Trial Outcomes & Findings for Health Literacy and Obesogenic Behaviors (NCT NCT04252677)
NCT ID: NCT04252677
Last Updated: 2026-05-01
Results Overview
Percent of participants with reduced sugar-sweetened beverage intake
COMPLETED
NA
36 participants
5 months
2026-05-01
Participant Flow
Location: New York, Massachusetts Settings: Libraries, schools Methods: Flyers, word of mouth, tabling Length of recruitment: 6 months
8 participants did not complete the pretest survey 3 did not begin online intervention after completing the survey
Participant milestones
| Measure |
Experimental Group: Health Literacy and Obesity Prevention
Obesity prevention and health literacy (HL).
1. Health Literacy
* Functional HL: skills for reading/understanding nutrition labels and medication instructions.
* Interactive HL: verbal skills for interacting with others on health issues.
* Critical HL: connections between advocacy and health
* Media HL: skills for accessing and identifying reliable source of media.
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Create positive attitudes toward engagement in healthy eating and PA
* Enlisting social support to increase healthy eating and PA
* Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and good health decision-making for health behaviors
|
Comparison Group: Vaping and Obesity Prevention Only
Obesity prevention and vaping
1. Vaping:
* Factual information about vaping devices and vaping
* Beliefs and attitudes about nicotine products
* Refusing and avoiding vaping
* Recognizing addiction and getting help
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Personal: Create positive attitudes toward engagement in healthy eating and PA
* Social: Enlisting social support to increase healthy eating and PA
* Social: Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors in the context of existing barriers
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and model good health decision-making for health behaviors
|
|---|---|---|
|
Overall Study
STARTED
|
13
|
12
|
|
Overall Study
COMPLETED
|
10
|
8
|
|
Overall Study
NOT COMPLETED
|
3
|
4
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Health Literacy and Obesogenic Behaviors
Baseline characteristics by cohort
| Measure |
Total
n=25 Participants
Total of all reporting groups
|
Experimental Group: Health Literacy and Obesity Prevention
n=13 Participants
Obesity prevention and health literacy (HL).
1. Health Literacy
* Functional HL: skills for reading/understanding nutrition labels and medication instructions.
* Interactive HL: verbal skills for interacting with others on health issues.
* Critical HL: connections between advocacy and health
* Media HL: skills for accessing and identifying reliable source of media.
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Create positive attitudes toward engagement in healthy eating and PA
* Enlisting social support to increase healthy eating and PA
* Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and good health decision-making for health behaviors
|
Comparison Group: Vaping and Obesity Prevention Only
n=12 Participants
Obesity prevention and vaping
1. Vaping:
* Factual information about vaping devices and vaping
* Beliefs and attitudes about nicotine products
* Refusing and avoiding vaping
* Recognizing addiction and getting help
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Personal: Create positive attitudes toward engagement in healthy eating and PA
* Social: Enlisting social support to increase healthy eating and PA
* Social: Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors in the context of existing barriers
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and model good health decision-making for health behaviors
|
|---|---|---|---|
|
Age, Continuous
|
15.68 Years
STANDARD_DEVIATION 1.77 • n=69 Participants
|
15.08 Years
STANDARD_DEVIATION 1.38 • n=14 Participants
|
16.33 Years
STANDARD_DEVIATION 1.96 • n=34 Participants
|
|
Sex: Female, Male
Female
|
17 Participants
n=69 Participants
|
11 Participants
n=14 Participants
|
6 Participants
n=34 Participants
|
|
Sex: Female, Male
Male
|
8 Participants
n=69 Participants
|
2 Participants
n=14 Participants
|
6 Participants
n=34 Participants
|
|
Race/Ethnicity, Customized
White
|
1 Participants
n=69 Participants
|
1 Participants
n=14 Participants
|
0 Participants
n=34 Participants
|
|
Race/Ethnicity, Customized
Black
|
14 Participants
n=69 Participants
|
7 Participants
n=14 Participants
|
7 Participants
n=34 Participants
|
|
Race/Ethnicity, Customized
Asian
|
9 Participants
n=69 Participants
|
5 Participants
n=14 Participants
|
4 Participants
n=34 Participants
|
|
Race/Ethnicity, Customized
Hispanic
|
1 Participants
n=69 Participants
|
0 Participants
n=14 Participants
|
1 Participants
n=34 Participants
|
|
Region of Enrollment
United States
|
25 Participants
n=69 Participants
|
13 Participants
n=14 Participants
|
12 Participants
n=34 Participants
|
|
Assessments of Adolescent Health Literacy Scales composite health literacy score
|
24.60 Score range from 0-29
STANDARD_DEVIATION 4.15 • n=69 Participants
|
24.54 Score range from 0-29
STANDARD_DEVIATION 3.93 • n=14 Participants
|
24.67 Score range from 0-29
STANDARD_DEVIATION 4.56 • n=34 Participants
|
PRIMARY outcome
Timeframe: 5 monthsPopulation: The difference in the numbers from baseline is due to attrition. Two participants were excluded due to erratic responses, 4 was lost due to non-completion of the intervention, and 2 were lost due to non-completion of posttest and follow-up measures or incomplete data.
Percent of participants improved healthy eating (e.g., fruits and vegetables) behaviors
Outcome measures
| Measure |
Experimental Group: Health Literacy and Obesity Prevention
n=10 Participants
Obesity prevention and health literacy (HL).
1. Health Literacy
* Functional HL: skills for reading/understanding nutrition labels and medication instructions.
* Interactive HL: verbal skills for interacting with others on health issues.
* Critical HL: connections between advocacy and health
* Media HL: skills for accessing and identifying reliable source of media.
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Create positive attitudes toward engagement in healthy eating and PA
* Enlisting social support to increase healthy eating and PA
* Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and good health decision-making for health behaviors
|
Comparison Group: Vaping and Obesity Prevention Only
n=7 Participants
Obesity prevention and vaping
1. Vaping:
* Factual information about vaping devices and vaping
* Beliefs and attitudes about nicotine products
* Refusing and avoiding vaping
* Recognizing addiction and getting help
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Personal: Create positive attitudes toward engagement in healthy eating and PA
* Social: Enlisting social support to increase healthy eating and PA
* Social: Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors in the context of existing barriers
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and model good health decision-making for health behaviors
|
|---|---|---|
|
Improvement in Participants' Healthy Eating Behaviors as Assessed by the Dietary Screener Questionnaire and the National Youth Physical Activity and Nutrition Study
|
3 Participants
|
2 Participants
|
PRIMARY outcome
Timeframe: 5 monthsPopulation: The difference in the numbers from baseline is due to attrition. Two participants were excluded due to erratic responses, 4 was lost due to non-completion of the intervention, and 2 were lost due to non-completion of posttest and follow-up measures or incomplete data.
Percent of participants reduce unhealthy eating (sugary and salty foods, junk foods) behaviors
Outcome measures
| Measure |
Experimental Group: Health Literacy and Obesity Prevention
n=10 Participants
Obesity prevention and health literacy (HL).
1. Health Literacy
* Functional HL: skills for reading/understanding nutrition labels and medication instructions.
* Interactive HL: verbal skills for interacting with others on health issues.
* Critical HL: connections between advocacy and health
* Media HL: skills for accessing and identifying reliable source of media.
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Create positive attitudes toward engagement in healthy eating and PA
* Enlisting social support to increase healthy eating and PA
* Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and good health decision-making for health behaviors
|
Comparison Group: Vaping and Obesity Prevention Only
n=7 Participants
Obesity prevention and vaping
1. Vaping:
* Factual information about vaping devices and vaping
* Beliefs and attitudes about nicotine products
* Refusing and avoiding vaping
* Recognizing addiction and getting help
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Personal: Create positive attitudes toward engagement in healthy eating and PA
* Social: Enlisting social support to increase healthy eating and PA
* Social: Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors in the context of existing barriers
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and model good health decision-making for health behaviors
|
|---|---|---|
|
Reductions in Participants' Unhealthy Eating Behaviors as Assessed by the Dietary Screener Questionnaire and the National Youth Physical Activity and Nutrition Study
|
3 Participants
|
1 Participants
|
PRIMARY outcome
Timeframe: 5 monthsPopulation: The difference in the numbers from baseline is due to attrition. Two participants were excluded due to erratic responses, 4 was lost due to non-completion of the intervention, and 2 were lost due to non-completion of posttest and follow-up measures or incomplete data.
Percent of participants increase number of days with 60 minutes of more of physical activity
Outcome measures
| Measure |
Experimental Group: Health Literacy and Obesity Prevention
n=10 Participants
Obesity prevention and health literacy (HL).
1. Health Literacy
* Functional HL: skills for reading/understanding nutrition labels and medication instructions.
* Interactive HL: verbal skills for interacting with others on health issues.
* Critical HL: connections between advocacy and health
* Media HL: skills for accessing and identifying reliable source of media.
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Create positive attitudes toward engagement in healthy eating and PA
* Enlisting social support to increase healthy eating and PA
* Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and good health decision-making for health behaviors
|
Comparison Group: Vaping and Obesity Prevention Only
n=7 Participants
Obesity prevention and vaping
1. Vaping:
* Factual information about vaping devices and vaping
* Beliefs and attitudes about nicotine products
* Refusing and avoiding vaping
* Recognizing addiction and getting help
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Personal: Create positive attitudes toward engagement in healthy eating and PA
* Social: Enlisting social support to increase healthy eating and PA
* Social: Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors in the context of existing barriers
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and model good health decision-making for health behaviors
|
|---|---|---|
|
Improvements in Participants' Physical Activity as Assessed by the Youth Activity Profile
|
5 Participants
|
2 Participants
|
PRIMARY outcome
Timeframe: 5 monthsPopulation: The difference in the numbers from baseline is due to attrition. Two participants were excluded due to erratic responses, 4 was lost due to non-completion of the intervention, and 2 were lost due to non-completion of posttest and follow-up measures or incomplete data.
Percent of participants in weekly leisure activity score
Outcome measures
| Measure |
Experimental Group: Health Literacy and Obesity Prevention
n=10 Participants
Obesity prevention and health literacy (HL).
1. Health Literacy
* Functional HL: skills for reading/understanding nutrition labels and medication instructions.
* Interactive HL: verbal skills for interacting with others on health issues.
* Critical HL: connections between advocacy and health
* Media HL: skills for accessing and identifying reliable source of media.
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Create positive attitudes toward engagement in healthy eating and PA
* Enlisting social support to increase healthy eating and PA
* Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and good health decision-making for health behaviors
|
Comparison Group: Vaping and Obesity Prevention Only
n=7 Participants
Obesity prevention and vaping
1. Vaping:
* Factual information about vaping devices and vaping
* Beliefs and attitudes about nicotine products
* Refusing and avoiding vaping
* Recognizing addiction and getting help
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Personal: Create positive attitudes toward engagement in healthy eating and PA
* Social: Enlisting social support to increase healthy eating and PA
* Social: Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors in the context of existing barriers
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and model good health decision-making for health behaviors
|
|---|---|---|
|
Improvements in Participants' Physical Activity as Assessed by the Godin and Shephard Leisure-Time Physical Activity Questionnaire
|
6 Participants
|
2 Participants
|
PRIMARY outcome
Timeframe: 5 monthsPopulation: The difference in the numbers from baseline is due to attrition. Two participants were excluded due to erratic responses, 4 was lost due to non-completion of the intervention, and 2 were lost due to non-completion of posttest and follow-up measures.
Percent of participants with increase in number of days with less than 2 hours of sedentary behaviors
Outcome measures
| Measure |
Experimental Group: Health Literacy and Obesity Prevention
n=10 Participants
Obesity prevention and health literacy (HL).
1. Health Literacy
* Functional HL: skills for reading/understanding nutrition labels and medication instructions.
* Interactive HL: verbal skills for interacting with others on health issues.
* Critical HL: connections between advocacy and health
* Media HL: skills for accessing and identifying reliable source of media.
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Create positive attitudes toward engagement in healthy eating and PA
* Enlisting social support to increase healthy eating and PA
* Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and good health decision-making for health behaviors
|
Comparison Group: Vaping and Obesity Prevention Only
n=7 Participants
Obesity prevention and vaping
1. Vaping:
* Factual information about vaping devices and vaping
* Beliefs and attitudes about nicotine products
* Refusing and avoiding vaping
* Recognizing addiction and getting help
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Personal: Create positive attitudes toward engagement in healthy eating and PA
* Social: Enlisting social support to increase healthy eating and PA
* Social: Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors in the context of existing barriers
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and model good health decision-making for health behaviors
|
|---|---|---|
|
Reductions in Participants' Sedentary Activity as Assessed by the Youth Activity Profile
|
7 Participants
|
3 Participants
|
PRIMARY outcome
Timeframe: 5 monthsPopulation: The difference in the numbers from baseline is due to attrition. Two participants were excluded due to erratic responses, 4 was lost due to non-completion of the intervention, and 2 were lost due to non-completion of posttest and follow-up measures or incomplete data.
Percent of participants with reduced sugar-sweetened beverage intake
Outcome measures
| Measure |
Experimental Group: Health Literacy and Obesity Prevention
n=10 Participants
Obesity prevention and health literacy (HL).
1. Health Literacy
* Functional HL: skills for reading/understanding nutrition labels and medication instructions.
* Interactive HL: verbal skills for interacting with others on health issues.
* Critical HL: connections between advocacy and health
* Media HL: skills for accessing and identifying reliable source of media.
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Create positive attitudes toward engagement in healthy eating and PA
* Enlisting social support to increase healthy eating and PA
* Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and good health decision-making for health behaviors
|
Comparison Group: Vaping and Obesity Prevention Only
n=7 Participants
Obesity prevention and vaping
1. Vaping:
* Factual information about vaping devices and vaping
* Beliefs and attitudes about nicotine products
* Refusing and avoiding vaping
* Recognizing addiction and getting help
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Personal: Create positive attitudes toward engagement in healthy eating and PA
* Social: Enlisting social support to increase healthy eating and PA
* Social: Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors in the context of existing barriers
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and model good health decision-making for health behaviors
|
|---|---|---|
|
Reduction in Participants' Sugar-sweetened Beverage Consumption as Measured by the Dietary Screener Questionnaire and the National Youth Physical Activity and Nutrition Study
|
3 Participants
|
2 Participants
|
SECONDARY outcome
Timeframe: 5 monthsPopulation: The difference in the numbers from baseline is due to attrition. Two participants were excluded due to erratic responses, 4 was lost due to non-completion of the intervention, and 2 were lost due to non-completion of posttest and follow-up measures. One participant had incomplete data on functional health literacy measures.
Percentage of participants with maintenance (at max score) or improvement in objective measure of reading and numeracy skills for health
Outcome measures
| Measure |
Experimental Group: Health Literacy and Obesity Prevention
n=9 Participants
Obesity prevention and health literacy (HL).
1. Health Literacy
* Functional HL: skills for reading/understanding nutrition labels and medication instructions.
* Interactive HL: verbal skills for interacting with others on health issues.
* Critical HL: connections between advocacy and health
* Media HL: skills for accessing and identifying reliable source of media.
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Create positive attitudes toward engagement in healthy eating and PA
* Enlisting social support to increase healthy eating and PA
* Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and good health decision-making for health behaviors
|
Comparison Group: Vaping and Obesity Prevention Only
n=7 Participants
Obesity prevention and vaping
1. Vaping:
* Factual information about vaping devices and vaping
* Beliefs and attitudes about nicotine products
* Refusing and avoiding vaping
* Recognizing addiction and getting help
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Personal: Create positive attitudes toward engagement in healthy eating and PA
* Social: Enlisting social support to increase healthy eating and PA
* Social: Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors in the context of existing barriers
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and model good health decision-making for health behaviors
|
|---|---|---|
|
Participants' Functional Health Literacy Will be Assessed Using the Assessments of Adolescent Health Literacy Scales
|
5 Participants
|
1 Participants
|
SECONDARY outcome
Timeframe: 5 monthsPopulation: The difference in the numbers from baseline is due to attrition. Two participants were excluded due to erratic responses, 4 was lost due to non-completion of the intervention, and 2 were lost due to non-completion of posttest and follow-up measures. One participant had incomplete data on interactive health literacy measures.
Percentage of participants with maintenance at max score or improvement in objective assessment of interactive health literacy
Outcome measures
| Measure |
Experimental Group: Health Literacy and Obesity Prevention
n=9 Participants
Obesity prevention and health literacy (HL).
1. Health Literacy
* Functional HL: skills for reading/understanding nutrition labels and medication instructions.
* Interactive HL: verbal skills for interacting with others on health issues.
* Critical HL: connections between advocacy and health
* Media HL: skills for accessing and identifying reliable source of media.
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Create positive attitudes toward engagement in healthy eating and PA
* Enlisting social support to increase healthy eating and PA
* Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and good health decision-making for health behaviors
|
Comparison Group: Vaping and Obesity Prevention Only
n=7 Participants
Obesity prevention and vaping
1. Vaping:
* Factual information about vaping devices and vaping
* Beliefs and attitudes about nicotine products
* Refusing and avoiding vaping
* Recognizing addiction and getting help
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Personal: Create positive attitudes toward engagement in healthy eating and PA
* Social: Enlisting social support to increase healthy eating and PA
* Social: Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors in the context of existing barriers
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and model good health decision-making for health behaviors
|
|---|---|---|
|
Participants' Interactive Health Literacy Assessed Using the Assessments of Adolescent Health Literacy Scales
|
2 Participants
|
3 Participants
|
SECONDARY outcome
Timeframe: 5 monthsPopulation: The difference in the numbers from baseline is due to attrition. Two participants were excluded due to erratic responses, 4 was lost due to non-completion of the intervention, and 2 were lost due to non-completion of posttest and follow-up measures. Two participants had incomplete data on critical health literacy measures.
Percentage of participants with maintenance or improvement in objective measure of social skills and critical thinking for health
Outcome measures
| Measure |
Experimental Group: Health Literacy and Obesity Prevention
n=8 Participants
Obesity prevention and health literacy (HL).
1. Health Literacy
* Functional HL: skills for reading/understanding nutrition labels and medication instructions.
* Interactive HL: verbal skills for interacting with others on health issues.
* Critical HL: connections between advocacy and health
* Media HL: skills for accessing and identifying reliable source of media.
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Create positive attitudes toward engagement in healthy eating and PA
* Enlisting social support to increase healthy eating and PA
* Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and good health decision-making for health behaviors
|
Comparison Group: Vaping and Obesity Prevention Only
n=7 Participants
Obesity prevention and vaping
1. Vaping:
* Factual information about vaping devices and vaping
* Beliefs and attitudes about nicotine products
* Refusing and avoiding vaping
* Recognizing addiction and getting help
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Personal: Create positive attitudes toward engagement in healthy eating and PA
* Social: Enlisting social support to increase healthy eating and PA
* Social: Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors in the context of existing barriers
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and model good health decision-making for health behaviors
|
|---|---|---|
|
Participants' Critical Health Literacy Will be Assessed Using the Assesments of Adolescent Health Literacy Scales
|
6 Participants
|
1 Participants
|
SECONDARY outcome
Timeframe: 5 monthsPopulation: The difference in the numbers from baseline is due to attrition. Two participants were excluded due to erratic responses, 4 was lost due to non-completion of the intervention, and 2 were lost due to non-completion of posttest and follow-up measures. One participant had incomplete data on media health literacy measures.
Percentage of participants with maintenance or improvement in objective measure of media literacy for health
Outcome measures
| Measure |
Experimental Group: Health Literacy and Obesity Prevention
n=9 Participants
Obesity prevention and health literacy (HL).
1. Health Literacy
* Functional HL: skills for reading/understanding nutrition labels and medication instructions.
* Interactive HL: verbal skills for interacting with others on health issues.
* Critical HL: connections between advocacy and health
* Media HL: skills for accessing and identifying reliable source of media.
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Create positive attitudes toward engagement in healthy eating and PA
* Enlisting social support to increase healthy eating and PA
* Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and good health decision-making for health behaviors
|
Comparison Group: Vaping and Obesity Prevention Only
n=7 Participants
Obesity prevention and vaping
1. Vaping:
* Factual information about vaping devices and vaping
* Beliefs and attitudes about nicotine products
* Refusing and avoiding vaping
* Recognizing addiction and getting help
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Personal: Create positive attitudes toward engagement in healthy eating and PA
* Social: Enlisting social support to increase healthy eating and PA
* Social: Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors in the context of existing barriers
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and model good health decision-making for health behaviors
|
|---|---|---|
|
Participants' Media Health Literacy Will be Measured Using the Adolescent Media Health Literacy Scale and eHeals
|
3 Participants
|
1 Participants
|
SECONDARY outcome
Timeframe: 5 monthsPopulation: The difference in the numbers from baseline is due to attrition. Two participants were excluded due to erratic responses, 4 was lost due to non-completion of the intervention, and 2 were lost due to non-completion of posttest and follow-up measures. Two participants had incomplete data on health literacy measures.
Percentage of participants with maintenance or improvement in objective measure of three core components of health literacy (functional, interactive, critical)
Outcome measures
| Measure |
Experimental Group: Health Literacy and Obesity Prevention
n=8 Participants
Obesity prevention and health literacy (HL).
1. Health Literacy
* Functional HL: skills for reading/understanding nutrition labels and medication instructions.
* Interactive HL: verbal skills for interacting with others on health issues.
* Critical HL: connections between advocacy and health
* Media HL: skills for accessing and identifying reliable source of media.
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Create positive attitudes toward engagement in healthy eating and PA
* Enlisting social support to increase healthy eating and PA
* Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and good health decision-making for health behaviors
|
Comparison Group: Vaping and Obesity Prevention Only
n=7 Participants
Obesity prevention and vaping
1. Vaping:
* Factual information about vaping devices and vaping
* Beliefs and attitudes about nicotine products
* Refusing and avoiding vaping
* Recognizing addiction and getting help
2. Health information:
• Factual information about healthy eating and activity (PA)
3. Motivation:
* Personal: Create positive attitudes toward engagement in healthy eating and PA
* Social: Enlisting social support to increase healthy eating and PA
* Social: Identification of community resources that promote and support healthy eating and PA
4. Behavioral Skills
* Tips for engaging in prevention behaviors and avoiding risk behaviors in the context of existing barriers
* Skills for social situations around behaviors
* Skills for making behavior part of routine
* Build autonomy, self-efficacy and model good health decision-making for health behaviors
|
|---|---|---|
|
Participants' Overall Health Literacy Will be Assessed Using the Assessments of Adolescent Health Literacy Scales
|
3 Participants
|
3 Participants
|
Adverse Events
Experimental Group: Health Literacy and Obesity Prevention
Comparison Group: Vaping and Obesity Prevention Only
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Sasha A Fleary
CUNY Graduate School of Public Health and Health Policy
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place