Adolescent weight management counseling: The effectiveness of an online training program for primary healthcare professionals in Indonesia.

<h4>Background</h4>Overweight and obesity are growing public health concerns globally for which innovative prevention and care delivery efforts are required. We recently developed a web-based training program to improve the quality of health professionals' weight management counseli...

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Main Authors: Fransisca H Agung, Rini Sekartini, Nani Sudarsono, Aryono Hendarto, Retno Asti Werdhani, Meita Dhamayanti, Retno Pudjiati, Lathifah Hanum, Affan Naufal, Susan M Sawyer
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0315770
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author Fransisca H Agung
Rini Sekartini
Nani Sudarsono
Aryono Hendarto
Retno Asti Werdhani
Meita Dhamayanti
Retno Pudjiati
Lathifah Hanum
Affan Naufal
Susan M Sawyer
author_facet Fransisca H Agung
Rini Sekartini
Nani Sudarsono
Aryono Hendarto
Retno Asti Werdhani
Meita Dhamayanti
Retno Pudjiati
Lathifah Hanum
Affan Naufal
Susan M Sawyer
author_sort Fransisca H Agung
collection DOAJ
description <h4>Background</h4>Overweight and obesity are growing public health concerns globally for which innovative prevention and care delivery efforts are required. We recently developed a web-based training program to improve the quality of health professionals' weight management counseling of adolescents in Indonesia. Having previously confirmed its acceptability, this study aimed to measure the effectiveness of the program through a randomized controlled trial.<h4>Methods</h4>We recruited 64 primary healthcare professionals from 17 provinces across Indonesia who were randomized to participate in a 4-week online training program (intervention group [IG, n = 32] or a waitlist control group [CG, n = 32]). Using active learning approaches, the training program focused on adolescent development, psychosocial assessment, motivational interviewing (MI), and parent engagement. Participants in each arm were asked to record two counseling sessions with adolescents. These were objectively rated by trained psychologists using a validated tool, and also by qualitative assessment of counseling quality. In both groups, the first recorded counseling session occurred before the training. The second recording took place after the training for IG participants, but not for CG participants.<h4>Results</h4>IG participants demonstrated significant improvements in their knowledge and counseling skills (p<0.001, t-test). This included improvements in introductory remarks, quality of psychosocial assessment, and MI skills. There was no change in the extent of parental involvement. The MI training successfully oriented the counseling sessions towards a more collaborative and participatory conversation for supporting behavioral change.<h4>Conclusion</h4>This novel online training program improved the knowledge and counseling skills of Indonesian primary healthcare professionals. Greater emphasis on engaging parents and more guidance on conducting telehealth counseling may improve parental involvement in future iterations.
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spelling doaj-art-ddba5976bfe9459a942ea6e0d04d2a202025-08-20T02:56:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01202e031577010.1371/journal.pone.0315770Adolescent weight management counseling: The effectiveness of an online training program for primary healthcare professionals in Indonesia.Fransisca H AgungRini SekartiniNani SudarsonoAryono HendartoRetno Asti WerdhaniMeita DhamayantiRetno PudjiatiLathifah HanumAffan NaufalSusan M Sawyer<h4>Background</h4>Overweight and obesity are growing public health concerns globally for which innovative prevention and care delivery efforts are required. We recently developed a web-based training program to improve the quality of health professionals' weight management counseling of adolescents in Indonesia. Having previously confirmed its acceptability, this study aimed to measure the effectiveness of the program through a randomized controlled trial.<h4>Methods</h4>We recruited 64 primary healthcare professionals from 17 provinces across Indonesia who were randomized to participate in a 4-week online training program (intervention group [IG, n = 32] or a waitlist control group [CG, n = 32]). Using active learning approaches, the training program focused on adolescent development, psychosocial assessment, motivational interviewing (MI), and parent engagement. Participants in each arm were asked to record two counseling sessions with adolescents. These were objectively rated by trained psychologists using a validated tool, and also by qualitative assessment of counseling quality. In both groups, the first recorded counseling session occurred before the training. The second recording took place after the training for IG participants, but not for CG participants.<h4>Results</h4>IG participants demonstrated significant improvements in their knowledge and counseling skills (p<0.001, t-test). This included improvements in introductory remarks, quality of psychosocial assessment, and MI skills. There was no change in the extent of parental involvement. The MI training successfully oriented the counseling sessions towards a more collaborative and participatory conversation for supporting behavioral change.<h4>Conclusion</h4>This novel online training program improved the knowledge and counseling skills of Indonesian primary healthcare professionals. Greater emphasis on engaging parents and more guidance on conducting telehealth counseling may improve parental involvement in future iterations.https://doi.org/10.1371/journal.pone.0315770
spellingShingle Fransisca H Agung
Rini Sekartini
Nani Sudarsono
Aryono Hendarto
Retno Asti Werdhani
Meita Dhamayanti
Retno Pudjiati
Lathifah Hanum
Affan Naufal
Susan M Sawyer
Adolescent weight management counseling: The effectiveness of an online training program for primary healthcare professionals in Indonesia.
PLoS ONE
title Adolescent weight management counseling: The effectiveness of an online training program for primary healthcare professionals in Indonesia.
title_full Adolescent weight management counseling: The effectiveness of an online training program for primary healthcare professionals in Indonesia.
title_fullStr Adolescent weight management counseling: The effectiveness of an online training program for primary healthcare professionals in Indonesia.
title_full_unstemmed Adolescent weight management counseling: The effectiveness of an online training program for primary healthcare professionals in Indonesia.
title_short Adolescent weight management counseling: The effectiveness of an online training program for primary healthcare professionals in Indonesia.
title_sort adolescent weight management counseling the effectiveness of an online training program for primary healthcare professionals in indonesia
url https://doi.org/10.1371/journal.pone.0315770
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