Promoting Healthy Lifestyle Behaviors
Condition: Behavioral / Psychiatric Disorder; Lifestyle, Healthy
MeSH terms: Mental Disorders; Problem Behavior
Study type: Interventional

Summary: 
      This study's purpose is to identify factors that may aid in answering the clinical question:
      Among adolescents 12-17 years old who are diagnosed with a mental health condition(s), does a
      family-based educational intervention improve healthy lifestyle knowledge and behaviors,
      including nutrition, PA, screen time, and sleep? The specific aims are to: Aim 1: To educate
      adolescents with mental health conditions and their family members about ways to improve
      healthy lifestyle behaviors. Aim 2: To evaluate an increase in knowledge on healthy lifestyle
      behaviors after a 45-minute online education session. Aim 3: To evaluate an increase in
      healthy lifestyle behaviors after the intervention.

      This project utilizes a one-group pretest-posttest design study for 30 adolescents (aged
      12-17 years) diagnosed with a mental health condition(s) and their parent/legal guardian.
      This project will implement best practices to promote healthy lifestyle knowledge and
      behaviors to adolescents and their parent(s)/legal guardian(s). This will be a 45-minute
      educational presentation delivered via Zoom. Participants will have option to select between
      2-3 dates and times for educational presentation. The investigators will compare the effects
      of an educational program on healthy lifestyle knowledge and behaviors pre-and post-program
      (after one month) via a REDCap survey for the adolescent and their parent/legal guardian. The
      survey will utilize an adapted version of the 2021 National Youth Risk Behavior Survey (YRBS)
      and the 2020 National Survey of Children's Health (NSCH-T3). The analysis of this project
      will compare changes in healthy lifestyle knowledge and behaviors using a paired t-test. The
      educational presentation will be recorded and emailed to participants within 1 week of
      intervention to re-watch/review.
    

Detailed description: 
      The pediatric population faces a public health crisis involving children and adolescents with
      overweight or obesity. Childhood obesity has become the most disconcerting and predominant
      pediatric nutritional disorder worldwide. From 2017 to 2018, 19.3% of the children and
      adolescents in the United States (US) were diagnosed with obesity. Childhood obesity has been
      linked to psychological conditions such as depression and anxiety. Children that are
      overweight or obese are more commonly diagnosed with depression than children with a healthy
      weight. In 2019, 13.6% of children five to seventeen years old received mental health
      treatment in twelve months, and 8.4% of that population had taken psychotropic medication for
      their mental health condition.

      Healthy lifestyle behaviors impact short and long-term health and quality of life among
      children with depression. Physical activity (PA), healthy nutritional habits, and maintaining
      a healthy weight can improve children's quality of life with depression and overweight or
      obesity. Parents have the most significant influence on their children's health. Thus,
      family-based intervention studies have been conducted to promote children's healthy lifestyle
      behaviors. Behavioral interventions that combine nutritional, physical, and behavioral
      components and parental involvement have proven to be the best and most effective practice
      for treating and preventing childhood obesity among adolescents 12-17 years old.

      Although there is evidence to support that adolescents benefit from peer and family support
      and group education, there are few in-depth studies documenting lifestyle modifications that
      can improve this population's overall physical and mental health. Given this lack of
      implementation into practice, this project aims to improve healthy lifestyle knowledge and
      behaviors among adolescents with a mental health condition(s) through preventative and
      detailed nutritional, physical activity, screen time, and sleep education.

      This study's purpose is to identify factors that may aid in answering the clinical question:
      Among adolescents 12-17 years old who are diagnosed with a mental health condition(s), does a
      family-based educational intervention improve healthy lifestyle knowledge and behaviors,
      including nutrition, PA, screen time, and sleep? The specific aims are to: Aim 1: To educate
      adolescents with mental health conditions and their family members about ways to improve
      healthy lifestyle behaviors. Aim 2: To evaluate an increase in knowledge on healthy lifestyle
      behaviors after a 45-minute online education session. Aim 3: To evaluate an increase in
      healthy lifestyle behaviors after the intervention.
    

Intervention name(s): Zoom Intervention
Intervention type(s): Behavioral
Intervention description(s): This educational program will be delivered via a 45-minute presentation via Zoom.
The educational presentation will be recorded and emailed to participants within 1 week of intervention to re-watch/review.
The educational program will promote a healthy lifestyle knowledge and behaviors through education evidenced by the CDC, WHO, and the American Academy of Pediatrics. Educational sessions will include the importance of healthy lifestyle modifications in the adolescent population with a mental health condition(s), lifestyle recommendations versus reality, nutrition, physical activity, screen time, and sleep recommendations and guidelines.
We will compare the effects of an educational program on healthy lifestyle knowledge and behaviors pre-and post-program (after one month) via a REDCap survey for the adolescent and their parent/legal guardian.
Intervention model: Single Group Assignment
Intervention model description: This project utilizes a one-group pretest-posttest design study for 9 adolescents (aged 12-17 years) diagnosed with a mental health condition(s) and their parent/legal guardian.
This educational program will be delivered via a 45-minute presentation via Zoom.
Participants will have the option to select between multiple dates and times for educational presentation
The educational presentation will be recorded and emailed to participants within 1 week of intervention to re-watch/review.
The educational program will promote healthy lifestyle knowledge and behaviors through education evidenced by the Centers for Disease Control (CDC), World Health Organization (WHO), and the American Academy of Pediatrics.
We will compare the effects of an educational program on healthy lifestyle knowledge and behaviors pre-and post-program (after one month) via a REDCap survey for the adolescent and their parent/legal guardian.
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Adolescent; Behavioral Health Condition; Behavioral / Psychiatric Disorder; Lifestyle Modification; Lifestyle; Healthy