A healthy lifestyle text message intervention for adolescents: protocol for the Health4Me randomized controlled trial

Abstract Background Adolescence presents a window of opportunity to establish good nutrition and physical activity behaviours to carry throughout the life course. Adolescents are at risk of developing cardiovascular and other chronic diseases due to poor the complex interplay of physical and mental...

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Main Authors: Rebecca Raeside, Karen Spielman, Sarah Maguire, Seema Mihrshahi, Katharine Steinbeck, Melissa Kang, Liliana Laranjo, Karice Hyun, Julie Redfern, Stephanie R. Partridge, the Health4Me Team
Format: Article
Language:English
Published: BMC 2022-09-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-022-14183-9
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author Rebecca Raeside
Karen Spielman
Sarah Maguire
Seema Mihrshahi
Katharine Steinbeck
Melissa Kang
Liliana Laranjo
Karice Hyun
Julie Redfern
Stephanie R. Partridge
the Health4Me Team
author_facet Rebecca Raeside
Karen Spielman
Sarah Maguire
Seema Mihrshahi
Katharine Steinbeck
Melissa Kang
Liliana Laranjo
Karice Hyun
Julie Redfern
Stephanie R. Partridge
the Health4Me Team
author_sort Rebecca Raeside
collection DOAJ
description Abstract Background Adolescence presents a window of opportunity to establish good nutrition and physical activity behaviours to carry throughout the life course. Adolescents are at risk of developing cardiovascular and other chronic diseases due to poor the complex interplay of physical and mental health lifestyle risk factors. Text messaging is adolescents main form of everyday communication and text message programs offer a potential solution for support and improvement of lifestyle health behaviours. The primary aim of this study is to determine effectiveness of the Health4Me text message program to improve adolescent’s physical activity or nutrition behaviours among adolescents over 6-months, compared to usual care. Methods Health4Me is a virtual, two-arm, single-blind randomised controlled trial, delivering a 6-month healthy lifestyle text message program with optional health counselling. Recruitment will be through digital advertising and primary care services. In total, 390 adolescents will be randomised 1:1 to intervention or control (usual care) groups. The intervention group will receive 4–5 text messages per week for 6-months. All text messages have been co-designed with adolescents. Messages promote a healthy lifestyle by providing practical information, health tips, motivation and support for behaviour change for physical activity, nutrition, mental health, body image, popular digital media and climate and planetary health. Virtual assessments will occur at baseline and 6-months assessing physical health (physical activity, nutrition, body mass index, sleep), mental health (quality of life, self-efficacy, psychological distress, anxiety, depression, eating disorder risk) and lifestyle outcomes (food insecurity and eHealth literacy). Discussion This study will determine the effectiveness of a 6-month healthy lifestyle text message intervention to improve physical activity and nutrition outcomes in adolescents. Trial registration Australia New Zealand Clinical Trials Registry (ANZCTR) ACTRN12622000949785 , Date registered: 05/07/2022.
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spelling doaj.art-b32cef002ce04ff0a29628c7c93990f72024-03-05T20:34:47ZengBMCBMC Public Health1471-24582022-09-012211910.1186/s12889-022-14183-9A healthy lifestyle text message intervention for adolescents: protocol for the Health4Me randomized controlled trialRebecca Raeside0Karen Spielman1Sarah Maguire2Seema Mihrshahi3Katharine Steinbeck4Melissa Kang5Liliana Laranjo6Karice Hyun7Julie Redfern8Stephanie R. Partridge9the Health4Me TeamEngagement and Co-Design Research Hub, School of Health Sciences, Faculty of Medicine and Health, University of SydneyInsideOut Institute, Faculty of Medicine and Health, University of SydneyInsideOut Institute, Faculty of Medicine and Health, University of SydneyDepartment of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie UniversityDepartment of Adolescent Medicine, The Children’s Hospital at WestmeadGeneral Practice Clinical School, Sydney Medical School, Faculty of Medicine and Health, University of SydneyWestmead Applied Research Centre, Faculty of Medicine and Health, University of SydneyEngagement and Co-Design Research Hub, School of Health Sciences, Faculty of Medicine and Health, University of SydneyEngagement and Co-Design Research Hub, School of Health Sciences, Faculty of Medicine and Health, University of SydneyEngagement and Co-Design Research Hub, School of Health Sciences, Faculty of Medicine and Health, University of SydneyAbstract Background Adolescence presents a window of opportunity to establish good nutrition and physical activity behaviours to carry throughout the life course. Adolescents are at risk of developing cardiovascular and other chronic diseases due to poor the complex interplay of physical and mental health lifestyle risk factors. Text messaging is adolescents main form of everyday communication and text message programs offer a potential solution for support and improvement of lifestyle health behaviours. The primary aim of this study is to determine effectiveness of the Health4Me text message program to improve adolescent’s physical activity or nutrition behaviours among adolescents over 6-months, compared to usual care. Methods Health4Me is a virtual, two-arm, single-blind randomised controlled trial, delivering a 6-month healthy lifestyle text message program with optional health counselling. Recruitment will be through digital advertising and primary care services. In total, 390 adolescents will be randomised 1:1 to intervention or control (usual care) groups. The intervention group will receive 4–5 text messages per week for 6-months. All text messages have been co-designed with adolescents. Messages promote a healthy lifestyle by providing practical information, health tips, motivation and support for behaviour change for physical activity, nutrition, mental health, body image, popular digital media and climate and planetary health. Virtual assessments will occur at baseline and 6-months assessing physical health (physical activity, nutrition, body mass index, sleep), mental health (quality of life, self-efficacy, psychological distress, anxiety, depression, eating disorder risk) and lifestyle outcomes (food insecurity and eHealth literacy). Discussion This study will determine the effectiveness of a 6-month healthy lifestyle text message intervention to improve physical activity and nutrition outcomes in adolescents. Trial registration Australia New Zealand Clinical Trials Registry (ANZCTR) ACTRN12622000949785 , Date registered: 05/07/2022.https://doi.org/10.1186/s12889-022-14183-9AdolescentPreventionPhysical activityNutritionmHealthText message
spellingShingle Rebecca Raeside
Karen Spielman
Sarah Maguire
Seema Mihrshahi
Katharine Steinbeck
Melissa Kang
Liliana Laranjo
Karice Hyun
Julie Redfern
Stephanie R. Partridge
the Health4Me Team
A healthy lifestyle text message intervention for adolescents: protocol for the Health4Me randomized controlled trial
BMC Public Health
Adolescent
Prevention
Physical activity
Nutrition
mHealth
Text message
title A healthy lifestyle text message intervention for adolescents: protocol for the Health4Me randomized controlled trial
title_full A healthy lifestyle text message intervention for adolescents: protocol for the Health4Me randomized controlled trial
title_fullStr A healthy lifestyle text message intervention for adolescents: protocol for the Health4Me randomized controlled trial
title_full_unstemmed A healthy lifestyle text message intervention for adolescents: protocol for the Health4Me randomized controlled trial
title_short A healthy lifestyle text message intervention for adolescents: protocol for the Health4Me randomized controlled trial
title_sort healthy lifestyle text message intervention for adolescents protocol for the health4me randomized controlled trial
topic Adolescent
Prevention
Physical activity
Nutrition
mHealth
Text message
url https://doi.org/10.1186/s12889-022-14183-9
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