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Thesis on Adolescent Obesity Intervention

This document appears to be a thesis paper submitted for a master's degree. It includes standard thesis paper sections such as an approval sheet, abstract, table of contents, introduction, methods, results, discussion, and references. The introduction presents the reason for undertaking the study, purpose, and research questions or hypotheses. The methods section describes when and where the study was conducted, materials used, and participants. The results section presents the findings related to the research questions. The discussion section discusses the implications of the study findings and how they fit with other research.

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0% found this document useful (0 votes)
225 views16 pages

Thesis on Adolescent Obesity Intervention

This document appears to be a thesis paper submitted for a master's degree. It includes standard thesis paper sections such as an approval sheet, abstract, table of contents, introduction, methods, results, discussion, and references. The introduction presents the reason for undertaking the study, purpose, and research questions or hypotheses. The methods section describes when and where the study was conducted, materials used, and participants. The results section presents the findings related to the research questions. The discussion section discusses the implications of the study findings and how they fit with other research.

Uploaded by

beverly
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Methods and Procedures
  • Introduction
  • Discussion
  • References
  • Hypotheses
  • Appendix
  • Instructions

A Thesis Paper Presented to the Faculty of the School of Graduate Studies of Western

Colleges, Inc. Naic, Cavite

In Partial Fulfillment for the Degree Master of Arts in Education major in Administration
& Supervision

(Your Name)
October 2021
APPROVAL SHEET

This thesis entitled _______________ prepared and submitted by ______ in


partial fulfillment of the requirements for the degree of Master of Arts in Education Major
in _____, has been examined and is recommended for acceptance and approval for
Oral Examination.

PANEL OF EXAMINERS

Approved by the Committee on Oral Examination with a grade of _____ on ____

Accepted and approved in partial fulfillment of the requirements for the degree
Master of Arts in Education major in Administration & Supervision.

Comprehensive Examinations passed on ___________.

Abner V. Pineda, PhD, EdD, DPA, DBA


Dean, School of Graduate Studies
Title :
Researcher :
Adviser :
School :
Degree :
Date of Completion :

ABSTRACT
TABLE OF CONTENTS
Page
Title Page
Approval Sheet
Abstract
Table of Contents
List of Figures
List of Tables
INTRODUCTION
METHOD
Initial Stage
Final Stage
RESULTS
Development Stage
Conduct of Exploratory Factor Analysis
Final Results
DISCUSSION
REFERENCES
APPENDICES
Appendix
A. Letter to the Schools Division Superintendent
B. Informed Consent Form
C. Copy of the First Draft of the Instrument
D. Matrix for Development and Validations of the Proposed Instrument on ______
E. Copy for the Instrument Validators
F. Content Validity Index Results
G. Table
H. Figures
I. Semi – Final Draft of the Developed and Validated Instrument :
J. Copy of the Final Instrument
K. Certificate of PlagScan Review (Revised Final Manuscript)
L. Researcher’s Curriculum Vitae
LIST OF TABLES

Table Title/Description Page


LIST OF FIGURES

Figure Title/Description Page


INTRODUCTION
(This part presents in an APA format and IMRaD style of writing which includes
the reason why the study is undertaken, purpose of the research and the research
questions together with the tested hypothesis/es)
Given the dramatic increase in adolescent overweight and obesity, models are
needed for implementing weight management treatment through readily accessible
venues. We evaluated the acceptability and efficacy of a school-based intervention
consisting of school nurse-delivered counseling and an after school exercise program in
improving diet, activity, and body mass index (BMI) among overweight and obese
adolescents.
METHODS AND PROCEDURES
(This part of the paper includes the when, where and how was the study done,
materials being used, and who were / are the respondents / participants of the study.)
A pair-matched cluster-randomized controlled school-based trial was conducted
in which 8 public high schools were randomized to either a 12-session school nurse-
delivered cognitive-behavioral counseling intervention plus school-based after school
exercise program, or 12-session nurse contact with weight management information
(control). Overweight or obese adolescents (N = 126) completed anthropometric and
behavioral assessments at baseline and 8-month follow-up. Main outcome measures
included diet, activity, and BMI. Mixed effects regression models were conducted to
examine differences at follow-up.
Adolescent overweight and obesity have increased dramatically in recent
decades, with 34% of adolescents currently overweight or obese.1 Adolescent obesity
has negative physical and mental health consequences,2–4 and is strongly linked with
obesity during adulthood.5 Adolescence provides an opportunity to promote healthy
lifestyles affecting physical and psychosocial outcomes during adolescence and into
adulthood, yet adolescent obesity has been understudied compared with adults and
preadolescents.6 One systematic review7 found that comprehensive behavioral
interventions including diet and physical activity counseling and behavioral management
training8 are efficacious for decreasing youth body mass index (BMI), but they were
focused on preadolescents and conducted in specialty clinics with limited access by
youth.7
Models for implementing expert recommendations for weight management
interventions9 with adolescents require development and testing. The school A pair-
matched cluster-randomized controlled school-based trial was conducted with a
convenience sample of 8 public high schools in Massachusetts. The total student
enrollment at these schools ranged from 673 to 1467; the student populations were
predominately white (61.8% to 94.4%) in 7 schools, and Hispanic (42.7%) in 1 school.
The percent of students considered low income ranged from 5.7% to 59.7%. Schools
were pair matched on enrollment, and 1 school from each pair was randomly assigned
to the intervention or control condition. Data were collected from September 2012 to
June 2013. Clinical Trial Registration # NCT01463124.
Adolescents in grades 9 to 12 were eligible to participate if they had a BMI ≥ 85th
percentile for age and sex, provided assent and had parental consent, and had at least
1 English-speaking parent. Exclusions included plans to move out of the area; a medical
condition that precluded adherence to the intervention;

RESULTS
(This part includes the answer/s found for the research questions / findings of the
study and whether the tested hypothesis/es are / were true or not.)

DISCUSSION
(This part of the study presents the implication/s of the study, what does the it
matters, how does it fit with other researches and the perspective/ for future
researchers.)

REFERENCES :

LETTER ASKING PERMISSION


Ma’am:
Greetings of Love, Peace & Respect!
The undersigned is presently on the last stage of her Master of Arts in Education
major in Special Education. She / He is conducting a research entitled
________________________________________________________.

In order for the researcher to finish the said paper, a survey questionnaire has to
be floated to the respondents.
In this regard, may the researcher seek your approval for the conduct of the
study at (your school).

The researcher conveys his/her utmost gratitude for the support you accord to
him / her with regard to his / her study.

Respectfully yours,

Noted By : (Your Name)


Student – Researcher

Dr. Abner V. Pineda


Dean

LETTER TO THE PARTICIPANTS / RESPONDENTS

Dear __________:

Greetings of Love, Peace & Respect !


The undersigned is presently on the last stage of her Master of Arts in Education
Major in Special Education. She is conducting a research entitled ____
_____________________________________________________________.
In order for the researcher to finish the said paper, a survey questionnaire has to
be floated.

In this regard, may the researcher seek your ample time to answer the attached
survey.
The researcher conveys her utmost gratitude for the support you accord to her
with regards to her study.

Respectfully yours,

(Your name)
Student – Researcher
Appendix D

MATRIX FOR DEVELOPMENT AND VALIDATIONS OF (title)

Part l. Profile of the obese / overweight pupils in terms of :

1.1 Name ______________________________________________ (optional)


1.2 Grade and Section :
1.3 Socio economic Status

Part ll. This set of questions is about your children’s eating habits and physical
activity. The first few questions ask about food, and the rest of the questions
should be answered for each of the children in your household. Your
participation in this survey is voluntary and all answers will be kept confidential.
If there is a question that you do not wish to answer, you can skip it and move on
to the next question. We are hoping that the information we get from this survey
will help us understand the eating behaviors of children in our community.

Thank you for completing this survey.

Please indicate whether you strongly agree, somewhat agree, somewhat


disagree, or strongly disagree with the following statements:
2.1 Some people are born to be fat and some thin; there is not much you can do
to change this.

01 Strongly agree; 02 Somewhat agree; 03 Somewhat disagree; 04 Strongly disagree

2.2 What you eat can make a big difference in your chance of getting a disease,
like heart disease or cancer.

01 Strongly agree; 02 Somewhat agree; 03 Somewhat disagree; 04 Strongly disagree

2.3 When you buy food, how important is each of the following?

2.3.1 How safe the food is to eat ?

01 Very important; 02 Somewhat important; 03 Not too important; 04 Not at all important

2.3.2 Nutrition (how healthy the food is)

01 Very important; 02 Somewhat important; 03 Not too important; 04 Not at all important

2.3.3 Price?

01 Very important; 02 Somewhat important; 03 Not too important; 04 Not at all important

2.3.4 How well the food keeps ?

01 Very important; 02 Somewhat important; 03 Not too important; 04 Not at all important

2.3.5 How easy the food is to prepare ?

01 Very important; 02 Somewhat important; 03 Not too important; 04 Not at all important

2.3.6 Taste (whether child likes the food ?

01 Very important; 02 Somewhat important; 03 Not too important; 04 Not at all important

2.4 In your opinion, how important are the following things are to a child’s
present and future health?

2.4.1 What a child eats :

01 Very important; 02 Somewhat important; 03 Not too important; 04 Don’t know


2.4.2 How much a child eats :

01 Very important; 02 Somewhat important; 03 Not too important; 04 Don’t know

2.4.2 How much exercise a child gets :

01 Very important; 02 Somewhat important; 03 Not too important; 04 Don’t know

2.4.3 What the child weighs :

01 Very important; 02 Somewhat important; 03 Not too important; 04 Don’t know

2.5 Please answer the following questions for each of your children:

Child 1 Child 2 Child 3 Child 4

2.5.1 Sex
01 Male
02 Female

2.5.2 Age

2.5.3 Height :
(in feet & inches)

2.5.4 Weight :
(in pounds)

2.5.5 Not counting juice, how often do your children ages 2 and over eat fruit on an
average day?

01 Never or rarely; 02 helping; 03 Don’t know/ not sure


01 Never or rarely

2.5.5 On an average day, how often does each child eat vegetables? (Includes
vegetable salad..)
01 Never or rarely; 02 helping; 03 Don’t know/ not sure

2.5.6 How many times a week does each child eat fast food (McDonalds, Wendy’s,
Taco Bell, etc.)

01 Never or rarely ; 02 1-2 times; 03 3-4 times; 04 5 or more times; 05 Don’t know/ not
sure
2.5.7 How many sodas per week does each child drink ?
01 Never or rarely; 02 1-4 sodas; 03 5-7 sodas; 04 8 or more sodas; 05 Don’t know/ not
sure

2.5.8 How many times per week does each child play or exercise enough to make
him/her sweat and breathe hard for 20 or more minutes?

01 Never or rarely; 02 1-2 times; 03 3-4 times; 04 5 or more times; 05 Don’t know/ not
sure
2.5.9 How would you describe each child’s weight?

01 Very underweight; 02 Slightly underweight ; 03 About the right weight; 04 Slightly


overweight; 05 Very overweight

2.5.10 About how many hours do you estimate each of your children sit and watch TV or
videos on an average school day?

01 Less than 1 hour; 02 1-2 hours; 03 3-4 hours; 04 5 or more hrs; 05 None; 06 Don’t
know

Appendix E

COPY FOR THE INSTRUMENT VALIDATORS


Dear Validator :
Greetings of Love, Peace & Respect !
Kindy evaluate the items enumerated that are grounded from my review of
related literature and studies according to the relevance to the research objectives and
its language proficiency to elicit reliable responses.
The research objective is grounded on the definition of the terms indicated prior
to each evaluation table.
Please use the scoring scale below and indicates the necessary remarks
thereafter.
Appendix F
CONTENT VALIDITY INDEX RESULTS
Appendix G

TABLE
Appendix H

Figures
Appendix I

SEMI – FINAL DRAFT OF THE DEVELOPED AND VLIDATED INSTRUMENT

Appendix J

Copy of the Final Instrument


Appendix K

Certificate of Plag Scan Review (Revised Final Manuscript)

Appendix L
Researcher’s Curriculum Vitae
INSTRUCTION :
1. I provided the introduction, methods & procedures, survey questionnaire and the
review of related literature and the data;

2. What you should do is to insert the RRLS into the introduction (50 %) and the
other 50 % under discussion. Instead of supplying you the authors/researchers, u
are asked to find your own RRLS.

3. If you think there is a need to improved the parts provided you may do so but be
sure that the additional information is in congruence with the paper;

4. It has to be in a thesis paper of the college which is also uploaded in the GC;

5. There is a need to re – encode the RRLS to be able to insert it properly to the


designated parts of the paper; and

6. I hope there will be no further questions after providing you all the things that you
should do including the deadline and hardcopy which you should submit either
via courier or personal on / or before Dec. 01, 2021 (before the office closes at 3
PM, which is the curfew in Latoria, Naic). For those who will send via courier :

DR. ABNER V. PINEDA


Dean
Western Colleges, Inc.
Barangay Latoria, Naic, Cavite
Tel. 0919 911 5648 / 0915 805 2418

Common questions

Powered by AI

Future research should explore personalized interventions that cater to individual psychosocial needs and socioeconomic conditions, creating tailored strategies that increase effectiveness and engagement . Additionally, studies might investigate the integration of technology, such as mobile health apps, to support self-monitoring and behavioral tracking, which could enhance adherence to healthy lifestyle changes. Research should also consider long-term studies to evaluate sustained effects of interventions beyond the immediate follow-up period .

Conducting a school-based trial in schools with diverse socioeconomic and demographic profiles allows for findings that may be more representative of wider populations, enhancing the generalizability of the results. In this study, schools had varying percentages of low-income students and different racial compositions, which can influence factors like dietary habits and access to physical activity resources . However, this diversity could also introduce variability that complicates interpretations, as outcomes might be differentially impacted by these contextual factors .

Potential barriers include limited time and resources, as school nurses often manage many responsibilities, which could affect their capacity to deliver consistent interventions . Additionally, there may be varying levels of nurse training and interest in conducting such interventions. Facilitators might include the existing trust students have in school nurses, the structured school schedule that could support regular sessions, and the support from the school administration recognizing the health benefits tied to academic performance .

Adolescence is a critical period for establishing long-term health behaviors, making interventions during this stage potentially impactful for future health outcomes . However, challenges include adolescents' increased autonomy over dietary choices and physical activity levels, which can make behavior change difficult without significant motivation and support. Furthermore, peer pressure and body image issues are particularly relevant at this stage, requiring sensitive intervention approaches that maximize engagement and adherence without contributing to stigma .

Socioeconomic factors can influence diet quality and physical activity levels, affecting the overall effectiveness of behavioral interventions. In the trial, students from lower-income backgrounds might face more barriers to changing dietary habits and accessing physical activity resources outside of the intervention, potentially reducing its effectiveness for these groups . The trial found that addressing these disparities through interventions that consider socioeconomic limitations is crucial for achieving equitable health outcomes .

Assessing dietary and physical activity metrics at both baseline and follow-up strengthens internal validity by providing comparative data points that demonstrate changes attributable to the intervention. This longitudinal approach allows researchers to identify trends and verify whether observed changes in BMI and behaviors are consistent and significant over time . It also helps to control for initial differences among participants and ensures any developments can be attributed to the intervention rather than external variables .

Mixed effects regression models are instrumental in analyzing trial data as they account for variability both within and between schools, capturing the influence of random effects related to school environments while evaluating the fixed effects of the intervention . This approach allows for a more accurate assessment of the intervention's impact on outcomes like diet, activity, and BMI by controlling for potential confounding variables and accommodating the hierarchical nature of the data collected across multiple school contexts .

Combining cognitive-behavioral counseling with physical activity creates a comprehensive framework for addressing both the psychological and physical dimensions of weight management. Cognitive-behavioral therapy (CBT) can aid in modifying unhealthy thought patterns and behaviors related to diet and self-control , while structured physical activities provide practical opportunities for increased energy expenditure and fitness improvements. Together, these components aim to synergize, offering a holistic approach that encourages sustainable lifestyle changes .

Ethical considerations include obtaining informed consent from both the adolescents and their parents, ensuring confidentiality of sensitive health data, and addressing any potential stigmatization associated with participation in obesity-focused interventions . Additionally, researchers must ensure that the intervention does not negatively affect the participants' self-esteem or body image, and they must provide equitable access to both treatment and control groups .

The current school-based intervention model introduces cognitive-behavioral counseling delivered by school nurses combined with an after-school exercise program, addressing both dietary habits and physical activity directly within the school environment. This approach contrasts with previous models that often focused on comprehensive behavioral interventions within specialized clinics, which limited accessibility for many adolescents . By embedding the intervention in schools, the program benefits from easy access for students and can integrate more seamlessly into their daily routines, potentially increasing adherence and efficacy .

A Thesis Paper Presented to the Faculty of the School of Graduate Studies of Western
Colleges, Inc. Naic, Cavite
In Partial F
APPROVAL SHEET
This thesis entitled _______________ prepared and submitted by ______ in
partial fulfillment of the requiremen
Title :
Researcher :
Adviser :
School :
Degree :
Date of Completion :
ABSTRACT
TABLE OF CONTENTS
Page
Title Page
Approval Sheet
Abstract
Table of Contents
List of Figures
List of Tables
INTRODUCTION
METHO
I.
Semi – Final Draft of the Developed and Validated Instrument :
J.
Copy of the Final Instrument
K.
Certificate of PlagScan
LIST OF FIGURES
Figure 
Title/Description
Page
INTRODUCTION
(This part presents in an APA format and IMRaD style of writing which includes
the reason why the study is under
were pair matched on enrollment, and 1 school from each pair was randomly assigned
to the intervention or control condition.
In this regard, may the researcher seek your approval for the conduct of the
study at (your school). 
The researcher conveys

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