Other Titles
Pediatric Obesity: A Growing Trend Worldwide
Abstract
Session presented on Sunday, July 26, 2015:
Maladaptive thinking or faulty cognitive appraisal by parents of overweight/obese (OW/OB) preschoolers can manifest through obesogenic behaviors. The TEXT2COPE program targeted the critical inputs of parental knowledge, attitude, and beliefs towards healthy lifestyle behaviors synergized with mobile technology. Correlations among the study variables (i.e., the intervention, cognitive beliefs, perceived difficulty, healthy lifestyle behaviors) are presented. Purpose: To evaluate the relationship among the study variables (i.e., the intervention, cognitive beliefs, perceived difficulty, healthy lifestyle behaviors). Secondary evaluation was conducted to evaluate the association of text messaging among study variables at posttest. Methods: The pilot study used a one-group pre- and posttest design. Participants were provided with education about healthy nutrition and physical activity and elements of cognitive behavior skills building through clinic visits, manualized content, and tailored and adaptive text messages. Given the small sample size (n=15), lack of homoscedasticity, and nonparametric distribution of two outcome variables (activity knowledge, healthy lifestyle beliefs), the data better fulfilled the assumptions for Spearman's rank order correlation, reported as Spearman's r correlation coefficient (r s ). Results: Collectively at baseline, parental beliefs towards healthy lifestyles significantly correlated with perceived difficulty (r s= .598, p<.05) and behavior (r s= .545, p<.05). This indicated that the stronger the parental belief in their ability to engage in healthy behaviors, the less perceived difficulty. At posttest, neither the total number of text messages (SMS) sent, nor the total number of tailored SMS sent associated with study variables. However, participant response to static messages (with automatic feedback response generated) was significantly inversely associated with belief scores (r s = -.522, p<.05) and perceived difficulty scores (r s = -.677, p<.01). That is, for those participants who scored better on the belief and perceived difficulty measures, the lower the response rate to static SMS. Conclusion: Parental healthy lifestyle beliefs were significantly related to their perceived difficulty and behavior skills in engaging in a healthy lifestyle. Nutrition and activity knowledge did not correlate with beliefs, perceived difficulty, or healthy lifestyle behaviors. Text messaging facilitated tailored and adaptive implementation of the program. The study findings support existing literature using a cognitive behavioral skills-building program, while being novel in its approach.
Sigma Membership
Non-member
Lead Author Affiliation
The Ohio State University, Columbus, Ohio, USA
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
mHealth, Childhood Obesity, Pediatrics
Recommended Citation
Militello, Lisa K.; Melnyk, Bernadette Mazurek; Hekler, Eric C.; Small, Leigh; and Jacobson, Diana L., "TEXT2COPE: Correlates of healthy beliefs, behaviors, and mobile messaging in families with an overweight or obese preschooler" (2016). INRC (Congress). 40.
https://www.sigmarepository.org/inrc/2015/presentations_2015/40
Conference Name
26th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
San Juan, Puerto Rico
Conference Year
2015
Rights Holder
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Acquisition
Proxy-submission
TEXT2COPE: Correlates of healthy beliefs, behaviors, and mobile messaging in families with an overweight or obese preschooler
San Juan, Puerto Rico
Session presented on Sunday, July 26, 2015:
Maladaptive thinking or faulty cognitive appraisal by parents of overweight/obese (OW/OB) preschoolers can manifest through obesogenic behaviors. The TEXT2COPE program targeted the critical inputs of parental knowledge, attitude, and beliefs towards healthy lifestyle behaviors synergized with mobile technology. Correlations among the study variables (i.e., the intervention, cognitive beliefs, perceived difficulty, healthy lifestyle behaviors) are presented. Purpose: To evaluate the relationship among the study variables (i.e., the intervention, cognitive beliefs, perceived difficulty, healthy lifestyle behaviors). Secondary evaluation was conducted to evaluate the association of text messaging among study variables at posttest. Methods: The pilot study used a one-group pre- and posttest design. Participants were provided with education about healthy nutrition and physical activity and elements of cognitive behavior skills building through clinic visits, manualized content, and tailored and adaptive text messages. Given the small sample size (n=15), lack of homoscedasticity, and nonparametric distribution of two outcome variables (activity knowledge, healthy lifestyle beliefs), the data better fulfilled the assumptions for Spearman's rank order correlation, reported as Spearman's r correlation coefficient (r s ). Results: Collectively at baseline, parental beliefs towards healthy lifestyles significantly correlated with perceived difficulty (r s= .598, p<.05) and behavior (r s= .545, p<.05). This indicated that the stronger the parental belief in their ability to engage in healthy behaviors, the less perceived difficulty. At posttest, neither the total number of text messages (SMS) sent, nor the total number of tailored SMS sent associated with study variables. However, participant response to static messages (with automatic feedback response generated) was significantly inversely associated with belief scores (r s = -.522, p<.05) and perceived difficulty scores (r s = -.677, p<.01). That is, for those participants who scored better on the belief and perceived difficulty measures, the lower the response rate to static SMS. Conclusion: Parental healthy lifestyle beliefs were significantly related to their perceived difficulty and behavior skills in engaging in a healthy lifestyle. Nutrition and activity knowledge did not correlate with beliefs, perceived difficulty, or healthy lifestyle behaviors. Text messaging facilitated tailored and adaptive implementation of the program. The study findings support existing literature using a cognitive behavioral skills-building program, while being novel in its approach.