The Effect of Online Family-Centered Care on the Lifestyle of Adolescent Girls with Obesity

Document Type : Original Article

Authors

1 Assistant Professor, Department of Nursing, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran

2 Assistant Professor, Department of Midwifery, Faculty of Nursing and Midwifery, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran

3 MSN Student, Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran.

Abstract

Introduction:
Obesity is associated with many adverse health consequences. Apart from the problem of genetics, an unfavorable lifestyle can be the main cause. Due to significant technological advances and widespread acceptance by adolescents, technology can now be used to improve their lifestyles. This study assessed the effectiveness of online family-centered care on the lifestyle of adolescent girls with obesity.
 Materials and Methods:
This semi-experimental study was conducted after choosing 60 adolescent girls with obesity divided into two groups randomly. The research tools included demographic and HPLP_II questionnaires. 11 online sessions were held for the case group. The post-test was carried out after 1.5 months.
Results:
After the intervention, there was a significant difference between the control (112.23±8.53) and case (125.8±10.91) in the mean score of the Lifestyle (P<0.001). In contrast, before the intervention independent t-test showed no significant difference between the two groups (P=0.397). Before the study, the mean weight and BMI were not statistically significant between the two groups (P=0.511 and P=0.063). After the intervention, there were significant changes in girls’ weight (P=0.023) and BMI (P=0.144).
 Conclusion:
Results showed that family-centered care through new communication technologies effectively improved the lifestyle of adolescent girls with obesity.

Keywords

Main Subjects


  1. Abdollahi F, Rouhani Otaghsara S, Yazdani-Charati J. Prevalence of obesity and overweightness among adolescents in Mazandaran Province. Journal of Guilan University of Medical Sciences. 2017;25(100):28-37. [In persian].
  2. Birjandi Bardsakan R, Adhami Moghaddam F, Sahebalzamani M. Investigating the relationship between the lifestyle of parents and obese children and its comparison in single and multi-child families in primary schools of Mashhad City. Medical Science Journal of Islamic Azad Univesity-Tehran Medical Branch. 2020;30(2):185-192.
  3. Fuller AB, Byrne RA, Golley RK, Trost SG. Supporting healthy lifestyle behaviors in families attending community playgroups: parents’ perceptions of facilitators and barriers. BMC Public Health. 2019;19(1):1-11.
  4. Bhattacharya S, Aggarwal P, Bera OP, Saleem SM, Shikha D, Vallabh V, Juyal R, Singh A. COVID-19 and childhood obesity (CO-BESITY) in the era of new normal life: A need for a policy research. Journal of Public Health Research. 2021 ;10(2l):2673.
  5. Patterson RR, Sornalingam S, Cooper M. Consequences of covid-19 on the childhood obesity epidemic. BMJ: British Med J (Online). 2021;373.
  6. Nasrabadi H, Nikraftar F, Gholami M, Mahmoudirad G. Effect of Family-centered Empowerment Model on Eating Habits, Weight, Hemoglobin A1C, and Blood Glucose in Iranian Patients with Type 2 Diabetes. Evidence Based Care. 2021;11(1):25-34.
  7. Ghorbannejad H, Alizadeh M, Didarloo A, Bakhshimoghaddam F. Association between food habits and overweight and obesity in 12–15 years old adolescent female students in Urmia. Journal of Sabzevar University of Medical Sciences. 2020; 27(2):121-129. [In persian].
  8. SeyedNematollahRoshan Fs, Navipor H. , Alhani F. "Effect of Family-Centered Empowerment Model (FCEM) on quality of life of mothers having teenagers with iron deficiency anemia. 2014;3 (2): 27-40. [In persian].
  9. Großschädl F, Haditsch B, Stronegger WJ. Validity of self-reported weight and height in Austrian adults: sociodemographic determinants and consequences for the classification of BMI categories. Public health nutrition. 2012;15(1):
    20-27.
  10. Tanjani PT, Azadbakht M, Garmaroudi G, Sahaf R, Fekrizadeh Z. Validity and reliability of health promoting lifestyle profile II in the Iranian elderly. International journal of preventive medicine. 2016;7:74.
  11. Jafari Varjoshani N, Avazeh A, Alizadeh S, Kamali K. A Comparative Study of Health-Promoting Lifestyle and Quality of Life among Nurses and High School Teachers in Zanjan, Iran in 2018. Preventive Care in Nursing & Midwifery Journal Zanjan University of Medical Science. 2020;10(3):1-10.
  12. Davison KK, Lawson HA, Coatsworth JD. The family-centered action model of intervention layout and implementation (FAMILI) the example of childhood obesity. Health promotion practice. 2012;13(4):454-61.
  13. Cohen TR, Hazell TJ, Vanstone CA, Plourde H, Rodd CJ, Weiler HA. A family-centered lifestyle intervention to improve body composition and bone mass in overweight and obese children 6 through 8 years: a randomized controlled trial study protocol. BMC Public Health. 2013;13(1):
    1-5.
  14. Oh C, Carducci B, Vaivada T, Bhutta ZA. Digital interventions for universal health promotion in children and adolescents: a systematic review. Pediatrics. 2022;149.
  15. Schoeppe S, Alley S, Van Lippevelde W, et al. Efficacy of interventions that use apps to improve diet, physical activity and sedentary behaviour: a systematic review. Int J Behav Nutr Phys Act. 2016;13(1):127.
  16. Robson SM, Stough CO, Stark LJ. The impact of a pilot cooking intervention for parent-child dyads on the consumption of foods prepared away from home. Appetite. 2016 ;99:177-184.
  17. Mataji Amirrood M, Taghdisi MH, Shidfar F, Gohari MR. The impact of training on women’s capabilities in modifying their obesity-related dietary behaviors: Applying family-centered empowerment model. Journal of research in health sciences. 2014;14(1):76-81.
  18. Khatirpasha S, Farahani-Nia M, Nikpour S, Haghani H. Puberty health education and female students’ self-efficacy. Journal of Client-Centered Nursing Care. 2019;5(4):231-238.
  19. Rad GH, Mahmoud FK, Nemati A. Evaluation of the effects of the familycentered empowerment model on the nutrition style and physical activity of patients with asthma. Medical-Surgical Nursing Journal. 2016;5(2):35-41.
  20. Smith JD, Berkel C, Jordan N, Atkins DC, Narayanan SS, Gallo C, Grimm KJ, Dishion TJ, Mauricio AM, Rudo-Stern J, Meachum MK. An individually tailored family-centered intervention for pediatric obesity in primary care: study protocol of a randomized type II hybrid effectiveness–implementation trial (Raising Healthy Children study). Implementation Science. 2018;13(1):1-5.