Metaverse-Based Healthy Life Program for Youth

Study Overview
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Brief Summary
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This study was planned within the scope of the call titled Non-communicable diseases risk reduction in adolescence and youth (Global Alliance for Chronic Diseases - GACD) with identity number HORIZON-HLTH-2022-DISEASE-07-03. The purpose of this project; is to determine the effect of the Metaverse-Based Healthy Life Program to be developed in the project to support youths in decreasing future risks of developing non-communicable diseases (NCDs) and in gaining healthy lifestyle behaviors (HLBs).

Detailed Description
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The project consists of three phases. Phase 1 Testing the content, quality, reliability, and usability of the Metaverse-Based Healthy Life Program for Youth to be developed within the scope of the project Phase 2 Identifying youth at high risk of chronic non-communicable diseases in the research population Phase 3 Evaluating the effect of Metaverse-Based Healthy Life Program for Youth implementation on inculcating healthy lifestyle behaviors in youth

Official Title
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The Effect of Metaverse-Based Healthy Life Program on Risk Reduction of Non-Communicable Diseases in Youth

Conditions
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Health Risk Behaviors, Healthy Lifestyle, Non Communicable Diseases, Health-Related Behavior, Healthy Eating Index, Healthy Nutrition, Physical Inactivity, Stress, Emotional

Intervention / Treatment
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* Behavioral: MetaHealth Group
* Behavioral: MobileHealth Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being a university student in the project partner countries and not older than 24, Having a score of 130 or lower on the HLBS II in the first stage of the research, Determining that BMI ≥ 25-34.99 kg/m2 in the first stage of the research and Using a smartwatch during the research, Accepting to participate in the research voluntarily Exclusion Criteria: Having chronic diseases (asthma, diabetes, heart, kidney failure, hypertension, cancer, etc.) Those who have a drug that they use constantly Having a psychiatric diagnosis (depression, anxiety, bipolar disorder, schizophrenia, etc.) Having a disease that prevents the use of metaverse (vertigo, vision, hearing, etc.)

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 24 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Parallel Desing Active Comparative Group Randomized Controlled Trial
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: MetaHealth Group<br>It is intervention group that aims to provide youth with healthy lifestyle behaviors by using metaverse technology. | Behavioral: MetaHealth Group<br>* Three metaverse rooms will be created via metaverse technology that aims to develop healthy nutrition, physical activity, and psychological resilience skills to reduce the risk of of NCDs in youth.<br>|
| Active Comparator: MobileHealth Group<br>It is comparator group that aims to provide youth with healthy lifestyle behaviors by using mobile application materials with digital health education will be given to the MobileHealth Group. | Behavioral: MobileHealth Group<br>* The intervention aims to develop healthy nutrition, physical activity, and psychological resilience skills using mobile application materials to reduce the risk of NCDs in youth.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Healthy Lifestyle Behavior Scale II (HLBS II) | The HLBS II consists of 52 items in total and has 6 sub-factors. Sub-factors are spiritual growth, health responsibility, physical activity, nutrition, interpersonal relationships, and stress management. All items on the scale are positive. The rating is in the form of a 4-point Likert. Never (1), sometimes (2), often (3), regularly (4). The lowest score for the whole scale is 52, and the highest score is 208. The Cronbach Alpha reliability coefficient of the scale is 0.94. | The HLBS II score will evaluate at baseline | 
| Healthy Lifestyle Behavior Scale II (HLBS II) | The HLBS II consists of 52 items in total and has 6 sub-factors. Sub-factors are spiritual growth, health responsibility, physical activity, nutrition, interpersonal relationships, and stress management. All items on the scale are positive. The rating is in the form of a 4-point Likert. Never (1), sometimes (2), often (3), regularly (4). The lowest score for the whole scale is 52, and the highest score is 208. The Cronbach Alpha reliability coefficient of the scale is 0.94. | The HLBS II score will evaluate at third month | 
| Healthy Lifestyle Behavior Scale II (HLBS II) | The HLBS II consists of 52 items in total and has 6 sub-factors. Sub-factors are spiritual growth, health responsibility, physical activity, nutrition, interpersonal relationships, and stress management. All items on the scale are positive. The rating is in the form of a 4-point Likert. Never (1), sometimes (2), often (3), regularly (4). The lowest score for the whole scale is 52, and the highest score is 208. The Cronbach Alpha reliability coefficient of the scale is 0.94. | The HLBS II score will evaluate at sixth month | 
| International Physical Activity Questionnaire-Short Form (IPAQ-SF) | The IPAQ-SF is a standardized questionnaire prepared to measure the physical activity of people between the ages of 15 and 65. In the survey, there are 7 questions in total in 4 separate sections about the activities that have been done for a minimum of 10 minutes in the last 7 days. The results obtained in the assessment are calculated as metabolic equivalent task (MET) - min/week. | The IPAQ-SF score will evaluate at baseline | 
| International Physical Activity Questionnaire-Short Form (IPAQ-SF) | The IPAQ-SF is a standardized questionnaire prepared to measure the physical activity of people between the ages of 15 and 65. In the survey, there are 7 questions in total in 4 separate sections about the activities that have been done for a minimum of 10 minutes in the last 7 days. The results obtained in the assessment are calculated as metabolic equivalent task (MET) - min/week. | The IPAQ-SF score will evaluate at third month | 
| International Physical Activity Questionnaire-Short Form (IPAQ-SF) | The IPAQ-SF is a standardized questionnaire prepared to measure the physical activity of people between the ages of 15 and 65. In the survey, there are 7 questions in total in 4 separate sections about the activities that have been done for a minimum of 10 minutes in the last 7 days. The results obtained in the assessment are calculated as metabolic equivalent task (MET) - min/week. | The IPAQ-SF score will evaluate at sixth month | 
| Positive and Negative Affect Schedule (PANAS-SF) | The PANAS-SF is a self-report questionnaire that consists of two 10-item scales to measure both positive and negative affect. Each item is rated on a 5-point scale of 1 (not at all) to 5 (very much). | The PANAS-SF score will evaluate at baseline | 
| Positive and Negative Affect Schedule (PANAS-SF) | The PANAS-SF is a self-report questionnaire that consists of two 10-item scales to measure both positive and negative affect. Each item is rated on a 5-point scale of 1 (not at all) to 5 (very much). | The PANAS-SF score will evaluate at third month | 
| Positive and Negative Affect Schedule (PANAS-SF) | The PANAS-SF is a self-report questionnaire that consists of two 10-item scales to measure both positive and negative affect. Each item is rated on a 5-point scale of 1 (not at all) to 5 (very much). | The PANAS-SF score will evaluate at sixth month |