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Healthy lifestyles are crucial for preventing chronic diseases. This study evaluated the effectiveness of mHealth intervention program in adopting healthy lifestyles.
Healthy lifestyles are crucial for preventing chronic diseases. Nonetheless, approximately 90% of university students regularly engage in at least one unhealthy lifestyle. Mobile smart devices-based health interventions (mHealth) that incorporate theoretical frameworks regarding behavioral change in interaction with the environment may provide an appealing and cost-effective approach for promoting sustainable adaptations of healthier lifestyles.
The aim of this study was to evaluate the effectiveness of mHealth intervention program compared to traditional (face-to-face) program in adopting healthy lifestyles among students of the Faculty of Nursing.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| mHealth education program | Experimental | They received 1 session every 2 weeks for 3 months using Zoom meeting (each session lasts for 1 hour). The message emphasizes the importance of quality of life and positive psychology and highlights the steps to change one's lifestyle, including self-reflection, habit modification, and commitment to a comprehensive lifestyle change include importance of physical activity, management of stress, quality and quantity of sleep and specific recommendations are provided regarding drinking water, organizing meals, and adopting a healthy balanced diet with attention to portion sizes. Daily engagement with the intervention was assessed using text message replies and number of coaching calls completed. Participants were asked to reply "Done" via Emails, Facebook, WhatsApp, Telegram, Instagram, or Zoom meeting. |
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| Traditional education program | Active Comparator | They received 1 session every 2 weeks for 3 months at their convenience place (each session lasts for 1 hour). The same message as the Intervention group. Small group discussions and display of educational messages, posters, handout, and power point presentation lectures. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Education program | Behavioral | The message emphasizes the importance of quality of life and positive psychology. The concept of quality of life is described as multidimensional, also the message highlights the steps to change one's lifestyle, including self-reflection, habit modification, and commitment to a comprehensive lifestyle change include importance of physical activity, management of stress, quality and quantity of sleep and specific recommendations are provided regarding drinking water, organizing meals, and adopting a healthy balanced diet with attention to portion sizes. The message also discussed fitness foods that aid digestion and promote a healthy body. The message introduced the Healthy Eating Plate. |
| Measure | Description | Time Frame |
|---|---|---|
| Physical activity time and levels of participants as assessed by Global/International Physical Activity Questionnaire (GPAQ/IPAQ). | The total weekly time spent on physical activity and the time spent in each domain (work, transportation, and recreational time) are determined by multiplying the number of days per week in each category by the average daily duration. Minutes per week in each category are then multiplied by metabolic equivalents (MET). The overall GPAQ score is described as "Low" if < 600 MET-minutes/week, "Moderate" if = 600-1500 MET-minutes/week, or "High" if > 1500 MET-minutes/week. | Assessed just before and immediately after the intervention |
| Dietary assessment using Food frequency questionnaire (FFQ). | It consists of 140 food items categorized under 27 categories with three Likert scale (usually eat, sometimes eat, and rarely eat). Score of 27-45 indicates bad healthy choices, 46-63 indicate fair healthy choices, and 64-81 indicate good healthy choices. | Assessed just before and immediately after the intervention |
| Sleep quality scale. | It assesses the quality of sleep for the last one month and consists of 28 questions with four Likert scale (rarely, sometimes, often, and almost always). The total score can range from 0 to 84, with higher scores demoting more more frequent sleep disturbances (Good quality of sleep ≤ 28, Fair 29 - ≤ 56, and poor > 56). | Assessed just before and immediately after the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| The weight in kilograms and height in meters will be combined to report the body mass index (BMI) in kg/m2. | Participants are categorized according to the BMI according to WHO into:
| Assessed just before and immediately after the intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Shaherah Andargeery, MD | College of Nursing, Princess Nourah bint Abdulrahman University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| College of Nursing Princess Nourah bint Abdulrahman University | Riyadh | Saudi Arabia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40118869 | Derived | Andargeery SY, El-Rafey DS. A randomized controlled trial of the effectiveness of the mHealth program in improving the lifestyle of nursing students. Sci Rep. 2025 Mar 21;15(1):9765. doi: 10.1038/s41598-024-80982-2. |
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We will share the individual de-identified participants' data. The datasets generated during and/or analyzed during the current study will be available from the corresponding author on reasonable request, beginning 12 months and ending 36 months following article publication.
Between 12 and 36 months after article publication
Data will be accessible to researchers to be used for systematic reviews or meta-analyses based on a reasonable request to the corresponding author.
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| ID | Term |
|---|---|
| D018479 | Early Intervention, Educational |
| ID | Term |
|---|---|
| D002662 | Child Health Services |
| D003153 | Community Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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| Blood Pressure Level assessed with the sphygmomanometer. | Participants are categorized according to their blood pressure into:
| Assessed just before and immediately after the intervention |
| D011314 | Preventive Health Services |