School of Health Sciences, Polytechnic Institute of Leiria, Leiria, Portugal.
Centre for Innovative Care and Health Technology, Polytechnic Institute of Leiria, Castelo Branco, Portugal.
J Adv Nurs. 2019 Mar;75(3):683-691. doi: 10.1111/jan.13905. Epub 2019 Jan 10.
AIM: This paper describes the design and rationale of multicenter practice-based research that aims to develop and evaluate an innovative mobile health (mHealth) intervention programme directed to promote healthy behaviours and prevent adolescent obesity. DESIGN: This study is designed as a non-randomized controlled trial with a three-arm structure. METHODS: Twelve to 16 years old participants will be recruited from schools, with access to the Internet and smartphone/tablet devices. The intervention group will be invited to engage in the TeenPower mHealth programme and divided into two subgroups: Group A (additionally engaged in a structured school-based intervention programme) and Group B (only engaged in the mHealth programme). The mHealth app includes educational resources, self-monitoring, social support, interactive training modules and motivational tools. The control group will only follow the structured school-based intervention programme. The intervention length will be 3 months, including the direct support of an interdisciplinary team (nursing, nutrition, sports, psychology, among others). This research was approved and funded in August 2017. DISCUSSION: The positive evaluation of the intervention programme will stimulate the inclusion of technologies in the promotion of salutogenic behaviours and obesity prevention. IMPACT: Adolescent obesity reached epidemic proportions. It is urgent to find effective prevention strategies to induce change at the individual, family and community level. If effective, this protocol can be used by health and exercise professionals in improving community interventions tailored to teenagers.
目的:本文描述了一项多中心实践研究的设计和原理,旨在开发和评估一种创新的移动健康(mHealth)干预方案,以促进健康行为和预防青少年肥胖。
设计:本研究设计为非随机对照试验,具有三臂结构。
方法:将从学校招募 12 至 16 岁的参与者,他们可以访问互联网和智能手机/平板电脑设备。干预组将被邀请参与 TeenPower mHealth 计划,并分为两个亚组:A 组(另外参与结构化的学校干预计划)和 B 组(仅参与 mHealth 计划)。mHealth 应用程序包括教育资源、自我监测、社会支持、互动培训模块和激励工具。对照组将仅遵循结构化的学校干预计划。干预时间将为 3 个月,包括跨学科团队(护理、营养、体育、心理学等)的直接支持。这项研究于 2017 年 8 月获得批准和资助。
讨论:干预计划的积极评估将激发将技术纳入促进健康行为和预防肥胖的工作中。
影响:青少年肥胖已达到流行程度。迫切需要找到有效的预防策略,以在个人、家庭和社区层面引发变化。如果有效,该方案可由健康和运动专业人员用于改进针对青少年的社区干预措施。
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