Clinical trial NCT03364205: Solution Focused Approach in Adolescents (SFA)
Official title: The Effect of the Solution Focused Approach (SFA) on Nutrition-Exercise Attitudes and Behaviors of Overweight and Obese Adolescents: Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Obesity
Overweight and Obesity
Adolescent Obesity
Keywords: SFA interview technique
adolescence
obesity
nutrition
exercise
Lead sponsor: Cumhuriyet University
Sponsor class: OTHER
Collaborators: name: TC Erciyes University
First posted: 2017-12-06
Enrollment: 2
Sex: ALL
Minimum age (years): 12
Maximum age (years): 13
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Intervention model description: Randomized Controlled Trials
Primary purpose: PREVENTION

Brief summary: Aims-objectives: This study assessed the effect of the Solution Focused Approach (SFA) interview technique on overweight/obese adolescents' nutrition-exercise attitudes and behaviors.

Background: Obesity is a serious health problem for all age groups, particularly adolescents; therefore, it is important for adolescents to develop healthy nutrition habits, acquire exercise behaviors. Unless healthy nutrition-exercise behaviors are acquired, obesity can develop in adolescence, continue in adulthood. Focusing on solutions can be effective for overweight/obese adolescents to develop healthy nutrition-exercise behaviors.

Design: A pretest-posttest randomized-controlled trial design was used.

Methods: The study included 32 overweight/obese adolescents (16 for intervention group, 16 for control group) aged12-13 years who attended a health center, met the inclusion criteria. The SFA interview technique was applied to the intervention group. Eight solution-focused interviews were conducted with each adolescent at two-week intervals (interview length 30 to 45minutes). For each group, anthropometric, metabolic measurement follow-ups were conducted in the first and sixth months. The data were evaluated using independent samples t-test, Mann-Whitney U, Wilcoxon test respectively for normally, non-normally distributed variables. The categorical variables were compared using chi-square test. The value p\<0.05 was accepted to be statistically significant.

Detailed description: Solution Focused Approach (SFA) interview technique is an approach that can be used by nurses who have important roles in the protection, maintenance and promotion of health in healthcare services. Because the SFA interview technique can be integrated into all dimensions of health, it enables children and adolescents to be aware of their own strengths and skills and to improve their skills. This raised awareness encourages individuals to start and maintain change. The earlier the awareness of individuals is raised, the higher the achievement level of the approach will increase. Further studies can be conducted in which the duration of the SFA interview technique follow-ups is longer. Moreover, it can be suggested that studies be conducted to analyze the cost-effectiveness of this approach.

All health professionals in general and, specifically nurses, should be educated about the SFA interview technique strategies. Nurses who carry out the SFA interviews conducted using the SFA interview technique should enable individuals to realize their own strengths. The number of interviews can be determined in accordance with the topic and the data obtained from individuals. If the interviews are carried out with school children-adolescents, attention should be paid to conduct interviews with their families. Enabling individuals to reach a solution using the SFA interview technique strategies is the major point of interviews. This result may not appear immediately. Interviews should be continued with patience to find what works in resistant individuals.

After these interviews are completed, interviews should be continued with the individuals periodically. To enable individuals to maintain their nutrition and exercise behaviors, interviews should be carried out with adolescents and their families at least twice in a month after the SFA interviews. Nurses who conduct SFA interviews can carry out individual interviews or group interviews in Endocrinology Polyclinics, Family Health Centers, or at schools as a school nurse.

Eligibility criteria: Inclusion Criteria:

* Twelve-thirteen aged between,
* Diagnosed metabolic disease, without
* BMI \>85 percentile (\>+1SD), overweight and BMI\>95 (\>+2SD) percentile obese adolescents
* Communicate
* Any conditions that interfere with exercise (who do not have disability, such as cardiac failure)

Exclusion Criteria:

* From teenagers who indicated they could not continue until the end of the study,
* Metabolic disease,
* Metformin uses
* Adolescents who move out of County

Primary outcomes:
measure: the Family and Adolescent Introductory Information Form and Overweight and Obese Adolescents' Nutrition-Exercise Behavior Identification Form
timeFrame: one month
measure: Anthropometric measurement (weight measurement)
timeFrame: one month
measure: Anthropometric measurement (height measurement)
timeFrame: one month
measure: Anthropometric measurement (Calculation of Body Mass Index or BMI)
timeFrame: one month
measure: Anthropometric measurement (Body Mass Index Percentile (BMI percentile) calculation)
timeFrame: one month
measure: Anthropometric measurement (Body Mass Index - Standard Deviation Score(BMI-SDS) calculation)
timeFrame: one month
measure: Metabolic measurement (Preprandial Blood Glucose)
timeFrame: one month
measure: Metabolic measurement (Preprandial insulin)
timeFrame: one month
measure: Metabolic measurement (Homeostasis Model of Assesment for insulin Resistance (HOMA-IR))
timeFrame: one month
measure: Metabolic measurement (LDL-cholesterol)
timeFrame: one month
measure: Metabolic measurement (HDL-cholesterol)
timeFrame: one month
measure: Metabolic measurement (Total cholesterol)
timeFrame: one month
measure: Metabolic measurement (Triglyceride)
timeFrame: one month
measure: the application of scale - Nutrition-Exercise Attitude Scale (NEAS)
timeFrame: one month
measure: the application of scale - Nutrition-Exercise Behavior Scale (NEBS)
timeFrame: one month
Secondary outcomes:
measure: Anthropometric measurement (weight measurement)
timeFrame: six month
measure: Anthropometric measurement (height measurement)
timeFrame: six month
measure: Anthropometric measurement (Calculation of Body Mass Index or BMI)
timeFrame: six month
measure: Anthropometric measurement (Body Mass Index Percentile (BMI percentile) calculation)
timeFrame: six month
measure: Anthropometric measurement (Body Mass Index - Standard Deviation Score(BMI-SDS) calculation)
timeFrame: six month
measure: Metabolic measurement (Preprandial Blood Glucose)
timeFrame: six month
measure: Metabolic measurement (Preprandial insulin)
timeFrame: six month
measure: Metabolic measurement (Homeostasis Model of Assesment for insulin Resistance (HOMA-IR))
timeFrame: six month
measure: Metabolic measurement (LDL-cholesterol)
timeFrame: six month
measure: Metabolic measurement (HDL-cholesterol)
timeFrame: six month
measure: Metabolic measurement (Total cholesterol)
timeFrame: six month
measure: Metabolic measurement (Triglyceride)
timeFrame: six month
measure: the application of scale- Nutrition-Exercise Attitude Scale (NEAS)
timeFrame: six month
measure: the application of scale - Nutrition-Exercise Behavior Scale (NEBS)
timeFrame: six month
Other outcomes:
Locations:
city: Sivas
country: Turkey
facility: Cumhuriyet University
Study officials:
affiliation: TC Erciyes University
name: Emine- Ümit SEVİG, 2
role: STUDY_DIRECTOR
affiliation: Cumhuriyet University
name: Nuran Güler, 3
role: STUDY_DIRECTOR
References: