Diet Habit, Metabolic Disease, Obese
Conditions
Brief summary
This study aims to validate and pilot test the short-term intervention effect of a newly developed healthy metabolic behaviour tool, named as the 6P tool, on dietary attitude/ practice and body weight changes over one month among overweight and obese women. A total of 50 women, aged 21-40 years, BMI ≥25 kg/m2, who are attending the preconception clinic and planning for a pregnancy over the next one year, will be invited to participate in this pilot study. The recruitment period is estimated to take up to 10 weeks, with subsequent 1 month follow-up visit.
Detailed description
Preconception is a stage that could critically influence subsequent antenatal and postnatal health of mother and offspring. In Singapore, approximately one-third of women are overweight and obese during the preconception period. In the present pilot study, the investigators aim to introduce a simple, self-administered tool that can identify discrete components of an individual's diet, which would lead to self-awareness, self-evaluation and self-education, and over time, results in a positive change in eating habits and health. Specifically, the study aims i) to validate a newly developed tool that comprises six main dietary components (6P), namely Portion, Proportion, Pleasure, Phase, Physicality and Psychology in overweight and obese women during the preconception period; (ii) and to assess the short-term intervention effect of the 6P tool on dietary attitude/ practice and body weight changes over one month. The investigators hypothesise that intervention using this 6P tool in overweight and obese women will help them to promote healthy eating behaviours and reduce body weight. This study targets to recruit 50 overweight/ obese preconception women, from KK Women's and Children's Hospital, to evaluate the effectiveness of the tool over one month. Throughout the one month follow up period, nudges in the form of text messages/images related to the 6P goals will be sent to participants through mobile phone. This validated 6P tool is planned to be applied in a preconception targeted intervention cohort in order to build a positive mental model in healthy eating among overweight and obese women, enhancing awareness and belief towards weight management behaviour, and promoting a healthy life cycle.
Interventions
BEHAVIORAL6P intervention
6P assessment targeting on diet, activity and mentality, along with education provided based on the 6P components. The 6P tool serves the functions to help the women to self-monitor and be aware of their negative lifestyle choices.
Sponsors
KK Women's and Children's Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
Single arm pilot test of lifestyle intervention using newly developed tool
Eligibility
Sex/Gender
FEMALE
Age
21 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* age 21-40 years * body mass index \>= 25 kg/m2
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Physical activity | Between baseline and follow-up visit (1 month) | Assessed by the duration of physical activity in the 6P tool before and after the intervention |
| Meal timing | Between baseline and follow-up visit (1 month) | Assessed by the percentage of total caloric intake during the day and night in the 6P tool before and after the intervention |
| Meal portion size | Between baseline and follow-up visit (1 month) | Assessed by the portion size rating (scores1-7) in the 6P tool before and after the intervention. Higher score indicates higher portion size. |
| Vegetable intake | Between baseline and follow-up visit (1 month) | Assessed by the proportion assessment for vegetable intake in the 6P tool before and after the intervention |
| Pleasure food intake | Between baseline and follow-up visit (1 month) | Assessed by the frequency of pleasure food intake in the 6P tool before and after the intervention |
| Motivational level | Between baseline and follow-up visit (1 month) | Assessed by the rating of motivational level (scores 1-9) in the 6P tool before and after the intervention. Higher score indicates higher motivational level. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Screen viewing time changes | Between baseline and follow-up visit (1 month) | Assessed by the Sedentary Behavioural Questionnaire |
| Body weight changes | Between baseline and follow-up visit (1 month) | Weight changes in kg before and after the intervention |
| Body mass index changes | Between baseline and follow-up visit (1 month) | Body mass index changes in kg/m2 before and after the intervention |
| Dietary behavioral changes | Between baseline and follow-up visit (1 month) | Assessed by the Three Factor Eating Questionnaire before and after the intervention |
| Activity intensity changes | Between baseline and follow-up visit (1 month) | Assessed by the International Physical activity Questionnaire |
Other
| Measure | Time frame | Description |
|---|---|---|
| Clarify, usefulness and acceptability of the 6P tool | Follow up visit at 1 month | Assessed by the feedback evaluation questionnaire |
| Other lifestyle changes | Between baseline and follow-up visit (1 month) | Assessed by the general lifestyle questionnaire |
| Usefulness and acceptability for the nudges | 1 month | Assessed by the nudges rating scale and feedback evaluation questionnaire |
Countries
Singapore
Outcome results
None listed