title: A social cognitive theory-based programme for eating patterns and sedentary activity among overweight adolescents in Makassar, South Sulawesi : a cluster randomised controlled trial.
abstract: OBJECTIVE
  Social cognitive theory provides the opportunity for program development to enhance healthy personal behvioural characteristics. We devised study to employ social cognitive theory to reduce snacking habits and sedentary activity among overweight adolescents .
  
  
  METHODS
  Eight junior high schools in Makassar city were randomly assigned as intervention and control schools. A total of 238 overweight students aged 11-15 years (BMI z-score >=1 SD, according to a 2007 report from the WHO) were recruited. Adolescents from the intervention schools attended 12 weekly 75-min nutrition education group sessions, which focused on behavioural modification assisted by trained facilitators; furthermore, their parents received weekly nutrition education leaflets. Adolescents from the control schools, but not their parents, received leaflets on evidenced-based nutrition information. The BMI z-scores, waist circumference, snacking habits, sedentary activity, and the adolescents' self-efficacy data were assessed prior to and after 3 months of intervention. The outcomes were analysed on an intent-to-treat basis.
  
  
  RESULTS
  Compared with the control group, the intervention group showed a higher reduction in BMI z-scores (-0.08; p<0.05) and waist circumference (-1.5; p<0.05) at 3 months. Significant between-group differences were also observed for decreased snacking habits, but not for sedentary activity. Additionally, the programme improved self-efficacy for reducing these behaviours. Mean compliance and satisfaction with the programme were 95% and 92%, respectively.
  
  
  CONCLUSIONS
  These high reduction rates suggest that the programme is promising and may address the problem of overweightness in adolescents. Additional studies are required to develop the programme in community settings.
authors.affiliation: Department of Nutrition, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia. Email: hhidayanty@yahoo.com; ethy_april@yahoo.com.|SEAMEO RECFON, Jakarta, Indonesia.|Nutrition Study Program, Faculty of Public Health, Universitas Hasanuddin, Makassar, Indonesia.
authors.forename: Healthy
authors.initials: H
authors.lastname: Hidayanty
authors.affiliation: Department of Nutrition, Faculty of Medicine, Universitas Indonesia-Dr Cipto Mangunkusumo General Hospital, Jakarta, Indonesia.
authors.forename: Saptawati
authors.initials: S
authors.lastname: Bardosono
authors.affiliation: SEAMEO RECFON, Jakarta, Indonesia.
authors.forename: Helda
authors.initials: H
authors.lastname: Khusun
authors.affiliation: Department of Health Education and Behaviour Science, Faculty of Public Health, Universitas Indonesia, Jakarta, Indonesia.
authors.forename: Rita
authors.initials: R
authors.lastname: Damayanti
authors.affiliation: Faculty of Psychology, Universitas Islam Syarif Hidayatullah, Jakarta, Indonesia.
authors.forename: Risatianti
authors.initials: R
authors.lastname: Kolopaking
mesh_terms: D000293:Adolescent; D017195:Adolescent Nutritional Physiological Phenomena; D019336:Cognitive Science; D005247:Feeding Behavior; D006801:Humans; D007214:Indonesia; D050177:Overweight / Q000453:epidemiology / Q000628:therapy*; D057185:Sedentary Behavior; D012919:Social Behavior