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.
This study is a randomized clinical trial with two interventions: control group and intervention interdisciplinary group, without cross-over. Interventions will take place at the Rehabilitation Hospital São Lucas Center (CR), will have 12 sessions for each of the following ways: 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. The meetings will be weekly with 45 minutes duration on a schedule of lectures about cardiovascular risk factors and prevention.The sample is 60 adolescents with overweight or obesity. 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. Therefore, 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. 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. During the sessions the team members address the health issue so that the knowledge of a professional complements the other. At the same time occur the integration of knowledge between these professionals from different areas aiming to encourage teens to lifestyle modification based on the techniques of motivational interviewing and transtheoretical model of change. Likewise, it is envisaged to include a time of physical activity (30 minutes) oriented in conjunction with the research team. This activity aims to motivate adolescents to include other physical activity sessions during the week. 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. Run in: There will be a meeting with the parents of the IG and CG (separately) in order to inform them about the participation of children in the program and guide them about the procedures of the research protocol.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
120
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.
The meetings will be weekly with 45 minutes duration on a schedule of lectures about cardiovascular risk
Pontifical Catholic University of Rio Grande do Sul
Porto Alegre, Rio Grande do Sul, Brazil
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.
Time frame: Measured after three months at the end of intervention
Abdominal circumference measured by waist circumference in cm
Reduction of at least 5% abdominal circumference measured by waist circumference in cm
Time frame: Measured after three months at the end of intervention
Dietary aspects as measured by healthy eating index (IAS)
Improves 5% of the Diet quality measured by healthy eating index (IAS)
Time frame: Measured after three months at the end of intervention
Capacity cardiopulmonary measured by VO2 max
Increase 5% in capacity cardiopulmonary measured by VO2 max
Time frame: Measured after three months at the end of intervention
Blood pressure measured by the blood pressure measurement
Reduced at least 7% in systolic blood pressure measured by the blood pressure measurement
Time frame: Measured after three months at the end of intervention
Plasma triglycerides measured by the blood sample
Reduction of at least 20% of the plasma triglycerides measured by the blood sample
Time frame: Measured after three months at the end of intervention
Plasma HDL cholesterol measured by the blood sample
Increase of at least 5% of the plasma HDL cholesterol measured by the blood sample
Time frame: Measured after three months at the end of intervention
Total cholesterol and LDL measured by the blood sample
Reduction of at least 5% in total cholesterol and LDL measured by the blood sample
Time frame: Measured after three months at the end of intervention
Glycemic profile assessed by fasting glucose
Glycemic profile is expected to be reduced by at least 5% at the end of the intervention assessed by fasting glucose
Time frame: Measured after three months at the end of intervention
Readiness for change measured by the readiness ruler to physical exercise
Increase of one point in the continuous variable readiness to change for performing physical exercise measured by the readiness ruler to physical exercise
Time frame: Measured after three months at the end of intervention
Readiness for change measured by the readiness ruler to physical nutrition
Increase of one point in the continuous variable readiness to change for performing physical nutrition measured by the readiness ruler to physical exercise
Time frame: Measured after three months at the end of intervention
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