Interdisciplinary Intervention With Motivational Approach in Adolescents With Overweight and Obesity.

NCT02455973 | Completed DMC

• 1 other identifier: MERC
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Obesity; Overweight

Keywords

obesity; overweight

Outcome Measures

Primary Outcomes (1)

• Body mass index (BMI) measured by height and weight and taking the z score.

  Reduction of at least 0.5 percentile point in body mass index (BMI) measured by height and weight and taking the z score.

  Measured after three months at the end of intervention

Secondary Outcomes (10)

• Abdominal circumference measured by waist circumference in cm

  Measured after three months at the end of intervention

• Dietary aspects as measured by healthy eating index (IAS)

  Measured after three months at the end of intervention

• Capacity cardiopulmonary measured by VO2 max

  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

• Plasma triglycerides measured by the blood sample

  Measured after three months at the end of intervention

Study Arms (2)

Transtheoretical model of change

EXPERIMENTAL

In this type of intervention, the focus will be the development of skills through educational activities on health based on interdisciplinary motivational strategies.

Behavioral: Lifestyle modification and cardiovascular risk

Health information

PLACEBO COMPARATOR

In this type of intervention, the focus will be the development of skills through educational activities on health using the pedagogy of transmission.

Behavioral: Health Education

Interventions

Lifestyle modification and cardiovascular risk BEHAVIORAL

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.Likewise, it is envisaged to include a time of physical activity (30 minutes) oriented in conjunction with the research team. Run in: There will be a meeting with the parents in order to inform them about the participation of children in the program and guide them about the procedures of the research protocol.

Transtheoretical model of change

Health Education BEHAVIORAL

The meetings will be weekly with 45 minutes duration on a schedule of lectures about cardiovascular risk

Health information

Eligibility Criteria

• Age: 15 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Adolescents between 15 and 18 years with BMI ≥ 85th percentile.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Pontificia Universidade Católica do Rio Grande do Sul: lead
• Conselho Nacional de Desenvolvimento Científico e Tecnológico: collaborator
• Fundação de Amparo à Pesquisa do Estado do Rio Grande do Sul, Brazil: collaborator

Study Sites (1)

Pontifical Catholic University of Rio Grande do Sul

Porto Alegre, Rio Grande do Sul, Brazil

Location

Related Publications (5)

• Miller WR, Rose GS. Toward a theory of motivational interviewing. Am Psychol. 2009 Sep;64(6):527-37. doi: 10.1037/a0016830.

  PMID: 19739882 BACKGROUND

• Prochaska JO, DiClemente CC, Norcross JC. In search of how people change. Applications to addictive behaviors. Am Psychol. 1992 Sep;47(9):1102-14. doi: 10.1037//0003-066x.47.9.1102.

  PMID: 1329589 BACKGROUND

• Velasquez M; Maurer GG; Crouch C; DiClemente CC. Group treatment for substance abuse: a stages-of- change therapy manual. New York: The Guilford Press, 2001. 222 p.

  BACKGROUND

• Miller WR; Rollnick S. Motivational Interviewing, Second Edition: Preparing People for Change.New York, NY: The Guilford Press, 2002. 482 p.

  BACKGROUND

• Zanatta LB, Heinzmann-Filho JP, Vendrusculo FM, Campos NE, Oliveira MDS, Feoli AMP, Gustavo ADS, Donadio MVF. Effect of an interdisciplinary intervention with motivational approach on exercise capacity in obese adolescents: a randomized controlled clinical trial. Einstein (Sao Paulo). 2020;18:eAO5268. doi: 10.31744/einstein_journal/2020ao5268. Epub 2020 May 18.

  PMID: 32428066 DERIVED

MeSH Terms

Conditions

Obesity; Overweight

Interventions

Heart Disease Risk Factors

Condition Hierarchy (Ancestors)

Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Risk Factors; Risk; Probability; Statistics as Topic; Epidemiologic Methods; Investigative Techniques; Causality; Epidemiologic Factors; Quality of Health Care; Health Care Quality, Access, and Evaluation; Health Care Evaluation Mechanisms; Public Health; Environment and Public Health

Study Officials

• Margareth da Silva Oliveira, PHD

  Pontifical Catholic University of Rio Grande do Sul

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 25, 2015
• First Posted: May 28, 2015
• Study Start: March 1, 2015
• Primary Completion: September 1, 2017
• Study Completion: December 1, 2017
• Last Updated: September 30, 2020

Record last verified: 2020-09

Locations

BR (1)