Behavior, Diabetes Mellitus, Type 2, Obesity
Conditions
Brief summary
This quasi-experimental study aims to determine the effectiveness of a health intervention (Chance2Act) on behaviour change to act for weight loss among overweight/obese type 2 diabetes adults. The main question it aims to answer is: \- Is the new health intervention (Chance2Act) effective in changing overweight/obese type 2 diabetes adults from not being ready to act, to take action to lose weight?
Interventions
BEHAVIORALChance2Act
A Health education package that has been developed based on Transtheoretical Model to encourage behaviour change for weight loss among overweight/obese type 2 diabetes adults.
Sponsors
Universiti Teknologi Mara
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* T2DM patients under follow-up of government health clinics Kuantan, Pahang. * Age between 20 - 65 years old. * Body Mass Index of more or equal to 23 kg/m2. * In the stage of pre-contemplation, contemplation, or preparation stage of change based on the S-weights questionnaire. * Able to understand, read and write in the Malay Language. * Have access to smartphone devices and internet services. * Have immediate family members (adults) who are living in the same household.
Exclusion criteria
* Pregnant patients. * Patients' advanced comorbidity that will affect participation in the study protocol (e.g. vision problem, unable to walk or physically unfit to stand up, advanced heart failure, or cancer). * Patients with mental conditions which will affect understanding of the study protocol.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes of readiness to change for weight loss (behaviour) | T0 (Week 0), T1 (Week 5), T2 (Week 9) | The stage of change for weight loss is based on the S-weight questionnaire (Transtheoretical Model). Data type: Categorical data (either in pre-contemplation, contemplation, preparation, or action stage) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes of decisional balance for weight loss (behaviour) | T0 (Week 0), T1 (Week 5), T2 (Week 9) | The changes for decisional balance to decide on the pros and cons of weight loss based on the Decisional Questionnaire Inventory questionnaire (Transtheoretical Model). Domains (10 items in each domain) * Pro scale (Measure the positive effects from weight loss. A higher score shows better outcomes) * Con scale (Measure the negative effects from weight loss. A higher score shows worse outcomes) Rating of each item: 1 - 5 Data type: Numerical data. Lowest score: 10 in each subscale Highest score: 50 in each subscale |
| Changes in family support for healthy diet and physical activity to encourage weight loss (social support) | T0 (Week 0), T1 (Week 5), T2 (Week 9) | The changes for social support for weight loss based on the Social Support Scale for Diet and Exercise Domains: * Family support for physical activity (12 items) * Family encouragement for healthy diet (5 items) * Family discouragement for healthy diet (5 items) Rating for each item: 1 - 5 Data type: Numerical data. Total subscale score: Family support for physical activity: 12 - 60: A higher score shows better outcomes. Family encouragement for healthy eating 5 - 25: A higher score shows better outcomes. Family discouragement for healthy eating 5 - 25: A higher score shows worse outcomes |
| Changes of self-efficacy for weight loss (behaviour) | T0 (Week 0), T1 (Week 5), T2 (Week 9) | The changes for self-efficacy to control eating impulses based on Weight Efficacy Lifestyle Questionnaire (Transtheoretical Model). Domains (4 items in each domain) * Negative emotions * Availability * Social Pressure * Physical discomfort * Positive Activities Data type: Numerical data. A higher score shows better outcomes. Rating of each item: 0 - 9 Lowest score: 0 in each subscale Highest score: 36 in each subscale |
| Changes waist circumference (anthropometric) | T0 (Week 0), T1 (Week 5), T2 (Week 9) | The changes waist circumference measurement |
| Changes in body fat composition (anthropometric) | T0 (Week 0), T1 (Week 5), T2 (Week 9) | The changes in body fat composition (total and visceral fat) |
| Changes body mass index (anthropometric) | T0 (Week 0), T1 (Week 5), T2 (Week 9) | The changes body mass index measurement |
Countries
Malaysia
Outcome results
None listed