Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Development of a mobile-based self-management health alarm program for obese children in South Korea and a test of its feasibility for metabolic outcomes: A study based on the information-motivation-behavioral skills model

  • Choi, Jihea (Department of Nursing, Yonsei University Wonju College of Medicine) ;
  • Park, Yon Chul (Department of Family Medicine, Wonju Severance Christian Hospital) ;
  • Choi, Sarah (School of Nursing, University of California in Los Angeles)
  • Received : 2020.10.13
  • Accepted : 2020.11.17
  • Published : 2021.01.31
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Abstract

Purpose: This study aimed to develop a mobile-based self-management health alarm (MSHA) program for modifying obese children's lifestyle based on the information-motivation-behavioral skills (IMB) model and to test its feasibility. Methods: A methodological study for the development of the MSHA program and pilot study with a one-group pretest-posttest design for feasibility testing was conducted. The MSHA program was designed to provide obesity-related information (I), monitor daily diet and exercise, provide motivational text messages (M), and enhance healthy diet and exercise skills (B) via a mobile-based web platform. In the feasibility test, six obese children participated in the 4-week program, and the number of days per week that they achieved their goals and differences in metabolic components were assessed. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test. Results: Participants successfully achieved their diet and exercise goals≥5 days per week. Body mass index (z=-1.99, p=.046), waist circumference (z=-2.20, p=.028), and triglyceride levels (z=-2.21, p=.027) significantly decreased. Conclusion: The MSHA program showed positive effects on health behaviors and metabolic syndrome risk. The program may be effective in improving metabolic syndrome in obese children by promoting self-health management behaviors.

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References

  1. World Health Organization. Commission on Ending Childhood Obesity: Taking action onchildhood obesity report [Internet]. Geneva: World Health Organization; 2018 September 25 [cited 2020 March 25]. Available from: https://www.who.int/end-childhood-obesity/en/
  2. Lim J. 1 in 3 People is obese… OECD "Korean high obesity doubles by 2030". Newsis [Internet]. 2018 July 26 [cited 2020 March 25]; Local. Available from: https://www.newsis.com/view?id=NISX20180726_0000374805
  3. Agirbasli M, Tanrikulu AM, Berenson GS. Metabolic syndrome: Bridging the gap from childhood to adulthood. Cardiovascular Therapeutics. 2016;34(1):30-36. https://doi.org/10.1111/1755-5922.12165
  4. The GBD 2015 Obesity Collaborators. Health effects of overweight and obesity in 195 countries over 25 years. The New England Journal of Medicine. 2017;377(1):13-27. https://doi.org/10.1056/NEJMoa1614362
  5. Chung S. Therapeutic approaches to obesity and metabolic syndrome in children and adolescents. Journal of the Korean Medical Association. 2018;61(10):599-606. https://doi.org/10.5124/jkma.2018.61.10.599
  6. Sorgente A, Pietrabissa G, Manzoni GM, Re F, Simpson S, Perona S, et al. Web-based interventions for weight loss or weight loss maintenance in overweight and obese people: A systematic review of systematic reviews. Journal of Medical Internet Research. 2017;19 (6):e229. https://doi.org/10.2196/jmir.6972
  7. Chang SJ, Choi SY, Kim SA, Song MS. Intervention strategies based on information-motivation-behavioral skills model for health behavior change: A systematic review. Asian Nursing Researh. 2014; 8(3):172-181. https://doi.org/10.1016/j.anr.2014.08.002
  8. Fisher WA, Fisher JD, Harman J. The information-motivation-behavioral skills model: A general social psychological approach to understanding and promoting health behavior. In: Suls J, Wallston KA, editors. Social psychological foundations of health- and illness. Oxford, UK; Blackwell Publishing Ltd: 2003. p. 82-106. https://doi.org/10.1002/9780470753552.ch4
  9. Zhu C, Cai Y, Ma J, Li N, Zhu J, He Y, et al. Predictors of intention to smoke among junior high school students in Shanghai, China: An empirical test of the information-motivation-behavioral skills (IMB) model. PLoS one. 2013;8(11):e80482. https://doi.org/10.1371/journal.pone.0080482
  10. Lee HY, Choi EK, Kim HJ, Kim HS, Kim HS. Factors affecting the self-management of adolescents with type 1 diabetes mellitus based on the information-motivation-behavioral skills model. Child Health Nursing Research. 2019;25(2):234-243. https://doi.org/10.4094/chnr.2019.25.2.234
  11. Bartholmae MM. The Information-Motivation-Behavioral Skills Model: An examination of obesity prevention behavioral change in children who participated in the afterschool program Virginia Beach let's move [dissertation]. Virginia: Old Dominion University; 2016. p. 1-137. https://doi.org/10.25777/xv08-0b09
  12. Jang BS, Kim DH. Health literacy and health behavior in late school-age children. Journal of Korean Academy of Community Health Nursing. 2015;26(3):199-208. https://doi.org/10.12799/jkachn.2015.26.3.199
  13. Park BK. Systematic review on the online adolescent obesity prevention program. The Journal of Kyungpook Nursing Science. 2018;22(1):41-50.
  14. Lee J, Piao M, Byun A, Kim J. A systematic review and meta-analysis of intervention for pediatric obesity using mobile technology. Studies in Health Technology and Informatics. 2016;225:491-494. https://doi.org/10.3233/978-1-61499-658-3-491
  15. Cho H, Yang JH, Lee J. A study on the wearable product design for promoting effects of children's excercise: Focused on movement-monitoring smart clothing design using textile sensor. Journal of the Korean Society of Design Culture. 2017;23(1):603-612. https://doi.org/10.18208/ksdc.2017.23.1.603
  16. Jeong Y. Intergenerational changes in media use and spread of smart phones. Korea Information Society Development Institute STAT Report. Jincheon: Korea Information Society Development Institute; 2015 April. Report No.: 15-01.
  17. Kim MJ, Kim HS, Kim S, Kim DH. Development of an obesity management program for elementary school children: Based on Keller's Motivation Theory. Child Health Nursing Research. 2007;13(3):257-264.
  18. Kim JH, Yun S, Hwang SS, Shim JO, Chae HW, Lee YJ, et al. The 2017 Korean National Growth Charts for children and adolescents: Development, improvement, and prospects. Clinical and Experimental Pediatrics. 2018;61(5):135-149. https://doi.org/10.3345/kjp.2018.61.5.135
  19. Smith JJ, Morgan PJ, Plotnikoff RC, Dally KA, Salmon J, Okely AD, et al. Smart-phone obesity prevention trial for adolescent boys in low-income communities: The ATLAS RCT. Pediatrics. 2014;134(3): e723-e731. https://doi.org/10.1542/peds.2014-1012
  20. Anderson KL. A review of the prevention and medical management of childhood obesity. Child and Adolescent Psychiatric Clinics of North America. 2018;27(1):63-76. https://doi.org/10.1016/j.chc.2017.08.003
  21. Nelms M. Nutrition therapy and pathophysiology. 3nd ed. Boston, MA: Cengage Learning; 2016.
  22. Kim Y, Yang Y, Park H, Kim J. Development of physical activity guidelines and self-prescription guides for Korean. Research Report of Health Promotion Research Project. Seoul: Korea Health Promotion Institute (Seoul National University); 2012 November. Report No.: TRKO201500007063.
  23. Tudor-Locke C, Craig CL, Beets MW, Belton S, Cardon GM, Duncan S, et al. How many steps/day are enough? for children and adolescents. The International Journal of Behavioral Nutrition and Physical Activity. 2011;8:78. https://doi.org/10.1186/1479-5868-8-78
  24. Twig G, Yaniv G, Levine H, Leiba A, Goldberger N, Derazne E, et al. Body-mass index in 2.3 million adolescents and cardiovascular death in adulthood. The New England Journal of Medicine. 2016;374(25):2430-2440. https://doi.org/10.1056/NEJMoa1503840
  25. Lee J. Clinical predictive factors for metabolic syndrome in obese children and adolescents. Journal of Obesity and Metabolic Syndrome. 2016;25(2):50-55. https://doi.org/10.7570/kjo.2016.25.2.50
  26. Brambilla P, Bedogni G, Moreno LA, Goran MI, Gutin B, Fox KR, et al. Crossvalidation of anthropometry against magnetic resonance imaging for the assessment of visceral and subcutaneous adipose tissue in children. International Journal of Obesity. 2006;30(1):23-30. https://doi.org/10.1038/sj.ijo.0803163
  27. Despres JP, Lemieux I. Abdominal obesity and metabolic syndrome. Nature. 2006;444(7121):881-887. https://doi.org/10.1038/nature05488
  28. Morrison JA, Friedman LA, Harlan WR, Harlan LC, Barton BA, Schreiber GB, et al. Development of the metabolic syndrome in black and white adolescent girls: A longitudinal assessment. Pediatrics. 2005;116(5):1178-1182. https://doi.org/10.1542/peds.2004-2358
  29. Morrison JA, Glueck CJ, Woo JG, Wang P. Risk factors for cardiovascular disease and type 2 diabetes retained from childhood to adulthood predict adult outcomes: The Princeton LRC follow-up study. International Journal of Pediatric Endocrinology. 2012;2012(1):6. https://doi.org/10.1186/1687-9856-2012-6