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ObesitySFANCT03364205

Solution Focused Approach in Adolescents (SFA)

A study testing solution-focused interview technique in people with Obesity and Overweight and Obesity, run by Cumhuriyet University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Aims-objectives: This study assessed the effect of the Solution Focused Approach (SFA) interview technique on overweight/obese adolescents' nutrition-exercise attitudes and behaviors. Read more about this study

Who is it for?
Ages 12 to 13 yearsHealthy volunteers can take part
What is being tested?
solution-focused interview technique
Could I receive a placebo?
No, everyone receives an active treatment
How many people
2 participants
Where
1 siteTurkey (Türkiye)
Study dates
2 Sep 2013to 29 Aug 2014
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 to 13 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Twelve-thirteen aged between,
  • Diagnosed metabolic disease, without
  • BMI >85 percentile (>+1SD), overweight and BMI>95 (>+2SD) percentile obese adolescents
  • Communicate
  • Any conditions that interfere with exercise (who do not have disability, such as cardiac failure)

Who cannot join

  • From teenagers who indicated they could not continue until the end of the study,
  • Metabolic disease,
  • Metformin uses
  • Adolescents who move out of County

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Cumhuriyet University

    Sivas, 58140

Other trials in Turkey (Türkiye)

About this study

Official title: The Effect of the Solution Focused Approach (SFA) on Nutrition-Exercise Attitudes and Behaviors of Overweight and Obese Adolescents: Randomized Controlled Trial

Aims-objectives: This study assessed the effect of the Solution Focused Approach (SFA) interview technique on overweight/obese adolescents' nutrition-exercise attitudes and behaviors.

Background: Obesity is a serious health problem for all age groups, particularly adolescents; therefore, it is important for adolescents to develop healthy nutrition habits, acquire exercise behaviors. Unless healthy nutrition-exercise behaviors are acquired, obesity can develop in adolescence, continue in adulthood. Focusing on solutions can be effective for overweight/obese adolescents to develop healthy nutrition-exercise behaviors.

Read more

Design: A pretest-posttest randomized-controlled trial design was used.

Methods: The study included 32 overweight/obese adolescents (16 for intervention group, 16 for control group) aged12-13 years who attended a health center, met the inclusion criteria. The SFA interview technique was applied to the intervention group. Eight solution-focused interviews were conducted with each adolescent at two-week intervals (interview length 30 to 45minutes). For each group, anthropometric, metabolic measurement follow-ups were conducted in the first and sixth months. The data were evaluated using independent samples t-test, Mann-Whitney U, Wilcoxon test respectively for normally, non-normally distributed variables. The categorical variables were compared using chi-square test. The value p<0.05 was accepted to be statistically significant.

Read the detailed description

Solution Focused Approach (SFA) interview technique is an approach that can be used by nurses who have important roles in the protection, maintenance and promotion of health in healthcare services. Because the SFA interview technique can be integrated into all dimensions of health, it enables children and adolescents to be aware of their own strengths and skills and to improve their skills. This raised awareness encourages individuals to start and maintain change. The earlier the awareness of individuals is raised, the higher the achievement level of the approach will increase. Further studies can be conducted in which the duration of the SFA interview technique follow-ups is longer. Moreover, it can be suggested that studies be conducted to analyze the cost-effectiveness of this approach.

All health professionals in general and, specifically nurses, should be educated about the SFA interview technique strategies. Nurses who carry out the SFA interviews conducted using the SFA interview technique should enable individuals to realize their own strengths. The number of interviews can be determined in accordance with the topic and the data obtained from individuals. If the interviews are carried out with school children-adolescents, attention should be paid to conduct interviews with their families. Enabling individuals to reach a solution using the SFA interview technique strategies is the major point of interviews. This result may not appear immediately. Interviews should be continued with patience to find what works in resistant individuals.

After these interviews are completed, interviews should be continued with the individuals periodically. To enable individuals to maintain their nutrition and exercise behaviors, interviews should be carried out with adolescents and their families at least twice in a month after the SFA interviews. Nurses who conduct SFA interviews can carry out individual interviews or group interviews in Endocrinology Polyclinics, Family Health Centers, or at schools as a school nurse.

Being tested
solution-focused interview technique
Keywords
SFA interview technique, adolescence, obesity, nutrition, exercise
Medical subject headings
Obesity, Overweight, Pediatric Obesity, Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • solution-focused interview techniqueBehavioural

    This approach helps an individual make decisions about behavioral change, focusing particularly on his or her past achievements and looking forward to a time when the problems cease to exist.

Study groups in NCT03364205
Study groupRoleWhat they receive
interventionExperimentalsolution-focused interview techniques
Receives: Behavioral: solution-focused interview technique
controlNo interventionThis group did not apply solution-focused interview techniques.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. the Family and Adolescent Introductory Information Form and Overweight and Obese Adolescents' Nutrition-Exercise Behavior Identification Form

    The data for the nutrition-exercise habits and behaviors of the adolescent were collected using the Family and Adolescent Introductory Information Form and Overweight-Obese Adolescents' Nutrition-Exercise Behavior Identification Form, which had been prepared by the researcher based on the literature.

    Measured: one month

  2. Anthropometric measurement (weight measurement)

    Anthropometric scores (weight measurement) data of adolescents were collected using the Anthropometric Follow-Up Table. Digital weighing scale was used for weight measurements in kilograms. The measurements were taken without closes and shoes. Calibration of the scales was done monthly. The primary outcome was to determine weight measurement values of adolescent.

    Measured: one month

  3. Anthropometric measurement (height measurement)

    Anthropometric scores (height measurement) data of adolescents were collected using the Anthropometric Follow-Up Table. Bar scale was used for height measurements in meters. Before the length measurement, the shoe was removed and the lower end of the rod was attached to the foot in a vertical position, and the point where the head came was recorded. The primary outcome was to determine height measurement values of adolescent.

    Measured: one month

  4. Anthropometric measurement (Calculation of Body Mass Index or BMI)

    BMI was calculated as the body mass in kilograms divided by the square of the body height in meters (BMI = kg / m ^ 2). The primary outcome was to determine BMI values of adolescent.

    Measured: one month

  5. Anthropometric measurement (Body Mass Index Percentile (BMI percentile) calculation)

    In determining the BMI percentile standard values, the BMI values determined for Turkish children were taken into consideration. The primary outcome was to determine BMI percentile values of adolescent.

    Measured: one month

  6. Anthropometric measurement (Body Mass Index - Standard Deviation Score(BMI-SDS) calculation)

    The data on the Anthropometric scores (BMI-SDS) of the adolescents were collected using the Anthropometric Follow-Up Table. The obtained SDS value is calculated by using the Auxology program which performs SDS calculation.The primary outcome was to determine BMI-SDS values of adolescent.

    Measured: one month

  7. Metabolic measurement (Preprandial Blood Glucose)

    The data on the Metabolic scores (Preprandial Blood Glucose) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The primary outcome was to determine Preprandial Blood Glucose values of adolescent.

    Measured: one month

  8. Metabolic measurement (Preprandial insulin)

    The data on the Metabolic scores (Preprandial insulin) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The primary outcome was to determine Preprandial insulin values of adolescent.

    Measured: one month

  9. Metabolic measurement (Homeostasis Model of Assesment for insulin Resistance (HOMA-IR))

    The data on the Metabolic scores (Homeostasis Model of Assesment for insulin Resistance (HOMA-IR)) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The primary outcome was to determine HOMA-IR values of adolescent.

    Measured: one month

  10. Metabolic measurement (LDL-cholesterol)

    The data on the Metabolic scores (LDL-cholesterol) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The primary outcome was to determine LDL-cholesterol values of adolescent.

    Measured: one month

  11. Metabolic measurement (HDL-cholesterol)

    The data on the Metabolic scores (HDL-cholesterol) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The primary outcome was to determine HDL-cholesterol values of adolescent.

    Measured: one month

  12. Metabolic measurement (Total cholesterol)

    The data on the Metabolic scores (total cholesterol) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The primary outcome was to determine total cholesterol values of adolescent.

    Measured: one month

  13. Metabolic measurement (Triglyceride)

    The data on the Metabolic scores (triglyceride) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The primary outcome was to determine triglyceride values of adolescent.

    Measured: one month

  14. the application of scale - Nutrition-Exercise Attitude Scale (NEAS)

    Healthy nutrition-exercise attitudes and behaviors were evaluated using the Nutrition-Exercise Attitude Scale (NEAS) that had been developed to determine the attitudes and behaviors of the adolescents.The NEAS scores ranged from 13 to 65. A high total score obtained in this scale indicated a positive nutrition-exercise attitude and a low total score indicated a negative attitude.These scales were completed in the first-month follow-up.

    Measured: one month

  15. the application of scale - Nutrition-Exercise Behavior Scale (NEBS)

    Healthy nutrition-exercise attitudes and behaviors were evaluated using the Nutrition-Exercise Behavior Scale (NEBS) that had been developed to determine the attitudes and behaviors of the adolescents.The NEBS had the following sub-scales: psychological (dependent) eating behavior (11 to 55 points), healthy nutrition-exercise behavior (14 to 70 points), unhealthy nutrition-exercise behavior (14 to 70 points) and regular meal times (6 to 30 points). A high total score obtained in this scale indicated a positive nutrition-exercise behavior and a low total score indicated a negative behavior.These scales were completed in the first-month follow-up.

    Measured: one month

Secondary outcomes (14)
  1. Anthropometric measurement (weight measurement)

    Anthropometric scores (weight measurement) data of adolescents were collected using the Anthropometric Follow-Up Table. Digital weighing scale was used for weight measurements in kilograms. The measurements were taken without closes and shoes. Calibration of the scales was done monthly. The second outcome was to enable the weight measurement values to be within the reasonable limits.

    Measured: six month

  2. Anthropometric measurement (height measurement)

    Anthropometric scores (height measurement) data of adolescents were collected using the Anthropometric Follow-Up Table. Bar scale was used for height measurements in meters. Before the length measurement, the shoe was removed and the lower end of the rod was attached to the foot in a vertical position, and the point where the head came was recorded. The second outcome was to enable the height measurement values to be within the reasonable limits.

    Measured: six month

  3. Anthropometric measurement (Calculation of Body Mass Index or BMI)

    BMI was calculated as the body mass in kilograms divided by the square of the body height in meters (BMI = kg / m ^ 2). The second outcome was to enable the BMI values to be within the reasonable limits.

    Measured: six month

  4. Anthropometric measurement (Body Mass Index Percentile (BMI percentile) calculation)

    In determining the BMI percentile standard values, the BMI values determined for Turkish children were taken into consideration. The second outcome was to enable the BMI percentile values to be within the reasonable limits.

    Measured: six month

  5. Anthropometric measurement (Body Mass Index - Standard Deviation Score(BMI-SDS) calculation)

    The data on the Anthropometric scores (BMI-SDS) of the adolescents were collected using the Anthropometric Follow-Up Table. The obtained SDS value is calculated by using the Auxology program which performs SDS calculation. The second outcome was to enable the BMI-SDS values to be within the reasonable limits.

    Measured: six month

  6. Metabolic measurement (Preprandial Blood Glucose)

    The data on the Metabolic scores (Preprandial Blood Glucose) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The second outcome was to enable the Preprandial Blood Glucose values to be within the reasonable limits.

    Measured: six month

  7. Metabolic measurement (Preprandial insulin)

    The data on the Metabolic scores (Preprandial insulin) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The second outcome was to enable the Preprandial insulin values to be within the reasonable limits.

    Measured: six month

  8. Metabolic measurement (Homeostasis Model of Assesment for insulin Resistance (HOMA-IR))

    The data on the Metabolic scores (HOMA-IR) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The second outcome was to enable the HOMA-IR values to be within the reasonable limits.

    Measured: six month

  9. Metabolic measurement (LDL-cholesterol)

    The data on the Metabolic scores (LDL-cholesterol) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The second outcome was to enable the LDL-cholesterol values to be within the reasonable limits.

    Measured: six month

  10. Metabolic measurement (HDL-cholesterol)

    The data on the Metabolic scores (HDL-cholesterol) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The second outcome was to enable the HDL-cholesterol values to be within the reasonable limits.

    Measured: six month

  11. Metabolic measurement (Total cholesterol)

    The data on the Metabolic scores (total cholesterol) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The second outcome was to enable the total cholesterol values to be within the reasonable limits.

    Measured: six month

  12. Metabolic measurement (Triglyceride)

    The data on the Metabolic scores (triglyceride) of the adolescents were collected using the Metabolic Follow-Up Table.These tables were completed by both groups before the first- and sixth- follow-ups between September 6 2013 and August 29 2014. The second outcome was to enable the triglyceride values to be within the reasonable limits.

    Measured: six month

  13. the application of scale- Nutrition-Exercise Attitude Scale (NEAS)

    Healthy nutrition-exercise attitudes and behaviors were evaluated using the Nutrition-Exercise Attitude Scale (NEAS) that had been developed to determine the attitudes and behaviors of the adolescents.The NEAS scores ranged from 13 to 65. A high total score obtained in this scale indicated a positive nutrition-exercise attitude and a low total score indicated a negative attitude.These scales were completed in the sixth-month follow-up.

    Measured: six month

  14. the application of scale - Nutrition-Exercise Behavior Scale (NEBS)

    Healthy nutrition-exercise attitudes and behaviors were evaluated using the Nutrition-Exercise Behavior Scale (NEBS) that had been developed to determine the attitudes and behaviors of the adolescents.The NEBS had the following sub-scales: psychological (dependent) eating behavior (11 to 55 points), healthy nutrition-exercise behavior (14 to 70 points), unhealthy nutrition-exercise behavior (14 to 70 points) and regular meal times (6 to 30 points). A high total score obtained in this scale indicated a positive nutrition-exercise behavior and a low total score indicated a negative behavior.These scales were completed in the sixth-month follow-up.

    Measured: six month

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Dec 2017
  2. Study start2 Sep 2013
  3. Primary completion29 Jan 2014
  4. Study completion29 Aug 2014

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Crossover
Model description
Randomized Controlled Trials
Masking
Single blind
Who is masked
Investigator
Enrolment
2 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03364205
Sponsor's protocol ID
CumhuriyetU
Acronym
SFA
Status last verified
Dec 2017
First submitted
14 Nov 2017
Last updated
6 Dec 2017
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Journal of Clinical Nursing

Questions about this trial

What is this clinical trial studying?

A study testing solution-focused interview technique in people with Obesity and Overweight and Obesity, run by Cumhuriyet University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Dec 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

the Family and Adolescent Introductory Information Form and Overweight and Obese Adolescents' Nutrition-Exercise Behavior Identification Form (time frame: one month). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Dec 2017.

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