Weight Management
Conditions
Brief summary
To examine the efficacy of a Transtheoretical Model (TTM)-based intervention in improving weight management behaviors. 1. To identify if the student age, body mass index (BMI) and socioeconomic status can predict WMB. 2. To investigate the difference in students' WMB between groups of grade, liven arrangement, socioeconomic class, and BMI.
Detailed description
This randomized controlled trial aims to evaluate the efficacy of a Transtheoretical Model (TTM)-based behavioral intervention in improving weight management behaviors among high school female students. The intervention is designed to guide participants through the stages of behavior change, enhancing their readiness to adopt and maintain healthy lifestyle practices such as balanced nutrition, physical activity, and weight control behaviors. The study will compare outcomes between an intervention group receiving structured TTM-based sessions and a control group receiving standard health education. Primary outcomes will focus on changes in weight management behaviors, while secondary outcomes may include changes in stage of readiness for change, self-efficacy, and health-related attitudes. The findings are expected to provide evidence on the effectiveness of stage-based behavioral interventions in promoting healthy weight management among adolescent females.
Interventions
This is a non-pharmacological, behavioral intervention designed to improve weight management behaviors among high school female students. It is based on the Transtheoretical Model of behavior change and consists of structured, stage-matched educational and counseling sessions. The intervention includes guidance on healthy dietary practices, promotion of regular physical activity, goal setting, self-monitoring techniques, and motivational strategies tailored to each participant's readiness to change.
Sponsors
Study design
Masking description
Not applicable, as participants and researchers are aware of group assignment.
Intervention model description
A randomized controlled trial with two parallel groups: an intervention group receiving a Transtheoretical Model-based behavioral program and a control group receiving standard health education.
Eligibility
Inclusion criteria
* Female high school students * Age 15-19 years * Overweight or obese according to Body Mass Index (BMI) criteria * Enrolled in high school morning classes * Willing to participate in the study and provide informed consent
Exclusion criteria
* Students below high school level (e.g., middle school students) * Students with physical disabilities that prevent participation in physical activity * Students with chronic medical conditions affecting body weight or study participation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Weight Management Behavior Scores Measured by TTM-Based Questionnaires | 6 months | Change in Weight Management Behavior Scores Measured by TTM-Based Questionnaires: Weight Control Decisional Balance Scale (WCDBS): 20-item scale with scores ranging from -40 to +40. Higher positive scores indicate more favorable attitudes toward healthy weight management behaviors. Weight Control Processes of Change Scale (WCPOCS): 48-item scale with scores ranging from 48 to 240. Higher scores indicate greater engagement in healthy weight management behavior change processes. Stages of Change for Weight Control Scale (SCWCS): categorizes participants into precontemplation, contemplation, preparation, action, and maintenance stages. Higher stages indicate greater readiness for healthy weight management behavior change. The outcome will be reported as mean score changes and stage distribution differences between intervention and control groups. |