Pre/Post Evaluation of Living Green and Healthy for Teens (LiGHT)

NCT03445325 | Completed

• 1 other identifier: H16-03090-a
• Study Type: interventional
• Target: 500
• Locations: 1 country
• Sites: 1

Brief Summary

This study is the first of three sub-studies aimed at evaluating the outcomes of Living Green, Healthy for Teens (LiGHT v2.1), an app for 13 to 17 year -olds and their families that is intended to help them shift from an unhealthy lifestyle toward better health habits in three areas: physical activity, nutrition and sedentary behaviours. This first evaluation has the following aims to: 1) describe reach; 2) determine utilization/adherence to strategies implemented in the app and predictors of utilization/adherence; 3) assess change in knowledge and lifestyles behaviours associated with obesity as well as assess mediators of behaviour change. As this is a formative evaluation, it will prospectively follow 500 families for 4.5 months.

Conditions

Obesity, Pediatric

Keywords

obesity; physical activity; nutrition; adolescents; gamification; sedentary activity

Outcome Measures

Primary Outcomes (7)

• Reach

  Survey questions will assess socio-demographic characteristics of families and will be compared against those who were invited to participate in the study (from a web-based panel) and families who typically register for weight-management centres in Canada.

  Baseline

• Adherence

  Web-analytic tools will track utilization of LiGHT components and all interactions with the program. Adherence will be calculated as cumulative number of feature-specific interactions per week (e.g., number of interactions with articles, number of interactions with social wall, etc.).

  Ongoing for 4.5 months

• Change in health behaviour knowledge

  Survey questions (using a LiGHT-specific tool) will assess teens' knowledge of Canadian recommendations for healthy eating, physical activity, and sedentary behaviours. Knowledge will be reported as an aggregate knowledge score from 0 to 13 (a score of 0 indicates low knowledge and a score of 13 indicates high knowledge), as well as sub-score for each of the knowledge area (healthy eating, physical activity, and sedentary behaviours).

  Baseline and 4.5 months

• Change in physical activity behavior (teens)

  Survey questions will assess teens' physical activity behaviours, and change in physical activity will be computed based on a composite physical activity score. Teen physical activity will be assessed using a modified version of the Physical Activity Questionnaire for Children (PAC-Q), and scored as average minutes per day of moderate-vigorous physical activity.

  Baseline and 4.5 months

• Change in physical activity behavior (parents)

  Survey questions will assess parents' physical activity behaviours, and change in physical activity will be computed based on a composite physical activity score. Parent physical activity will be assessed using a modified version of the International Physical Activity Questionnaire Short Form (IPAQ-SF), and scored as average minutes per day of moderate-vigorous physical activity.

  Baseline and 4.5 months

• Change in sedentary behaviour

  Survey questions will assess teens' and parents' recreational screen time use (using the Take Action survey), and will be reported as the number of self-reported hours of recreational screen time per day.

  Baseline and 4.5 months

• Change in dietary behaviour

  Survey questions will assess teens' and parents' dietary behaviours, and be reported as average number of fruits and vegetables and sugar-sweetened beverages per day.

  Baseline and 4.5 months

Secondary Outcomes (1)

• Change in mediators of behaviour change

  Baseline, 1 month, and 4.5 months

Other Outcomes (1)

• Functionality

  4.5 months

Study Arms (1)

LiGHT v2.1

EXPERIMENTAL

Participants will be assigned the intervention (use of the parent or teen app for 4.5 months) and asked to use throughout the intervention period (all participants are assigned to the intervention arm and results will be analyzed pre- and post-intervention).

Behavioral: LiGHT v2.1

Interventions

LiGHT v2.1 BEHAVIORAL

The LiGHT mobile program strives to support youth and their families to adopt lifelong healthy behaviours in four areas - eating, physical activity, recreational screen time and sleep - to foster healthy growth and development, to prevent chronic diseases and manage unhealthy weights. The program includes content that involve the family, and focus on behavioural therapy as well as dietary and physical activity patterns. LiGHT is intended to be engaging and fun, provide virtual and tangible rewards, and interact with participants multiple times per day. In addition, it will feature a mobile social support network and interaction with a live coach with specialized training in motivational interviewing to support youth/families in changing their health behaviours through messaging and phone calls.

LiGHT v2.1

Eligibility Criteria

• Age: 13 Years - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Youth participants must be between the ages of 13 and 17
• Youth participants and at least one of their parents must be literate in English
• Youth participants and at least one of their parents must be able to read at the grade 5 level or above
• Parent participants must have primary custody of the child participant
• Families must have a computer or mobile device and internet access at home

You may not qualify if:

• Youth participants must not have any health condition that restricts the amount or type of activity the participant can do
• Youth participants must not have any health condition that severely restricts the types of food the participant can eat
• Youth participants must not have a diagnosis of type I diabetes
• Youth participants must not have any reason (including cognitive, psychological, or physical limitations) that preclude them from being able to spend 20-30 minutes using a computer program that is written at a 5th grade reading level

Sponsors & Collaborators

• University of British Columbia: lead
• Childhood Obesity Foundation: collaborator
• Ayogo Health Inc.: collaborator
• Public Health Agency of Canada (PHAC): collaborator
• Merck Canada Inc.: collaborator
• Pacific Blue Cross: collaborator
• Heart and Stroke Foundation of Canada: collaborator

Study Sites (1)

BC Children's Hospital Research Institute

Vancouver, British Columbia, V6H 3V4, Canada

Location

MeSH Terms

Conditions

Pediatric Obesity; Obesity; Motor Activity

Condition Hierarchy (Ancestors)

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

Study Officials

• Louise C Masse, PhD

  University of British Columbia School of Population and Public Health

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: February 6, 2018
• First Posted: February 26, 2018
• Study Start: March 1, 2018
• Primary Completion: November 30, 2018
• Study Completion: December 23, 2019
• Last Updated: June 27, 2022

Record last verified: 2022-06

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)