Behavioral / Psychiatric Disorder, Lifestyle, Healthy
Conditions
Keywords
Adolescent, Behavioral Health Condition, Behavioral / Psychiatric Disorder, Lifestyle Modification, Lifestyle, Healthy
Brief summary
This study's purpose is to identify factors that may aid in answering the clinical question: Among adolescents 12-17 years old who are diagnosed with a mental health condition(s), does a family-based educational intervention improve healthy lifestyle knowledge and behaviors, including nutrition, PA, screen time, and sleep? The specific aims are to: Aim 1: To educate adolescents with mental health conditions and their family members about ways to improve healthy lifestyle behaviors. Aim 2: To evaluate an increase in knowledge on healthy lifestyle behaviors after a 45-minute online education session. Aim 3: To evaluate an increase in healthy lifestyle behaviors after the intervention. This project utilizes a one-group pretest-posttest design study for 30 adolescents (aged 12-17 years) diagnosed with a mental health condition(s) and their parent/legal guardian. This project will implement best practices to promote healthy lifestyle knowledge and behaviors to adolescents and their parent(s)/legal guardian(s). This will be a 45-minute educational presentation delivered via Zoom. Participants will have option to select between 2-3 dates and times for educational presentation. The investigators will compare the effects of an educational program on healthy lifestyle knowledge and behaviors pre-and post-program (after one month) via a REDCap survey for the adolescent and their parent/legal guardian. The survey will utilize an adapted version of the 2021 National Youth Risk Behavior Survey (YRBS) and the 2020 National Survey of Children's Health (NSCH-T3). The analysis of this project will compare changes in healthy lifestyle knowledge and behaviors using a paired t-test. The educational presentation will be recorded and emailed to participants within 1 week of intervention to re-watch/review.
Detailed description
The pediatric population faces a public health crisis involving children and adolescents with overweight or obesity. Childhood obesity has become the most disconcerting and predominant pediatric nutritional disorder worldwide. From 2017 to 2018, 19.3% of the children and adolescents in the United States (US) were diagnosed with obesity. Childhood obesity has been linked to psychological conditions such as depression and anxiety. Children that are overweight or obese are more commonly diagnosed with depression than children with a healthy weight. In 2019, 13.6% of children five to seventeen years old received mental health treatment in twelve months, and 8.4% of that population had taken psychotropic medication for their mental health condition. Healthy lifestyle behaviors impact short and long-term health and quality of life among children with depression. Physical activity (PA), healthy nutritional habits, and maintaining a healthy weight can improve children's quality of life with depression and overweight or obesity. Parents have the most significant influence on their children's health. Thus, family-based intervention studies have been conducted to promote children's healthy lifestyle behaviors. Behavioral interventions that combine nutritional, physical, and behavioral components and parental involvement have proven to be the best and most effective practice for treating and preventing childhood obesity among adolescents 12-17 years old. Although there is evidence to support that adolescents benefit from peer and family support and group education, there are few in-depth studies documenting lifestyle modifications that can improve this population's overall physical and mental health. Given this lack of implementation into practice, this project aims to improve healthy lifestyle knowledge and behaviors among adolescents with a mental health condition(s) through preventative and detailed nutritional, physical activity, screen time, and sleep education. This study's purpose is to identify factors that may aid in answering the clinical question: Among adolescents 12-17 years old who are diagnosed with a mental health condition(s), does a family-based educational intervention improve healthy lifestyle knowledge and behaviors, including nutrition, PA, screen time, and sleep? The specific aims are to: Aim 1: To educate adolescents with mental health conditions and their family members about ways to improve healthy lifestyle behaviors. Aim 2: To evaluate an increase in knowledge on healthy lifestyle behaviors after a 45-minute online education session. Aim 3: To evaluate an increase in healthy lifestyle behaviors after the intervention.
Interventions
BEHAVIORALZoom Intervention
This educational program will be delivered via a 45-minute presentation via Zoom. * The educational presentation will be recorded and emailed to participants within 1 week of intervention to re-watch/review. * The educational program will promote a healthy lifestyle knowledge and behaviors through education evidenced by the CDC, WHO, and the American Academy of Pediatrics. Educational sessions will include the importance of healthy lifestyle modifications in the adolescent population with a mental health condition(s), lifestyle recommendations versus reality, nutrition, physical activity, screen time, and sleep recommendations and guidelines. * We will compare the effects of an educational program on healthy lifestyle knowledge and behaviors pre-and post-program (after one month) via a REDCap survey for the adolescent and their parent/legal guardian.
Sponsors
Florida State University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
* This project utilizes a one-group pretest-posttest design study for 9 adolescents (aged 12-17 years) diagnosed with a mental health condition(s) and their parent/legal guardian. * This educational program will be delivered via a 45-minute presentation via Zoom. * Participants will have the option to select between multiple dates and times for educational presentation * The educational presentation will be recorded and emailed to participants within 1 week of intervention to re-watch/review. * The educational program will promote healthy lifestyle knowledge and behaviors through education evidenced by the Centers for Disease Control (CDC), World Health Organization (WHO), and the American Academy of Pediatrics. * We will compare the effects of an educational program on healthy lifestyle knowledge and behaviors pre-and post-program (after one month) via a REDCap survey for the adolescent and their parent/legal guardian.
Eligibility
Sex/Gender
ALL
Age
12 Years to 17 Years
Healthy volunteers
Yes
Inclusion criteria
* Adolescents, 12-17 years old, with a clinical diagnosis of a mental health condition(s) and their parent/legal guardian. * Examples of eligible diagnosed mental health conditions include major depressive disorder (MDD), generalized anxiety disorder (GAD), attention-deficit disorder (ADD)/ attention deficit hyperactivity disorder (ADHD), bipolar disorder (BPD). * Adolescents that score below 13 on the World Health Organization (Five) Well-Being Index survey or if the adolescent has answered 0 to 1 to any of the five items, they will not be allowed to complete the REDCap survey or participate in the project unless they are currently enrolled in outpatient mental health services (Ex: counseling, therapy, partial hospitalization). * Parent(s)/legal guardian(s), 18 years old or older, live with adolescents diagnosed with a mental health condition(s) Inclusion Criteria: * Individuals who are not yet adults (Adolescents 12-17 years old) * With diagnosed mental health condition (ex: Depression, Anxiety, ADD/ADHD) more than one year ago. * Adolescent eligibility determined with WHO-5 screening prior to pre-intervention survey. o Parent(s)/legal guardian(s), 18 years old or order, live with adolescents diagnosed with mental health condition(s) * Be able to read/write in English
Exclusion criteria
* Children \<12 years old or \>18 years old * Children 12-17 that are wards of the state or any other agency, institution, or entity * Adolescent scoring \<13 and not currently enrolled in mental health services, or if the adolescent has answered 0 to 1 to any of the five items, on the WHO-5, and not currently enrolled in mental health services. * Female participants that report they are pregnant before or after the start of the study will be excluded from the study. * Parent(s)/legal guardian(s) \< 18 years old * Non-legal guardians
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | One Month | Evaluate knowledge on healthy lifestyle behaviors before and one month after a 45-minute online educational session using a questionnaire (the same questionnaire for before and after intervention). |
| Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | One Month | Evaluate healthy lifestyle behaviors before and one month after a 45-minute online educational session using a questionnaire (the same questionnaire for before and after intervention). The scale was adapted from 2021 United States Census Bureau Questionnaire, 2001 PHQ-9, 2021 National Youth Physical Activity and Nutrition Study, and 2021 Youth Risk Behavior Surveillance System Questionnaire. High scores represent better outcomes. The subscale range for each question is as follows: Drink Water 1-7, Eat Breakfast 1-8, Eat dairy products 1-7, eat family dinner 1-8, eat fruit 1-7, eat whole grains 1-7, where do you eat dinner 1-7, eat vegetables 1-7, active 60min/day 1-8, aerobic activity 1-8, Muscle Strengthening Activity 1-8, sports teams 1-4, Bed at Same Time 1-6, Bedtime 7-12, Hours of Sleep 3-12, Nap during day 1-6, restless sleep 1-6, Tired during day 1-6, where do you sleep 1-7, awaken during night 1-6, WHO final score 0-25, afford food 1-3, family dinner 1-8, family exercise 1-8. |
Countries
United States
Participant flow
Recruitment details
This project enrolled 86 parent-adolescent dyads total (1 parent and 1 adolescent per dyad), and nine parent-adolescent dyads total completed the study. The setting was the Intensive Outpatient Behavioral Health Program (IOP), the Partial Hospitalization Program (PHP), and the Bridge Program at Wolfson Children Hospital in Jacksonville, Fl. Recruitment included posting approved project flyers on social media platforms such as Facebook and Instagram.
Participants by arm
| Arm | Count |
|---|---|
| Pre-Intervention Participants (Dyads) who completed the pre-survey | 18 |
| Total | 18 |
Baseline characteristics
| Characteristic | Pre-Intervention |
|---|---|
| Adolescent Weight | 106 lbs |
| Age, Categorical Adolescents <=18 years | 0 Participants |
| Age, Categorical Adolescents >=65 years | 0 Participants |
| Age, Categorical Adolescents Between 18 and 65 years | 9 Participants |
| Age, Categorical Parents/Legal Guardians <=18 years | 9 Participants |
| Age, Categorical Parents/Legal Guardians >=65 years | 0 Participants |
| Age, Categorical Parents/Legal Guardians Between 18 and 65 years | 0 Participants |
| Age, Continuous | 24 years |
| Age, Customized Adolescents | 14 years |
| Age, Customized Parent/Legal Guardians | 30 years |
| Age of Diagnosis for Adolescent Participants Only | 12 years |
| Ethnicity (NIH/OMB) Adolescents Hispanic or Latino | 6 Participants |
| Ethnicity (NIH/OMB) Adolescents Not Hispanic or Latino | 3 Participants |
| Ethnicity (NIH/OMB) Adolescents Unknown or Not Reported | 0 Participants |
| Ethnicity (NIH/OMB) Parents/Legal Guardians Hispanic or Latino | 3 Participants |
| Ethnicity (NIH/OMB) Parents/Legal Guardians Not Hispanic or Latino | 4 Participants |
| Ethnicity (NIH/OMB) Parents/Legal Guardians Unknown or Not Reported | 2 Participants |
| Parent/Legal Guardian Mood | 4 Units on a scale |
| Race (NIH/OMB) Adolescents American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Adolescents Asian | 0 Participants |
| Race (NIH/OMB) Adolescents Black or African American | 6 Participants |
| Race (NIH/OMB) Adolescents More than one race | 0 Participants |
| Race (NIH/OMB) Adolescents Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Adolescents Unknown or Not Reported | 1 Participants |
| Race (NIH/OMB) Adolescents White | 2 Participants |
| Race (NIH/OMB) Parents/Legal Guardians American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Parents/Legal Guardians Asian | 0 Participants |
| Race (NIH/OMB) Parents/Legal Guardians Black or African American | 6 Participants |
| Race (NIH/OMB) Parents/Legal Guardians More than one race | 0 Participants |
| Race (NIH/OMB) Parents/Legal Guardians Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Parents/Legal Guardians Unknown or Not Reported | 1 Participants |
| Race (NIH/OMB) Parents/Legal Guardians White | 2 Participants |
| Region of Enrollment United States Adolescents | 9 Participants |
| Region of Enrollment United States Parents/Legal Guardians | 9 Participants |
| Sex: Female, Male Female | 6 Participants |
| Sex: Female, Male Male | 12 Participants |
| Sex/Gender, Customized Adolescents Female | 3 Participants |
| Sex/Gender, Customized Adolescents Male | 6 Participants |
| Sex/Gender, Customized Parent/Legal Guardians Female | 3 Participants |
| Sex/Gender, Customized Parent/Legal Guardians Male | 6 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 0 | 0 / 0 | 0 / 0 | 0 / 0 |
| other Total, other adverse events | 0 / 0 | 0 / 0 | 0 / 0 | 0 / 0 |
| serious Total, serious adverse events | 0 / 0 | 0 / 0 | 0 / 0 | 0 / 0 |
Outcome results
Primary
Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions
Evaluate healthy lifestyle behaviors before and one month after a 45-minute online educational session using a questionnaire (the same questionnaire for before and after intervention). The scale was adapted from 2021 United States Census Bureau Questionnaire, 2001 PHQ-9, 2021 National Youth Physical Activity and Nutrition Study, and 2021 Youth Risk Behavior Surveillance System Questionnaire. High scores represent better outcomes. The subscale range for each question is as follows: Drink Water 1-7, Eat Breakfast 1-8, Eat dairy products 1-7, eat family dinner 1-8, eat fruit 1-7, eat whole grains 1-7, where do you eat dinner 1-7, eat vegetables 1-7, active 60min/day 1-8, aerobic activity 1-8, Muscle Strengthening Activity 1-8, sports teams 1-4, Bed at Same Time 1-6, Bedtime 7-12, Hours of Sleep 3-12, Nap during day 1-6, restless sleep 1-6, Tired during day 1-6, where do you sleep 1-7, awaken during night 1-6, WHO final score 0-25, afford food 1-3, family dinner 1-8, family exercise 1-8.
Time frame: One Month
Population: WHO-5 Analysis for Adolescent participants only.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Muscle Strengthening Activity | 5 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Aerobic Activity | 5 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Drink Water | 5 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Whole Grains | 5 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Where do You Sleep | 2 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Nap During Day | 3 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Where do You Eat Dinner | 4 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Hours of Sleep | 6 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Breakfast | 5 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Active 60min/day | 4 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Vegetables | 3 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Dairy Products | 4 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Tired During Day | 4 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Afford Food | 2 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Restless Sleep | 3 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Bedtime | 8 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Fruit | 4 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Family Dinner | 4 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Family Dinner | 5 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Bed at Same Time | 3 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Awaken During Night | 4 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Family Exercise | 5 score on a scale |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Sports Teams | 2 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Awaken During Night | 4 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Where do You Sleep | 2 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Family Dinner | 5 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Tired During Day | 4 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Family Exercise | 5 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Afford Food | 2 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Family Dinner | 5 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Fruit | 4 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Whole Grains | 6 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Drink Water | 5 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Where do You Eat Dinner | 3.5 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Vegetables | 4 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Active 60min/day | 5 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Aerobic Activity | 5 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Breakfast | 6 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Muscle Strengthening Activity | 6 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Sports Teams | 3 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Bed at Same Time | 3 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Bedtime | 8 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Hours of Sleep | 6 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Dairy Products | 6 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Nap During Day | 3 score on a scale |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Restless Sleep | 4 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Tired During Day | 4 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Muscle Strengthening Activity | 5 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Breakfast | 4 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Family Exercise | 3 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Awaken During Night | 3.5 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Sports Teams | 2 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Family Dinner | 4.5 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Restless Sleep | 4 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Nap During Day | 3.5 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Afford Food | 2 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Dairy Products | 5 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Bedtime | 8 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | WHO-5 Final Score | 13 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Vegetables | 4 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Whole Grains | 4 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Drink Water | 4 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Family Dinner | 5.5 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Active 60min/day | 4 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Where do You Eat Dinner | 2.5 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Fruit | 3.5 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Where do You Sleep | 2 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Aerobic Activity | 4 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Hours of Sleep | 6 score on a scale |
| Adolescent Pre-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Bed at Same Time | 4 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Family Exercise | 5 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Sports Teams | 3 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Drink Water | 5 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Breakfast | 5 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Dairy Products | 5 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Family Dinner | 6 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Fruit | 5 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Whole Grains | 5 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Where do You Eat Dinner | 2 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Eat Vegetables | 5 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Active 60min/day | 5 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Aerobic Activity | 5 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Muscle Strengthening Activity | 5 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Bed at Same Time | 4 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Bedtime | 8 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Hours of Sleep | 7.5 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Nap During Day | 4 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Restless Sleep | 4 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Tired During Day | 4 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Where do You Sleep | 1 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Awaken During Night | 4 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | WHO-5 Final Score | 16 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Afford Food | 2 score on a scale |
| Adolescent Post-Intervention Knowledge Changes | Median Score on a Scale of Participants Responses for Healthy Lifestyle Behavior Knowledge Survey Questions | Family Dinner | 6 score on a scale |
Primary
Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions.
Evaluate knowledge on healthy lifestyle behaviors before and one month after a 45-minute online educational session using a questionnaire (the same questionnaire for before and after intervention).
Time frame: One Month
Population: This project included nine parent-adolescent dyads. Examples of eligible diagnosed mental health conditions include major depressive disorder (MDD), generalized anxiety disorder (GAD), attention-deficit disorder (ADD)/ attention deficit hyperactivity disorder (ADHD), and bipolar disorder (BPD). Participants' exclusion criteria include children under 12 years old or older than 18 years old. Non-legal guardians were unable to participate in the project.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Recommended hours of sleep | 44 percentage of participants |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Cups of water per day | 22 percentage of participants |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Aerobic Exercise per week | 44 percentage of participants |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Reduce screen time | 33 percentage of participants |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Recommended screen time | 22 percentage of participants |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Sleep quality | 67 percentage of participants |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Example of Aerobic Activity | 33 percentage of participants |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Exercise per day | 33 percentage of participants |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Cups of fruit per day | 44 percentage of participants |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Cups of Veggies per day | 44 percentage of participants |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Example of BS Activity | 33 percentage of participants |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Healthy snack | 44 percentage of participants |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Example of MS Activity | 67 percentage of participants |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Carbohydrates per day | 33 percentage of participants |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Risk of poor sleep | 33 percentage of participants |
| Parent/Legal Guardian (LG) Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Average screen time | 11 percentage of participants |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Example of MS Activity | 33 percentage of participants |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Exercise per day | 44 percentage of participants |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Reduce screen time | 11 percentage of participants |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Average screen time | 22 percentage of participants |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Cups of water per day | 44 percentage of participants |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Recommended screen time | 11 percentage of participants |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Healthy snack | 44 percentage of participants |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Cups of fruit per day | 67 percentage of participants |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Sleep quality | 56 percentage of participants |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Aerobic Exercise per week | 44 percentage of participants |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Carbohydrates per day | 44 percentage of participants |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Example of Aerobic Activity | 44 percentage of participants |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Cups of Veggies per day | 56 percentage of participants |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Risk of poor sleep | 22 percentage of participants |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Example of BS Activity | 0 percentage of participants |
| Parent/Legal Guardian (LG) Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Recommended hours of sleep | 11 percentage of participants |
| Adolescent Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Recommended hours of sleep | 11 percentage of participants |
| Adolescent Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Carbohydrates per day | 56 percentage of participants |
| Adolescent Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Cups of fruit per day | 56 percentage of participants |
| Adolescent Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Cups of Veggies per day | 33 percentage of participants |
| Adolescent Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Cups of water per day | 22 percentage of participants |
| Adolescent Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Healthy snack | 44 percentage of participants |
| Adolescent Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Aerobic Exercise per week | 44 percentage of participants |
| Adolescent Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Example of Aerobic Activity | 22 percentage of participants |
| Adolescent Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Example of BS Activity | 0 percentage of participants |
| Adolescent Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Example of MS Activity | 33 percentage of participants |
| Adolescent Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Exercise per day | 22 percentage of participants |
| Adolescent Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Average screen time | 0 percentage of participants |
| Adolescent Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Recommended screen time | 11 percentage of participants |
| Adolescent Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Reduce screen time | 44 percentage of participants |
| Adolescent Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Risk of poor sleep | 33 percentage of participants |
| Adolescent Pre-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Sleep quality | 33 percentage of participants |
| Adolescent Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Cups of water per day | 33 percentage of participants |
| Adolescent Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Reduce screen time | 22 percentage of participants |
| Adolescent Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Example of MS Activity | 33 percentage of participants |
| Adolescent Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Recommended hours of sleep | 22 percentage of participants |
| Adolescent Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Example of BS Activity | 11 percentage of participants |
| Adolescent Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Example of Aerobic Activity | 56 percentage of participants |
| Adolescent Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Cups of Veggies per day | 44 percentage of participants |
| Adolescent Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Risk of poor sleep | 22 percentage of participants |
| Adolescent Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Aerobic Exercise per week | 89 percentage of participants |
| Adolescent Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Healthy snack | 56 percentage of participants |
| Adolescent Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Carbohydrates per day | 33 percentage of participants |
| Adolescent Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Sleep quality | 56 percentage of participants |
| Adolescent Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Cups of fruit per day | 33 percentage of participants |
| Adolescent Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Recommended screen time | 0 percentage of participants |
| Adolescent Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Average screen time | 11 percentage of participants |
| Adolescent Post-Intervention Knowledge Changes | Percent of Participants With Correct Responses for Healthy Lifestyle Behavior Knowledge Survey Questions. | Exercise per day | 44 percentage of participants |