학술논문
The effectiveness of self-empowerment-based patient-centered care for obese students in primary services: A randomized controlled trial.
Document Type
Academic Journal
Author
Dewi DK; Department of Community Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.; Sekartini R; Department of Child Health, Faculty of Medicine Universitas, Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.; Sunardi D; Department of Nutrition, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.; Soewondo P; Department of Internal, Medicine, Division of Endocrinology and Metabolism, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.; Yunir E; Department of Internal, Medicine, Division of Endocrinology and Metabolism, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.; Widyahening IS; Department of Community Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.; Southeast Asian Ministers of Education Regional Center for Food and Nutrition (SEAMEO RECFON) - Pusat Kajian Gizi Regional Universitas Indonesia, Jakarta, Indonesia.; Asih SR; Faculty of Psychology, Universitas Indonesia, Jakarta, Indonesia.; Seman A; Asia Coach Indonesia, Jakarta, Indonesia.; Latuasan K; Department of Community Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.; Vidiawati D; Department of Community Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.; Makara Satellite Clinic, Universitas Indonesia, Depok, Indonesia.
Source
Publisher: Medknow Publications Country of Publication: India NLM ID: 100911100 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1319-1683 (Print) Linking ISSN: 13191683 NLM ISO Abbreviation: J Family Community Med Subsets: PubMed not MEDLINE
Subject
Language
English
ISSN
1319-1683
Abstract
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.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2022 Journal of Family and Community Medicine.)
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.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2022 Journal of Family and Community Medicine.)