Dian K Dewi, Rini Sekartini, Diana Sunardi, Pradana Soewondo, Em Yunir, Indah S Widyahening, Sali R Asih, Anitawati Seman, Kitra Latuasan, Dhanasari Vidiawati
{"title":"基于自我赋权的以患者为中心的护理对初级服务中肥胖学生的有效性：一项随机对照试验。","authors":"Dian K Dewi, Rini Sekartini, Diana Sunardi, Pradana Soewondo, Em Yunir, Indah S Widyahening, Sali R Asih, Anitawati Seman, Kitra Latuasan, Dhanasari Vidiawati","doi":"10.4103/jfcm.jfcm_237_22","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Self-empowerment-based patient-centered services with a coaching approach are imperative in the management of students with obesity. This study evaluated the applicability and effectiveness of self-empowerment-based patient-centered coaching for the weight loss program model for obese students.</p><p><strong>Materials and methods: </strong>This randomized control trial recruited 60 obese students aged 17-22 years in Universitas Indonesia from August to December 2021. Intervention group subjects were coached by a health coach. Each health coach assisted four subjects with SMART model coaching in six meetings every 2 weeks through a zoom platform. Both groups had instructions on obesity, nutrition, and physical activity from specialist doctors online. Paired t-test or Mann-Whitney test, as appropriate, to compare the measurements of anthropometry, body composition (bioelectrical impedance analysis), food intake (food record form), physical activity (physical activity form), subjective well-being (subjective well-being questionnaire), and healthy behavior habits (satisfaction scale) between the two groups before and after the intervention.</p><p><strong>Results: </strong>A total of 41 obese students completed the study, 23 from intervention group and 18 from the control group. The change in total body fat (-0.9 [-12.9, 0.70] vs. 0.0 [-6.9, 3.50], <i>P</i> = 0.02) and healthy behavior habit (13.5 ± 11.85 vs. 7.5 ± 8.08, <i>P =</i> 0.04) in the intervention group was significantly greater than in the control group. The change in satisfaction scale of hobby/passion (2 [-4.6] vs. 1 [-2.2], <i>P =</i> 0.02), movement exercise (2.3 ± 2.11 vs. 1.2 ± 1.93, <i>P =</i> 0.03), sleep rest (2 [-6.5] vs. 1 [-3.2], <i>P =</i> 0.01), and spiritual (1 [0.6] vs. 0 [-1.3], <i>P =</i> 0.00) was significantly higher in the coached group.</p><p><strong>Conclusion: </strong>A weight loss program for obese students was tested through self-empowerment-based patient-centered care with a coaching approach and has proven to effect changes in anthropometric indicators, body composition, self-empowerment, food intake, and physical activity.</p>","PeriodicalId":46862,"journal":{"name":"Journal of Family and Community Medicine","volume":"30 1","pages":"51-58"},"PeriodicalIF":1.9000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/99/JFCM-30-51.PMC9954426.pdf","citationCount":"0","resultStr":"{\"title\":\"The effectiveness of self-empowerment-based patient-centered care for obese students in primary services: A randomized controlled trial.\",\"authors\":\"Dian K Dewi, Rini Sekartini, Diana Sunardi, Pradana Soewondo, Em Yunir, Indah S Widyahening, Sali R Asih, Anitawati Seman, Kitra Latuasan, Dhanasari Vidiawati\",\"doi\":\"10.4103/jfcm.jfcm_237_22\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Self-empowerment-based patient-centered services with a coaching approach are imperative in the management of students with obesity. This study evaluated the applicability and effectiveness of self-empowerment-based patient-centered coaching for the weight loss program model for obese students.</p><p><strong>Materials and methods: </strong>This randomized control trial recruited 60 obese students aged 17-22 years in Universitas Indonesia from August to December 2021. Intervention group subjects were coached by a health coach. Each health coach assisted four subjects with SMART model coaching in six meetings every 2 weeks through a zoom platform. Both groups had instructions on obesity, nutrition, and physical activity from specialist doctors online. Paired t-test or Mann-Whitney test, as appropriate, to compare the measurements of anthropometry, body composition (bioelectrical impedance analysis), food intake (food record form), physical activity (physical activity form), subjective well-being (subjective well-being questionnaire), and healthy behavior habits (satisfaction scale) between the two groups before and after the intervention.</p><p><strong>Results: </strong>A total of 41 obese students completed the study, 23 from intervention group and 18 from the control group. The change in total body fat (-0.9 [-12.9, 0.70] vs. 0.0 [-6.9, 3.50], <i>P</i> = 0.02) and healthy behavior habit (13.5 ± 11.85 vs. 7.5 ± 8.08, <i>P =</i> 0.04) in the intervention group was significantly greater than in the control group. The change in satisfaction scale of hobby/passion (2 [-4.6] vs. 1 [-2.2], <i>P =</i> 0.02), movement exercise (2.3 ± 2.11 vs. 1.2 ± 1.93, <i>P =</i> 0.03), sleep rest (2 [-6.5] vs. 1 [-3.2], <i>P =</i> 0.01), and spiritual (1 [0.6] vs. 0 [-1.3], <i>P =</i> 0.00) was significantly higher in the coached group.</p><p><strong>Conclusion: </strong>A weight loss program for obese students was tested through self-empowerment-based patient-centered care with a coaching approach and has proven to effect changes in anthropometric indicators, body composition, self-empowerment, food intake, and physical activity.</p>\",\"PeriodicalId\":46862,\"journal\":{\"name\":\"Journal of Family and Community Medicine\",\"volume\":\"30 1\",\"pages\":\"51-58\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/99/JFCM-30-51.PMC9954426.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Family and Community Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/jfcm.jfcm_237_22\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/12/29 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Family and Community Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jfcm.jfcm_237_22","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/12/29 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
The effectiveness of self-empowerment-based patient-centered care for obese students in primary services: A randomized controlled trial.
Background: Self-empowerment-based patient-centered services with a coaching approach are imperative in the management of students with obesity. This study evaluated the applicability and effectiveness of self-empowerment-based patient-centered coaching for the weight loss program model for obese students.
Materials and methods: This randomized control trial recruited 60 obese students aged 17-22 years in Universitas Indonesia from August to December 2021. Intervention group subjects were coached by a health coach. Each health coach assisted four subjects with SMART model coaching in six meetings every 2 weeks through a zoom platform. Both groups had instructions on obesity, nutrition, and physical activity from specialist doctors online. Paired t-test or Mann-Whitney test, as appropriate, to compare the measurements of anthropometry, body composition (bioelectrical impedance analysis), food intake (food record form), physical activity (physical activity form), subjective well-being (subjective well-being questionnaire), and healthy behavior habits (satisfaction scale) between the two groups before and after the intervention.
Results: A total of 41 obese students completed the study, 23 from intervention group and 18 from the control group. The change in total body fat (-0.9 [-12.9, 0.70] vs. 0.0 [-6.9, 3.50], P = 0.02) and healthy behavior habit (13.5 ± 11.85 vs. 7.5 ± 8.08, P = 0.04) in the intervention group was significantly greater than in the control group. The change in satisfaction scale of hobby/passion (2 [-4.6] vs. 1 [-2.2], P = 0.02), movement exercise (2.3 ± 2.11 vs. 1.2 ± 1.93, P = 0.03), sleep rest (2 [-6.5] vs. 1 [-3.2], P = 0.01), and spiritual (1 [0.6] vs. 0 [-1.3], P = 0.00) was significantly higher in the coached group.
Conclusion: A weight loss program for obese students was tested through self-empowerment-based patient-centered care with a coaching approach and has proven to effect changes in anthropometric indicators, body composition, self-empowerment, food intake, and physical activity.
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