Behavior Intervention for Weight Loss for Type 2 Diabetes Mellitus Adults With Obesity Problem (BMI of ≥23kg/m2)

Universiti Teknologi Mara104 enrolled

Overview

This quasi-experimental study aims to determine the effectiveness of a health intervention (Chance2Act) on behaviour change to act for weight loss among overweight/obese type 2 diabetes adults. The main question it aims to answer is: \- Is the new health intervention (Chance2Act) effective in changing overweight/obese type 2 diabetes adults from not being ready to act, to take action to lose weight?

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

104

Conditions

Obesity Diabetes Mellitus, Type 2 Behavior

Interventions

Chance2ActBEHAVIORAL

A Health education package that has been developed based on Transtheoretical Model to encourage behaviour change for weight loss among overweight/obese type 2 diabetes adults.

Eligibility

Sex: ALLMin age: 20 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * T2DM patients under follow-up of government health clinics Kuantan, Pahang. * Age between 20 - 65 years old. * Body Mass Index of more or equal to 23 kg/m2. * In the stage of pre-contemplation, contemplation, or preparation stage of change based on the S-weights questionnaire. * Able to understand, read and write in the Malay Language. * Have access to smartphone devices and internet services. * Have immediate family members (adults) who are living in the same household. Exclusion Criteria: * Pregnant patients. * Patients' advanced comorbidity that will affect participation in the study protocol (e.g. vision problem, unable to walk or physically unfit to stand up, advanced heart failure, or cancer). * Patients with mental conditions which will affect understanding of the study protocol.

Locations (2)

Beserah Health Clinic

Kuantan, Pahang, Malaysia

Paya Besar Health Clinic

Kuantan, Pahang, Malaysia

Outcomes

Primary Outcomes

Changes of readiness to change for weight loss (behaviour)

The stage of change for weight loss is based on the S-weight questionnaire (Transtheoretical Model). Data type: Categorical data (either in pre-contemplation, contemplation, preparation, or action stage)

Time frame: T0 (Week 0), T1 (Week 5), T2 (Week 9)

Secondary Outcomes

Changes of self-efficacy for weight loss (behaviour)

The changes for self-efficacy to control eating impulses based on Weight Efficacy Lifestyle Questionnaire (Transtheoretical Model). Domains (4 items in each domain) * Negative emotions * Availability * Social Pressure * Physical discomfort * Positive Activities Data type: Numerical data. A higher score shows better outcomes. Rating of each item: 0 - 9 Lowest score: 0 in each subscale Highest score: 36 in each subscale

Time frame: T0 (Week 0), T1 (Week 5), T2 (Week 9)

Changes of decisional balance for weight loss (behaviour)

The changes for decisional balance to decide on the pros and cons of weight loss based on the Decisional Questionnaire Inventory questionnaire (Transtheoretical Model). Domains (10 items in each domain) * Pro scale (Measure the positive effects from weight loss. A higher score shows better outcomes) * Con scale (Measure the negative effects from weight loss. A higher score shows worse outcomes) Rating of each item: 1 - 5 Data type: Numerical data. Lowest score: 10 in each subscale Highest score: 50 in each subscale

Time frame: T0 (Week 0), T1 (Week 5), T2 (Week 9)

Changes in family support for healthy diet and physical activity to encourage weight loss (social support)

The changes for social support for weight loss based on the Social Support Scale for Diet and Exercise Domains: * Family support for physical activity (12 items) * Family encouragement for healthy diet (5 items) * Family discouragement for healthy diet (5 items) Rating for each item: 1 - 5 Data type: Numerical data. Total subscale score: Family support for physical activity: 12 - 60: A higher score shows better outcomes. Family encouragement for healthy eating 5 - 25: A higher score shows better outcomes. Family discouragement for healthy eating 5 - 25: A higher score shows worse outcomes

Data from ClinicalTrials.gov

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