Motivational interviewing to promote healthy behaviors for obesity prevention in young adults (MOTIVATE): a pilot randomized controlled trial protocol

Pilot and Feasibility Studies

Study Protocol

Matthew Kwan¹  Taylor Incze²  Elizabeth Alvarez³  Jean-Eric Tarride⁴  Laura N. Anderson⁵  Lawrence Mbuagbaw⁶ 

[1] Department of Child and Youth Studies, Brock University, St. Catharines, ON, Canada;Department of Family Medicine, McMaster University, Hamilton, ON, Canada;Department of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main Street W, L8S 4L8, Hamilton, ON, Canada;Department of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main Street W, L8S 4L8, Hamilton, ON, Canada;Center for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, ON, Canada;Department of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main Street W, L8S 4L8, Hamilton, ON, Canada;Center for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, ON, Canada;Programs for Assessment of Technology in Health (PATH), The Research Institute of St. Joe’s Hamilton, St. Joseph’s Healthcare, Hamilton, Canada;Department of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main Street W, L8S 4L8, Hamilton, ON, Canada;Child Health Evaluative Sciences, Hospital for Sick Children Research Institute, Toronto, ON, Canada;Center for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, ON, Canada;Department of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main Street W, L8S 4L8, Hamilton, ON, Canada;Department of Pediatrics, McMaster University, Hamilton, ON, Canada;Biostatistics Unit, Father Sean O’Sullivan Research Centre, St Joseph’s Healthcare, Hamilton, ON, Canada;Centre for Development of Best Practices in Health (CDBPH), Yaoundé Central Hospital, Yaoundé, Cameroon;Division of Epidemiology and Biostatistics, Department of Global Health, Stellenbosch University, Cape Town, South Africa;Department of Anaesthesia, McMaster University, Hamilton, ON, Canada;

关键词: Obesity;    Prevention;    Young adults;    Health behaviors;    Intervention;    Motivational interviewing;   

DOI  :  10.1186/s40814-023-01385-0

 received in 2023-01-16, accepted in 2023-08-22,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundObesity is a chronic disease and is an established risk factor for other chronic diseases and mortality. Young adulthood is a period when people may be highly amenable to healthy behavior change, develop lifelong healthy behaviors, and when primary prevention of obesity may be feasible. Interventions in early adulthood have the potential for primary or primordial prevention (i.e., preventing risk factors before disease onset). The primary objective of this study is to determine the feasibility of a 6-month behavioral and educational intervention to promote healthy behaviors for obesity prevention among young adults.MethodsThis is the study protocol for a pilot randomized controlled trial. Young adults (age 18–29) attending McMaster University, Hamilton, Canada, will be recruited and randomized to either the intervention or control. The intervention will include individual motivational interviewing sessions (online or in-person) with a trained interviewer plus educational materials (based on Canada’s food guide and physical activity recommendations). The control group will receive educational materials only. The primary feasibility outcomes that will be evaluated as part of this pilot study include enrollment, retention (≥ 80%), data completion (≥ 80% of weights measured, and surveys completed), and participant satisfaction. Secondary clinical outcomes will include body mass index (BMI) change from baseline to 6 months, physical activity, nutrition risk, health-related quality of life mental health, and economic outcomes. Outcomes will be measured remotely using activity trackers, and online questionnaires at baseline and every 2 months. Risk stratification will be applied at baseline to identify participants at high risk of obesity (e.g., due to family or personal history). Exit questionnaires will collect data on how participants felt about the study and cost analysis will be conducted.DiscussionOur pilot randomized controlled trial will evaluate the feasibility of an obesity prevention intervention in early adulthood and will inform future larger studies for obesity prevention. The results of this study have the potential to directly contribute to the primary prevention of several types of cancer by testing an intervention that could be scalable to public health, post-secondary education, or primary care settings.Trial registrationhttps://clinicaltrials.gov/ct2/show/NCT05264740. Registered on March 3, 2022.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

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