The Effectiveness of Self-empowerment-based Patient-centered Care for Obese Students in Primary Services: A Randomized Controlled Trial

Overview

Journal J Family Community Med

Date 2023 Feb 27

PMID 36843863

Authors

Dian K Dewi

Rini Sekartini

Diana Sunardi

Pradana Soewondo

Em Yunir

Indah S Widyahening

Sali R Asih

Anitawati Seman

Kitra Latuasan

Dhanasari Vidiawati

Affiliations

Soon will be listed here.

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], = 0.02) and healthy behavior habit (13.5 ± 11.85 vs. 7.5 ± 8.08, 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], 0.02), movement exercise (2.3 ± 2.11 vs. 1.2 ± 1.93, 0.03), sleep rest (2 [-6.5] vs. 1 [-3.2], 0.01), and spiritual (1 [0.6] vs. 0 [-1.3], 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.

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