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IRCT20210722051953N1 IRCT 2021-08-04 Oroumia University of Medical Sciences Effect of education and counseling on sedentary behaviors and fast food consumption Investigating the effect of educational and counseling intervention through smartphone on awareness, sedentary behaviors and fast food consumption in women with high body mass index 2021-07-11 anticipated 106 Complete https://irct.ir/trial/57668 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Other design features: Specifications of the designed application: Profile (specifications include: age, education, occupation, family income level, number of pregnancies, number of live children, number of abortions), weight and height, fast food educational materials (what is fast food?) Mobility (includes: What is sedentary behavior? What are the disadvantages of sedentary behavior?); And there will be tips, each of which will be shown in the form of an icon.The training content will be uploaded somewhere in the application. Clicking on any of the training icons will open the content on a new page.The "Body Mass Index" icon will also include calculating body mass by writing height in centimeters and weight in kilograms. sedentary behavior training materials will be organized in four sections and in the first week, one day in between sections will be active for the user.So that after reading the contents of the first session, it will be possible to use the contents of the next training.In the first week, an individual consultation will be done with each user twice, and then during the three months that the intervention takes place, the user can request a consultation in the application at any time.For fast food, these facilities will be created in the second week.The researcher calls the user every other day (by phone or WhatsApp) to make sure she is using the APP.During the intervention, by clicking on the consultation icon, samples will be able to perform WhatsApp consultation.From the third week, a short message (notification) in the field of stimulation and consumption of fast food will be sent to the intervention group every day at a specified time.Regarding sedentary behavior at 9, 11, 16, 18, 21 hours, the message "Dear user, it is recommended to be active (get up and walk) will be sent.Regarding the consumption of fast food, every day at 12 noon, 6 pm and 9 pm, the message that "consuming fast food is harmful to health."Eat homemade food instead of fast food" is sent to people, Randomization description: Randomization is done in a simple method, individual randomization unit, using a randomization tool made of stamped envelopes. N/A Condition 1: Sedentary behaviors. Condition 2: Fast food consumption. Intervention 1: Intervention group:The modified version of the APP will be installed on the mobile phones of the intervention group in the first briefing session and how to use it will be taught in person and in practice.sedentary behavior training materials will be organized in four sections and in the first week, one day in between sections will be active for the user.So that after reading the contents of the first session, it will be possible to use the contents of the next training.In the first week, an individual consultation will be done with each user twice, and then during the three months that the intervention takes place, the user can request a consultation in the application at any time.For fast food, these facilities will be created in the second week.The researcher calls the user every other day (by phone or WhatsApp) to make sure she is using the APP.In counseling, factors that interfere with healthy eating behaviors and adequate physical activity (when, these behaviors have increased and decreased) and identifying the factors that create resistance to behavior change and how to overcome them through the rain of thoughts, explaining the correct patterns by participants Assessing self-confidence and comparing it with temptation, reviewing goals and motivators, reviewing barriers and facilitators of healthy lifestyle behavioral patterns from participants' perspectives.During the intervention, by clicking on the consultation icon, samples will be able to perform WhatsApp consultation.From the third week, a short message about the mobility and consumption of fast food will be sent to the members of the intervention group every day at the specified time.Regarding sedentary behavior at 9, 11, 16, 18, 21 hours, the message "Dear user, it is recommended to be active (get up and walk) will be sent.Regarding the consumption of fast food, every day at 12 noon, 6 pm and 9 pm, the message that "consuming fast food is harmful to health."Eat homemade food instead of fast food" is sent to people.The members of the intervention group will not be deprived of the routine care of comprehensive health centers.(First week) Educational content on sedentary behavior; Day 1: What is overweight and obesity? What causes obesity? The effect of overweight / obesity on health, fertility and pregnancy and ways to deal with it; Day 3: Definition of physical activity and exercise, the positive effects of physical activity on the body and the prevention and control of non-communicable diseases and the amount and intensity of appropriate physical activity; Day 5: What are sedentary behaviors? What are the disadvantages of sedentary behaviors?; Day 7: What are the strategies to reduce sedentary behavior at home? What are the strategies to reduce sedentary behaviors at work? Sports activities that can be done while watching TV (Week 2) Educational content about fast food; Day 1: How to get proper nutrition? What is the food pyramid? Introducing food groups; Day 3: Healthy food plate and Iranian dietary guidelines; Day 5: Nutritional recommendations in the prevention of overweight and obesity; Day 7: What is the reduction in fast food consumption? What is fast food? What are the disadvantages of consuming fast food?. Intervention 2: Control group:The control group will receive routine training from the Comprehensive Health Service Center. Yes - There is a plan to make this available What will be shared: Publication of research results in the form of publishing a scientific article When: The access period starts 6 months after the publication of the article. To whom: All people Conditions: For information and awareness the public about sedentary behaviors and consumption of fast food Where to obtain: Dr. Roghayeh Bayrami, Assistant Professor, School of Nursing and Midwifery, Urmia Email :rozabayrami@yahoo.com How to obtain: Enter the site of Urmia University of Medical Sciences and search for thesis title Comments:
public Sayeh Ebrahimi Gangachin
No. 163 , Alley 2, Shomali Ave , Farhangian Town
Urmia Iran (Islamic Republic of) 5716753386 +98 44 3382 2477 ebrahimi.sayeh@umsu.ac.ir Oroumia University of Medical Sciences scientific Roghaye Bayrami
School of Nursing and Midwifery ,Nazlu Campus , Urmia University of Medical Sciences
Urmia Iran (Islamic Republic of) 5756115111 0098 44 327549614 rozabayrami@yahoo.com Oroumia University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Married women aged 15 to 49 years Women with a BMI above 25 Consumption fast food at least once a week Having high sedentary behaviors Minimum literacy (fifth grade) Being a resident of Urmia Not participating in any physical activity training program for the past six months Not suffering from diseases related to physical activity Willingness to participate in the study Not having a mental health problem Not having sleep disorder Do not take slimming drugs Non-compliance with a special diet Lack of regular physical activity (walking three times a week for at least 30 minutes) or not participating in sports clubs No specific disease (diabetes, thyroid disorder, pco, cardiovascular, hypertension) Listening and speaking ability Having a mobile phone with Android system 15 years 49 years Female Getting pregnant during study Occurrence of a tragic event in life (death of loved ones, accidents with disability) Having a medical problem Reluctance to continue cooperation Lifestyle Lifestyle Intervention group:The modified version of the APP will be installed on the mobile phones of the intervention group in the first briefing session and how to use it will be taught in person and in practice.sedentary behavior training materials will be organized in four sections and in the first week, one day in between sections will be active for the user.So that after reading the contents of the first session, it will be possible to use the contents of the next training.In the first week, an individual consultation will be done with each user twice, and then during the three months that the intervention takes place, the user can request a consultation in the application at any time.For fast food, these facilities will be created in the second week.The researcher calls the user every other day (by phone or WhatsApp) to make sure she is using the APP.In counseling, factors that interfere with healthy eating behaviors and adequate physical activity (when, these behaviors have increased and decreased) and identifying the factors that create resistance to behavior change and how to overcome them through the rain of thoughts, explaining the correct patterns by participants Assessing self-confidence and comparing it with temptation, reviewing goals and motivators, reviewing barriers and facilitators of healthy lifestyle behavioral patterns from participants' perspectives.During the intervention, by clicking on the consultation icon, samples will be able to perform WhatsApp consultation.From the third week, a short message about the mobility and consumption of fast food will be sent to the members of the intervention group every day at the specified time.Regarding sedentary behavior at 9, 11, 16, 18, 21 hours, the message "Dear user, it is recommended to be active (get up and walk) will be sent.Regarding the consumption of fast food, every day at 12 noon, 6 pm and 9 pm, the message that "consuming fast food is harmful to health."Eat homemade food instead of fast food" is sent to people.The members of the intervention group will not be deprived of the routine care of comprehensive health centers.(First week) Educational content on sedentary behavior; Day 1: What is overweight and obesity? What causes obesity? The effect of overweight / obesity on health, fertility and pregnancy and ways to deal with it; Day 3: Definition of physical activity and exercise, the positive effects of physical activity on the body and the prevention and control of non-communicable diseases and the amount and intensity of appropriate physical activity; Day 5: What are sedentary behaviors? What are the disadvantages of sedentary behaviors?; Day 7: What are the strategies to reduce sedentary behavior at home? What are the strategies to reduce sedentary behaviors at work? Sports activities that can be done while watching TV (Week 2) Educational content about fast food; Day 1: How to get proper nutrition? What is the food pyramid? Introducing food groups; Day 3: Healthy food plate and Iranian dietary guidelines; Day 5: Nutritional recommendations in the prevention of overweight and obesity; Day 7: What is the reduction in fast food consumption? What is fast food? What are the disadvantages of consuming fast food? Control group:The control group will receive routine training from the Comprehensive Health Service Center. Women's awareness of sedentary behaviors. Timepoint: Before and three months after ending of the intervention. Method of measurement: Researcher-made questionnaire. Women's awareness of the fast food consumption. Timepoint: Before the intervention and three months after the intervention. Method of measurement: Researcher-made questionnaire. Average weight. Timepoint: Before the intervention and three months after the intervention. Method of measurement: Using digital scales (Seca, Germany). Sedentary behaviors. Timepoint: Before the intervention and three months after the intervention. Method of measurement: Researcher-made questionnaire. Fast food consumption. Timepoint: Before the intervention and three months after the intervention. Method of measurement: Researcher-made questionnaire. Oroumia University of Medical Sciences Approved 2021-06-23 Ethics Committee of Urmia University of Medical Sciences Urzhans Ave , Resalat Blvd Urmia West Azarbaijan Iran (Islamic Republic of)