The effectiveness of self-empowerment-based patient-centered care for obese students in primary services: A randomized controlled trial

被引:0
作者
Dewi, Dian K. [1 ]
Sekartini, Rini [2 ]
Sunardi, Diana [3 ]
Soewondo, Pradana [4 ]
Yunir, Em [4 ]
Widyahening, Indah S. [1 ,5 ]
Asih, Sali R. [6 ]
Seman, Anitawati [7 ]
Latuasan, Kitra [1 ]
Vidiawati, Dhanasari [1 ,8 ]
机构
[1] Univ Indonesia, Fac Med, Dept Community Med, Jalan Pegangsaan Timur 16, Jakarta 10430, Indonesia
[2] Univ Indonesia, Cipto Mangunkusumo Hosp, Fac Med, Dept Child Hlth, Jakarta, Indonesia
[3] Univ Indonesia, Fac Med, Dept Nutr, Jakarta, Indonesia
[4] Univ Indonesia, Fac Med, Div Endocrinol & Metab, Dept Internal Med, Jakarta, Indonesia
[5] Pusat Kajian Gizi Reg Univ Indonesia, Southeast Asian Ministers Educ Reg Ctr Food & Nut, Jakarta, Indonesia
[6] Univ Indonesia, Fac Psychol, Jakarta, Indonesia
[7] Asia Coach Indonesia, Jakarta, Indonesia
[8] Univ Indonesia, Makara Satellite Clin, Depok, Indonesia
关键词
Anthropometry; health coaching; obesity; patient-centered; self-empowerment; WAIST CIRCUMFERENCE; WEIGHT MANAGEMENT; HEALTH; CHILDREN; MASS;
D O I
10.4103/jfcm.jfcm_237_22
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
BACKGROUND: Self-empowerment-based patient-centered services with a coaching approach are imperative in the management of students with obesity. This study evaluated the applicability and effectiveness of self-empowerment-based patient-centered coaching for the weight loss program model for obese students. MATERIALS AND METHODS: This randomized control trial recruited 60 obese students aged 17-22 years in Universitas Indonesia from August to December 2021. Intervention group subjects were coached by a health coach. Each health coach assisted four subjects with SMART model coaching in six meetings every 2 weeks through a zoom platform. Both groups had instructions on obesity, nutrition, and physical activity from specialist doctors online. Paired t-test or Mann-Whitney test, as appropriate, to compare the measurements of anthropometry, body composition (bioelectrical impedance analysis), food intake (food record form), physical activity (physical activity form), subjective well-being (subjective well-being questionnaire), and healthy behavior habits (satisfaction scale) between the two groups before and after the intervention. RESULTS: A total of 41 obese students completed the study, 23 from intervention group and 18 from the control group. The change in total body fat (-0.9 [-12.9, 0.70] vs. 0.0 [-6.9, 3.50], P = 0.02) and healthy behavior habit (13.5 +/- 11.85 vs. 7.5 +/- 8.08, P = 0.04) in the intervention group was significantly greater than in the control group. The change in satisfaction scale of hobby/passion (2 [-4.6] vs. 1 [-2.2], P = 0.02), movement exercise (2.3 +/- 2.11 vs. 1.2 +/- 1.93, P = 0.03), sleep rest (2 [-6.5] vs. 1 [-3.2], P = 0.01), and spiritual (1 [0.6] vs. 0 [-1.3], P = 0.00) was significantly higher in the coached group. CONCLUSION: A weight loss program for obese students was tested through self-empowerment-based patient-centered care with a coaching approach and has proven to effect changes in anthropometric indicators, body composition, self-empowerment, food intake, and physical activity.
引用
收藏
页码:51 / 58
页数:8
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