Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Nov 13, 2019
Date Accepted: Jun 14, 2020
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
The Development and Effects of the e-Motivate4Change Program to Prevent Metabolic Syndrome among Young Adults: Quasi-Experimental Study
ABSTRACT
Background:
Recently, the survey shows that the health habits of young adults has been crippled. In addition, the modification of health habits has been considered nearly impossible in the older adult group. Therefore, health management strategies should be built up to prevent chronic diseases. In order to prevent one of chronic diseases, metabolic syndrome (MetS), prevention and intervention programs should be developed for health habit change.
Objective:
This study investigated the effects of the e-Motivate4Change (EMC) program using mobile applications and wearable devices, which were developed for the prevention and management of MetS in young adult university students.
Methods:
This experimental study utilized a non-equality control group. Fifty-seven female second graders and two male students from two universities in D metropolitan city in Korea participated (n = 30, experimental group; n = 29, control group). The experimental group received a 12-week EMC program intervention, and the control group received MetS education and booklets without the EMC intervention.
Results:
After the program, the experimental group had significantly higher scores for health-related lifestyle (t = 3.86, p < .001) and self-efficacy (t = 6.00, p < .001) than did the control group. Concerning body mass index, there were significant effects for group (F = 1.01, p < .001) and the group × time interaction (F = 4.71, p = .034); concerning cholesterol, there were significant main effects for group (F = 4.32, p = .042) and time (F = 9.73, p < .001).
Conclusions:
: The EMC program effectively improved participants’ health-related lifestyle and self-efficacy and significantly reduced their obesity and cholesterol levels. The program can be used to identify and prevent MetS among young adults. Clinical Trial: Institutional Review Board of Keimyung University (no. 40525-201704-HR-020-02).
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