Solution Focused Approach in Adolescents (SFA)

NCT03364205 | Completed DMC

• 1 other identifier: CumhuriyetU
• Study Type: interventional
• Target: 2
• Locations: 1 country
• Sites: 1

Brief Summary

Aims-objectives: This study assessed the effect of the Solution Focused Approach (SFA) interview technique on overweight/obese adolescents' nutrition-exercise attitudes and behaviors. Background: Obesity is a serious health problem for all age groups, particularly adolescents; therefore, it is important for adolescents to develop healthy nutrition habits, acquire exercise behaviors. Unless healthy nutrition-exercise behaviors are acquired, obesity can develop in adolescence, continue in adulthood. Focusing on solutions can be effective for overweight/obese adolescents to develop healthy nutrition-exercise behaviors. Design: A pretest-posttest randomized-controlled trial design was used. Methods: The study included 32 overweight/obese adolescents (16 for intervention group, 16 for control group) aged12-13 years who attended a health center, met the inclusion criteria. The SFA interview technique was applied to the intervention group. Eight solution-focused interviews were conducted with each adolescent at two-week intervals (interview length 30 to 45minutes). For each group, anthropometric, metabolic measurement follow-ups were conducted in the first and sixth months. The data were evaluated using independent samples t-test, Mann-Whitney U, Wilcoxon test respectively for normally, non-normally distributed variables. The categorical variables were compared using chi-square test. The value p\<0.05 was accepted to be statistically significant.

Conditions

Obesity; Overweight and Obesity; Adolescent Obesity

Keywords

SFA interview technique; adolescence; obesity; nutrition; exercise

Outcome Measures

Primary Outcomes (15)

• the Family and Adolescent Introductory Information Form and Overweight and Obese Adolescents' Nutrition-Exercise Behavior Identification Form

  The data for the nutrition-exercise habits and behaviors of the adolescent were collected using the Family and Adolescent Introductory Information Form and Overweight-Obese Adolescents' Nutrition-Exercise Behavior Identification Form, which had been prepared by the researcher based on the literature.

  one month

• Anthropometric measurement (weight measurement)

  Anthropometric scores (weight measurement) data of adolescents were collected using the Anthropometric Follow-Up Table. Digital weighing scale was used for weight measurements in kilograms. The measurements were taken without closes and shoes. Calibration of the scales was done monthly. The primary outcome was to determine weight measurement values of adolescent.

  one month

• Anthropometric measurement (height measurement)

  Anthropometric scores (height measurement) data of adolescents were collected using the Anthropometric Follow-Up Table. Bar scale was used for height measurements in meters. Before the length measurement, the shoe was removed and the lower end of the rod was attached to the foot in a vertical position, and the point where the head came was recorded. The primary outcome was to determine height measurement values of adolescent.

  one month

• Anthropometric measurement (Calculation of Body Mass Index or BMI)

  BMI was calculated as the body mass in kilograms divided by the square of the body height in meters (BMI = kg / m \^ 2). The primary outcome was to determine BMI values of adolescent.

  one month

• Anthropometric measurement (Body Mass Index Percentile (BMI percentile) calculation)

  In determining the BMI percentile standard values, the BMI values determined for Turkish children were taken into consideration. The primary outcome was to determine BMI percentile values of adolescent.

  one month

• Anthropometric measurement (Body Mass Index - Standard Deviation Score(BMI-SDS) calculation)

  The data on the Anthropometric scores (BMI-SDS) of the adolescents were collected using the Anthropometric Follow-Up Table. The obtained SDS value is calculated by using the Auxology program which performs SDS calculation.The primary outcome was to determine BMI-SDS values of adolescent.

  one month

• Metabolic measurement (Preprandial Blood Glucose)

  The data on the Metabolic scores (Preprandial Blood Glucose) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The primary outcome was to determine Preprandial Blood Glucose values of adolescent.

  one month

• Metabolic measurement (Preprandial insulin)

  The data on the Metabolic scores (Preprandial insulin) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The primary outcome was to determine Preprandial insulin values of adolescent.

  one month

• Metabolic measurement (Homeostasis Model of Assesment for insulin Resistance (HOMA-IR))

  The data on the Metabolic scores (Homeostasis Model of Assesment for insulin Resistance (HOMA-IR)) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The primary outcome was to determine HOMA-IR values of adolescent.

  one month

• Metabolic measurement (LDL-cholesterol)

  The data on the Metabolic scores (LDL-cholesterol) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The primary outcome was to determine LDL-cholesterol values of adolescent.

  one month

• Metabolic measurement (HDL-cholesterol)

  The data on the Metabolic scores (HDL-cholesterol) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The primary outcome was to determine HDL-cholesterol values of adolescent.

  one month

• Metabolic measurement (Total cholesterol)

  The data on the Metabolic scores (total cholesterol) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The primary outcome was to determine total cholesterol values of adolescent.

  one month

• Metabolic measurement (Triglyceride)

  The data on the Metabolic scores (triglyceride) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The primary outcome was to determine triglyceride values of adolescent.

  one month

• the application of scale - Nutrition-Exercise Attitude Scale (NEAS)

  Healthy nutrition-exercise attitudes and behaviors were evaluated using the Nutrition-Exercise Attitude Scale (NEAS) that had been developed to determine the attitudes and behaviors of the adolescents.The NEAS scores ranged from 13 to 65. A high total score obtained in this scale indicated a positive nutrition-exercise attitude and a low total score indicated a negative attitude.These scales were completed in the first-month follow-up.

  one month

• the application of scale - Nutrition-Exercise Behavior Scale (NEBS)

  Healthy nutrition-exercise attitudes and behaviors were evaluated using the Nutrition-Exercise Behavior Scale (NEBS) that had been developed to determine the attitudes and behaviors of the adolescents.The NEBS had the following sub-scales: psychological (dependent) eating behavior (11 to 55 points), healthy nutrition-exercise behavior (14 to 70 points), unhealthy nutrition-exercise behavior (14 to 70 points) and regular meal times (6 to 30 points). A high total score obtained in this scale indicated a positive nutrition-exercise behavior and a low total score indicated a negative behavior.These scales were completed in the first-month follow-up.

  one month

Secondary Outcomes (14)

• Anthropometric measurement (weight measurement)

  six month

• Anthropometric measurement (height measurement)

  six month

• Anthropometric measurement (Calculation of Body Mass Index or BMI)

  six month

• Anthropometric measurement (Body Mass Index Percentile (BMI percentile) calculation)

  six month

• Anthropometric measurement (Body Mass Index - Standard Deviation Score(BMI-SDS) calculation)

  six month

Study Arms (2)

intervention

EXPERIMENTAL

solution-focused interview techniques

Behavioral: solution-focused interview technique

control

NO INTERVENTION

This group did not apply solution-focused interview techniques.

Interventions

solution-focused interview technique BEHAVIORAL

This approach helps an individual make decisions about behavioral change, focusing particularly on his or her past achievements and looking forward to a time when the problems cease to exist.

intervention

Eligibility Criteria

• Age: 12 Years - 13 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Twelve-thirteen aged between,
• Diagnosed metabolic disease, without
• BMI \>85 percentile (\>+1SD), overweight and BMI\>95 (\>+2SD) percentile obese adolescents
• Communicate
• Any conditions that interfere with exercise (who do not have disability, such as cardiac failure)

You may not qualify if:

• From teenagers who indicated they could not continue until the end of the study,
• Metabolic disease,
• Metformin uses
• Adolescents who move out of County

Sponsors & Collaborators

• Cumhuriyet University: lead
• TC Erciyes University: collaborator

Study Sites (1)

Cumhuriyet University

Sivas, 58140, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Obesity; Overweight; Pediatric Obesity; Motor Activity

Condition Hierarchy (Ancestors)

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

Study Officials

• Emine- Ümit SEVİG, 2

  TC Erciyes University

  STUDY DIRECTOR

• Nuran Güler, 3

  Cumhuriyet University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Masking Details: There was no intervention in the control group which was in parallel.
• Purpose: PREVENTION
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Randomized Controlled Trials

Study Record Dates

• First Submitted: November 14, 2017
• First Posted: December 6, 2017
• Study Start: September 2, 2013
• Primary Completion: January 29, 2014
• Study Completion: August 29, 2014
• Last Updated: December 6, 2017

Record last verified: 2017-12

Data Sharing

• IPD Sharing: Will share
• Shared Documents: ANALYTIC CODE
• Time Frame: Until 2018
• Access Criteria: For editorial review

Locations

TU (1)