Trial Locations

Locations (1)

The Hong Kong Polytechnic University

🇭🇰

Hong Kong, Hong Kong

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