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Weight Loss Project for Adolescents With Obesity

Author: Editorial Staff
Posted on: 23 Jan 2020

Introduction

The proposed research study focuses on a Weight Loss Project for Adolescents With Obesity. The intervention would be led or coordinated by family nurse practitioners and would examine the possibility of developing an effective weight-management program that attracts adolescents, responds to their developmental needs, and encourages them to continue participating.

Adolescent obesity is a complex health condition influenced by biological, behavioral, psychological, family, environmental, and socioeconomic factors. It should not be viewed simply as the result of poor personal choices or insufficient willpower. The American Academy of Pediatrics describes obesity in children and adolescents as a chronic, complex, multifactorial, and treatable disease that requires timely, respectful, and evidence-based care (Hampl et al., 2023).

For this reason, the project should use person-first and non-stigmatizing language. Referring to “adolescents with obesity” is preferable to labeling young people as “obese adolescents.” Person-first language recognizes that obesity is a health condition and not the adolescent’s entire identity. Weight stigma can cause shame, social isolation, avoidance of healthcare, emotional distress, and unhealthy weight-control behavior. The intervention should therefore emphasize health, confidence, participation, and sustainable behavior rather than appearance or rapid weight loss.

The proposed project will educate adolescents about healthy eating, appropriate food choices, regular physical activity, self-efficacy, self-motivation, and realistic goal setting. Family involvement will also be important because adolescents’ food choices, opportunities for exercise, transportation, household routines, and access to healthcare are strongly influenced by their home environments.

The project will compare adolescents who receive the structured educational intervention with adolescents who receive usual care or standard health information. Changes in weight-related measurements, health behaviors, confidence, and program participation will be evaluated over three months.

Proposed Clinical Question

Considering the variables and dimensions of the chosen research topic, the clinical question can be stated as follows:

In adolescent patients with obesity, does a family nurse practitioner-led educational program addressing healthy eating, healthy food choices, regular physical activity, self-efficacy, and self-motivation, compared with usual care or no structured education, result in improved weight-related outcomes and increased participation in a weight-management program over three months?

This clinical question is based on the PICOT framework. PICOT helps organize a clinical research question by identifying the population, intervention, comparison, outcome, and time frame.

PICOT Components

Population

The population will consist of adolescent patients with obesity.

Adolescence is a developmental period involving rapid physical, emotional, social, and psychological changes. Adolescents are developing independence, forming their identities, responding to peer influence, and making more decisions about food, exercise, sleep, and social activities. A program created for adults may therefore be inappropriate for adolescents.

The study should establish a clear age range, such as 12 to 17 years. Participants should meet a recognized clinical definition of obesity based on age- and sex-specific body mass index measurements. Because children and adolescents are still growing, adult BMI categories should not be applied directly to them.

The inclusion criteria may consist of:

Adolescents between 12 and 17 years of age.
A BMI at or above the age- and sex-specific threshold for obesity.
Medical clearance to participate in the physical activity component.
Ability to understand the program materials.
Willingness of the adolescent and a parent or caregiver to participate.
Access to the clinic or technology used to deliver the intervention.

Exclusion criteria may include a medical condition that requires a highly specialized weight-management plan, an acute eating disorder, pregnancy, inability to participate safely in the proposed activities, or current enrollment in another intensive weight-management study.

Intervention

The intervention will be a structured educational and behavioral program led by a family nurse practitioner or delivered by a multidisciplinary team under the nurse practitioner’s coordination.

The original intervention includes four major components:

Education about lifestyle changes, including healthy eating and healthy food choices.
Education about regular exercise and physical activity.
Education designed to improve self-efficacy.
Education designed to improve self-motivation.

These components should be retained because they address both practical health behaviors and the psychological factors that influence whether adolescents continue those behaviors.

The intervention could include individual consultations, small-group sessions, family meetings, printed or digital educational materials, food-planning activities, physical activity demonstrations, goal-setting exercises, progress reviews, and motivational interviewing.

Comparison

The comparison group will consist of adolescents who do not receive the full structured educational program. They may receive usual clinical care, general written health information, or the standard counseling already provided by the facility.

The comparison condition must be described accurately. It would be ethically inappropriate to deny necessary treatment to adolescents. Therefore, “not educated” should not mean receiving no healthcare or safety information. It should mean that participants receive usual care rather than the additional structured intervention being tested.

Outcomes

The original expected outcomes are:

Decreased weight.
Increased participation in the weight-loss program.

These outcomes are important but should be made more precise. Because adolescents are continuing to grow, success may not always involve a large reduction in body weight. An adolescent may gain height while maintaining weight, resulting in an improvement in BMI relative to age and sex. Therefore, the study should measure more than the number of kilograms lost.

Possible primary outcomes include:

Change in BMI.
Change in BMI percentile.
Change in BMI expressed relative to the 95th percentile.
Program attendance.
Completion of intervention sessions.
Retention in the program at three months.

Possible secondary outcomes include:

Increased physical activity.
Improved dietary choices.
Reduced consumption of sugar-sweetened beverages.
Increased intake of fruits, vegetables, whole grains, or other nutrient-rich foods.
Increased eating and exercise self-efficacy.
Increased self-motivation.
Improved quality of life.
Improved sleep routines.
Reduced sedentary time.
Improved confidence in setting and achieving health goals.

These additional outcomes will help determine whether the intervention is changing behavior even when immediate weight change is modest.

Time

The intervention and initial outcome assessment will occur over three months.

A three-month period is useful for a pilot project because it allows the researchers to examine short-term feasibility, attendance, behavior change, and early weight-related outcomes. However, it may be too short to determine whether changes are maintained.

Current family healthy weight programs commonly provide at least 26 hours of contact over a period of approximately three to 12 months. Greater intervention intensity is generally associated with better outcomes, although such programs require substantial time and resources from families and healthcare organizations (Centers for Disease Control and Prevention [CDC], 2025; Hampl et al., 2023).

The proposed project can retain its three-month period as the primary evaluation point. If resources permit, additional follow-up assessments should occur at six and 12 months to determine whether the adolescents maintain their behavioral and health improvements.

Refined PICOT Question

The final PICOT question may be written as follows:

Among adolescents aged 12 to 17 years with obesity, how does participation in a three-month family nurse practitioner-led program providing education on healthy eating, physical activity, self-efficacy, self-motivation, and goal setting, compared with usual care, affect BMI-related outcomes, healthy behaviors, self-efficacy, and program participation?

This version identifies the population, intervention, comparison, outcomes, and time frame clearly. It also preserves the original purpose of the project while making the expected results measurable.

Type of Clinical Question

The clinical question is primarily a therapy or intervention question because it examines whether a structured weight-management program produces desired health and behavioral outcomes.

A therapy question asks whether an intervention is more effective than another intervention, usual care, or no additional treatment. In this project, the intervention consists of education and behavioral support delivered by family nurse practitioners. The expected effects include improved eating habits, greater physical activity, increased confidence, better participation, and improved weight-related outcomes.

The original paper also described the project as involving an “etymological” approach. The correct research term is etiological, which refers to the causes or contributing factors associated with a disease or health outcome. Etymology concerns the history and origins of words and is not the correct term in this context.

The study may contain an etiological component if it examines factors associated with adolescent obesity or poor program participation. Such factors might include:

Family eating practices.
Low physical activity.
Limited access to healthy foods.
Inadequate sleep.
Excessive sedentary behavior.
Low self-efficacy.
Limited family support.
Depression or emotional distress.
Socioeconomic barriers.
Community safety.
Transportation difficulties.
Previous negative experiences with weight-management programs.

However, the primary question concerns the effectiveness of an intervention. Therefore, the study should be classified mainly as a therapy or intervention study, with secondary investigation of factors that influence participation and outcomes.

Consideration of Possible Adverse Effects

The original paper appropriately recognized the need to evaluate possible negative effects of the designed intervention. Even programs intended to improve health may produce harm if they are poorly planned or delivered in a stigmatizing manner.

Possible adverse effects include:

Increased body dissatisfaction.
Shame or embarrassment.
Bullying or teasing.
Excessive dietary restriction.
Unhealthy dieting practices.
Compulsive exercise.
Family conflict.
Reduced self-esteem.
Anxiety or depression.
Disordered eating behavior.
Withdrawal from the program.
Avoidance of healthcare.

The intervention should not encourage extreme calorie restriction or rapid weight loss. It should teach balanced eating, enjoyable physical activity, realistic goals, and respect for individual differences. Participants should be screened for eating disorders, depression, anxiety, and other concerns when clinically indicated.

The program should also avoid rewarding adolescents only for weight reduction. Recognition should be given for attending sessions, preparing healthy meals, increasing physical activity, reducing sedentary time, improving sleep, and meeting personal behavior goals.

Appropriate Study Design

The original proposal identified a cohort study as the most appropriate design. A prospective cohort design could be used by observing two groups over time: adolescents participating in the educational program and similar adolescents receiving usual care.

This design would allow the researchers to measure outcomes at baseline and after three months. However, a traditional cohort study is generally better suited to examining exposures, risk factors, and the development of outcomes than to determining whether a deliberately assigned intervention causes an improvement.

Because the main question asks whether the educational program is effective, a randomized controlled trial would provide stronger evidence. Eligible adolescents could be assigned randomly to one of two groups:

The family nurse practitioner-led intervention group.
The usual-care comparison group.

Randomization helps distribute known and unknown participant differences between groups. It reduces the possibility that the intervention group performs better simply because its members were already more motivated, had greater family support, or possessed better access to healthy food.

Primary care-based randomized trials have tested multicomponent and motivational interventions for pediatric weight management, demonstrating that structured interventions can be evaluated in ordinary clinical settings rather than only in specialist research centers.

If randomization is not practical or ethically acceptable within the healthcare facility, the study could use a quasi-experimental prospective controlled design. One group would receive the intervention, while another comparable group would receive usual care. Researchers would measure both groups before and after the three-month period.

This design would preserve the original cohort concept while strengthening the evaluation through:

A clearly defined comparison group.
Baseline measurements.
Standardized intervention procedures.
Follow-up measurements.
Adjustment for important differences between groups.

Therefore, the most appropriate study-design options are:

A randomized controlled trial, when feasible.
A quasi-experimental prospective controlled study, when randomization is not feasible.
A prospective cohort study, when the intervention has already been selected independently of the researchers.

Intervention Structure

The weight-management project should be attractive and relevant to adolescents. Providing information alone may not be sufficient. The program should help participants apply the information within their daily lives.

Healthy Eating Education

The healthy eating component should teach adolescents and their families how to make practical food choices rather than prescribing an excessively restrictive diet.

Topics may include:

Understanding balanced meals.
Choosing appropriate portions.
Reading food labels.
Reducing sugar-sweetened beverages.
Choosing water more often.
Increasing fruits and vegetables.
Choosing whole grains.
Identifying sources of lean protein.
Planning healthy snacks.
Recognizing emotional or distracted eating.
Preparing affordable meals.
Making healthier choices at school or restaurants.

The program should consider cultural food preferences, food availability, family income, cooking facilities, and household routines. Recommendations that a family cannot afford or access are unlikely to be followed.

The CDC advises families to support healthy routines by making nutrient-rich foods available, choosing water instead of sugary drinks, and developing sustainable family eating practices rather than isolating one child for special treatment.

Regular Exercise and Physical Activity

The intervention should educate adolescents about regular physical activity while allowing them to select activities they enjoy. Exercise should not be presented as punishment for eating.

Activities may include:

Walking.
Dancing.
Cycling.
Swimming.
Team sports.
Active video games.
Strength exercises.
Home-based exercise.
School recreation.
Family activities.

Adolescents aged 5 to 17 should generally average approximately 60 minutes of moderate-to-vigorous physical activity per day, with vigorous, muscle-strengthening, and bone-strengthening activities included regularly. The exact prescription should be adapted to the adolescent’s health, ability, interests, and clinical advice.

The program could begin with smaller achievable goals for participants who are currently inactive. For example, an adolescent might start with a 15-minute walk and gradually increase the duration. Achieving smaller goals can strengthen confidence and reduce the likelihood of withdrawal.

Education on Self-Efficacy

Self-efficacy refers to a person’s belief in the ability to organize and perform the actions required to achieve a particular goal. It does not mean believing vaguely that everything will work out. It involves confidence in performing specific behaviors under particular conditions.

An adolescent may have high self-efficacy for walking after school but low self-efficacy for choosing healthy food when eating with friends. Another participant may feel confident exercising at home but uncomfortable participating in a public fitness class.

The intervention should therefore assess self-efficacy for specific behaviors rather than treating it as one general personality characteristic.

Strategies for improving self-efficacy include:

Setting realistic and measurable goals.
Beginning with manageable tasks.
Recording progress.
Practising difficult behaviors.
Learning from successful peers.
Receiving constructive encouragement.
Identifying barriers in advance.
Developing plans for setbacks.
Celebrating progress rather than perfection.

Research has associated greater eating and exercise self-efficacy with healthier behavior, while changes in self-efficacy during behavioral interventions may influence diet, physical activity, and weight-related outcomes.

Education on Self-Motivation

Self-motivation helps participants begin and continue a behavior when immediate rewards are limited. Adolescents may know that healthy food and exercise are beneficial but still struggle to act consistently.

The intervention should help each participant identify personally meaningful reasons for change. One adolescent may want greater energy for sports. Another may want to sleep better, improve laboratory results, feel more confident, or keep up with friends.

Motivational interviewing may be useful because it is a collaborative counseling method rather than a confrontational lecture. It helps adolescents examine their own reasons for change, recognize uncertainty, and select goals they are prepared to pursue. Research suggests that motivational interviewing can improve engagement or adherence in some pediatric weight-management interventions, although results vary across programs and populations.

Role of Family Nurse Practitioners

Family nurse practitioners can play an important role in the project because they provide health assessment, education, counseling, coordination, monitoring, and family-centered care.

Their responsibilities may include:

Screening adolescents for obesity and related health concerns.
Assessing readiness for change.
Reviewing medical and family histories.
Identifying barriers to healthy behavior.
Providing non-stigmatizing education.
Helping adolescents set goals.
Applying motivational interviewing.
Monitoring progress and possible adverse effects.
Coordinating referrals to dietitians, psychologists, physicians, or exercise specialists.
Supporting parents without reducing adolescent independence.
Following up with participants who miss appointments.

The intervention should ideally be multidisciplinary. The American Academy of Pediatrics recommends family-centered, coordinated treatment that may involve pediatric healthcare professionals, registered dietitian nutritionists, nurses, psychologists, exercise specialists, social workers, families, schools, and communities (Hampl et al., 2023).

Evidence indicates that nurse-led interventions are feasible and can contribute to obesity prevention and management, although outcomes depend on training, intervention intensity, study quality, and available support.

Family Participation

Family involvement is essential because adolescents usually do not purchase all household food, determine family schedules, or control transportation independently. Parents and caregivers can either support or unintentionally obstruct behavior change.

Family participation may include:

Attending selected educational sessions.
Preparing healthy meals together.
Avoiding criticism or weight-related teasing.
Participating in physical activities.
Limiting the routine availability of high-sugar foods.
Supporting regular sleep.
Helping adolescents attend appointments.
Modeling healthy behavior.
Encouraging effort rather than demanding rapid weight loss.

The adolescent should still have a voice in setting personal goals. Excessive parental control may produce resistance, secrecy, or conflict. A family-centered approach should support the young person rather than monitor every action.

Family healthy weight programs are designed for children or adolescents together with their caregivers and combine nutrition, physical activity, and positive behavior-change strategies.

Theoretical Framework

The appropriate theoretical framework for the project is Albert Bandura’s Social Cognitive Theory, with particular emphasis on self-efficacy.

The original discussion correctly identifies self-efficacy as a major concept within Social Cognitive Theory. Bandura (1977, 1997) proposed that individuals’ beliefs about their abilities influence the goals they select, the effort they invest, their perseverance when difficulties occur, and their responses to setbacks.

Self-efficacy may be described through the following ideas:

It is the belief that one can successfully perform a particular behavior.
It concerns a person’s perceived ability to reach a goal.
It influences whether an individual begins and continues an action.
It affects how a person responds to difficulty and failure.
It can be strengthened through successful experience, observation, encouragement, and emotional regulation.

Bandura identified four major sources of self-efficacy:

Mastery Experiences

Successful performance is generally the strongest source of self-efficacy. When adolescents complete achievable activities, they develop evidence that they can change their behavior.

For example, an adolescent who successfully replaces one sugary drink each day with water may become more confident about making other dietary changes.

Vicarious Experiences

Observing people with similar challenges succeed can increase confidence. Group sessions may allow adolescents to learn from peers who have developed healthier routines.

Peer examples must be realistic. Presenting only exceptional or dramatic transformations may reduce confidence when participants believe they cannot achieve similar results.

Verbal Persuasion

Encouragement from family nurse practitioners, parents, and peers can strengthen confidence, particularly when the encouragement is specific and credible.

Instead of saying, “You can lose a lot of weight,” the nurse practitioner might say, “You completed your walking plan four days this week, which shows that you can maintain a routine.”

Physiological and Emotional States

Adolescents may interpret breathlessness, tiredness, embarrassment, or anxiety as proof that they cannot exercise. The program can help them distinguish normal exertion from warning symptoms and gradually build tolerance in a safe manner.

A supportive environment may also reduce anxiety and embarrassment, making participation more likely.

Application of Bandura’s Theory to Weight Management

Applying Bandura’s theory to weight management, adolescents are more likely to adopt healthy behaviors when they:

Believe that the behavior will produce a valuable outcome.
Believe that they can perform the required behavior.
Possess practical skills and resources.
Receive social support.
Observe positive examples.
Experience small successes.
Monitor their progress.
Learn how to recover from setbacks.

The original discussion states that individuals may become motivated when they believe weight management will reduce the risk of chronic illness and when they expect behaviors such as reducing excessive calorie intake and exercising to improve their health.

This idea is consistent with Social Cognitive Theory, but the intervention should not depend entirely on fear of future illness. Chronic disease may seem distant to an adolescent. Immediate outcomes such as improved energy, better sleep, greater mobility, improved sports performance, or increased confidence may be more motivating.

The project should also distinguish between outcome expectations and self-efficacy expectations. Outcome expectations concern whether a behavior is likely to produce a result. Self-efficacy concerns whether the person believes they can perform the behavior.

An adolescent may believe that exercise improves health but still doubt the ability to exercise regularly. The intervention must therefore address both beliefs.

Zimmerman et al. (1992) found that self-efficacy beliefs and personal goal setting contributed to self-motivated achievement among adolescents. Although their study concerned academic attainment rather than weight management, its principles are relevant to the proposed project: young people are more likely to persist when they believe they can perform the required actions and translate broad goals into specific personal objectives.

Data Collection

Data should be collected at baseline and after three months. If possible, follow-up data should also be collected at six and 12 months.

Possible measures include:

Height and weight measured using standardized procedures.
BMI and age- and sex-specific BMI measures.
Waist circumference, when appropriate and standardized.
Blood pressure.
Physical activity questionnaires or activity tracking.
Dietary-behavior questionnaires.
Self-efficacy scales.
Motivation or readiness-to-change measures.
Quality-of-life measures.
Session attendance.
Participant withdrawal.
Satisfaction with the program.
Adverse events.
Reasons for missed sessions.

Researchers should use the same equipment and procedures for the intervention and comparison groups. Staff members measuring outcomes should be trained and, when feasible, unaware of group assignment.

Ethical Considerations

Because the participants are minors, the project requires parent or guardian permission and adolescent assent. The adolescent should receive an age-appropriate explanation of the study, including its purpose, procedures, risks, benefits, confidentiality protections, and voluntary nature.

Participation should not affect access to ordinary clinical care. Adolescents should be allowed to withdraw without punishment.

Privacy is especially important. Weight measurements and personal health information should not be discussed publicly or shared with schools, peers, or unauthorized family members.

The intervention must avoid stigmatizing language, public weigh-ins, competitive weight-loss rankings, and before-and-after photographs used without clear informed permission.

Researchers should establish referral procedures for participants who show signs of depression, disordered eating, severe body dissatisfaction, bullying, or other health concerns.

Anticipated Results

It is expected that adolescents receiving the structured intervention will demonstrate:

Greater program attendance.
Higher completion rates.
Increased healthy eating.
Greater physical activity.
Improved eating and exercise self-efficacy.
Increased motivation.
More realistic personal goals.
Better BMI-related outcomes than adolescents receiving usual care.

However, the researchers should not assume that every participant will lose weight within three months. A successful pilot project may demonstrate improved behaviors, confidence, participation, or weight maintenance even when average weight reduction is small.

The results must also be interpreted in relation to intervention attendance. Participants receiving more sessions may show greater improvement, but this relationship does not necessarily prove that attendance alone caused the outcome. Adolescents who attend consistently may differ from those who withdraw in motivation, transportation, family support, or health status.

Limitations

The proposed study may experience several limitations.

The three-month duration may be insufficient to assess sustained weight management. A small sample may limit the ability to detect meaningful differences. Participants volunteering for the study may already be more motivated than the wider adolescent population.

Self-reported diet and exercise data may be influenced by memory errors or the desire to provide socially acceptable answers. Adolescents in the comparison group may independently change their behavior after learning that they are participating in a study.

Family income, neighborhood safety, school schedules, food access, and transportation may affect participation but may be difficult to control fully.

If the project uses a nonrandomized cohort design, pre-existing differences between groups may influence the findings. These limitations should be acknowledged rather than hidden.

Conclusion

The proposed Weight Loss Project for Adolescents With Obesity aims to develop an effective and attractive intervention coordinated by family nurse practitioners. Its original components—healthy eating education, physical activity education, self-efficacy, and self-motivation—provide a strong foundation for a family-centered weight-management program.

The refined clinical question asks whether a three-month structured educational intervention produces better weight-related, behavioral, psychological, and participation outcomes than usual care.

The question is primarily a therapy or intervention question, although the research may also examine etiological factors associated with obesity and program participation. The correct term is etiological, not etymological.

A randomized controlled trial would provide the strongest evidence for intervention effectiveness. When randomization is not feasible, a quasi-experimental prospective controlled study or carefully designed cohort study may be used.

Bandura’s Social Cognitive Theory provides an appropriate theoretical framework. Self-efficacy can influence whether adolescents begin healthy behaviors, persist through difficulty, respond to setbacks, and achieve personally meaningful goals. The intervention should strengthen self-efficacy through mastery experiences, peer examples, constructive encouragement, realistic goals, and supportive management of emotional responses.

The program should not focus narrowly on rapid weight loss. Its broader purpose should be to improve health, behavior, confidence, participation, and quality of life while avoiding stigma and unhealthy practices.

By combining family involvement, nurse practitioner support, appropriate nutrition, enjoyable physical activity, motivational interviewing, and self-efficacy development, the project may provide adolescents with practical skills that continue beyond the initial three-month intervention.

References

Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215. https://doi.org/10.1037/0033-295X.84.2.191

Bandura, A. (1997). Self-efficacy: The exercise of control. W. H. Freeman.

Centers for Disease Control and Prevention. (2025). CDC-recognized family healthy weight programs.

Centers for Disease Control and Prevention. (2026). Tips to support healthy routines for children and teens.

Efthymiou, V., Charmandari, E., Vlachakis, D., Tsitsika, A., & Pałasz, A. (2021). Adolescent self-efficacy for diet and exercise following a school-based multicomponent lifestyle intervention. Nutrients, 14(1), Article 97. https://doi.org/10.3390/nu14010097

Hampl, S. E., Hassink, S. G., Skinner, A. C., Armstrong, S. C., Barlow, S. E., Bolling, C. F., Avila Edwards, K. C., Eneli, I., Hamre, R., Joseph, M. M., Lunsford, D., Mendonca, E., Michalsky, M. P., Mirza, N., Ochoa, E. R., Jr., Sharifi, M., Staiano, A. E., Weedn, A. E., Flinn, S. K., … Okechukwu, K. (2023). Clinical practice guideline for the evaluation and treatment of children and adolescents with obesity. Pediatrics, 151(2), Article e2022060640. https://doi.org/10.1542/peds.2022-060640

Nezami, B. T., Lang, W., Jakicic, J. M., Davis, K. K., Polzien, K., Rickman, A. D., Hatley, K. E., & Tate, D. F. (2016). The effect of self-efficacy on behavior and weight in a behavioral weight-loss intervention. Health Psychology, 35(7), 714–722. https://doi.org/10.1037/hea0000378

Resnicow, K., McMaster, F., Bocian, A., Harris, D., Zhou, Y., Snetselaar, L., Schwartz, R., Myers, E., Gotlieb, J., Foster, J., Hollinger, D., Smith, K., Woolford, S., Mueller, D., & Wasserman, R. C. (2015). Motivational interviewing and dietary counseling for obesity in primary care: An RCT. Pediatrics, 135(4), 649–657. https://doi.org/10.1542/peds.2014-1880

Whitehead, L., Kabdebo, I., Dunham, M., Quinn, R., Hummelshøj, J., George, C., & Denney-Wilson, E. (2022). The effectiveness of nurse-led interventions to prevent childhood and adolescent overweight and obesity: A systematic review of randomised trials. Journal of Advanced Nursing, 78(3), 690–706. https://doi.org/10.1111/jan.15063

World Health Organization. (2020). WHO guidelines on physical activity and sedentary behaviour.

Zimmerman, B. J., Bandura, A., & Martinez-Pons, M. (1992). Self-motivation for academic attainment: The role of self-efficacy beliefs and personal goal setting. American Educational Research Journal, 29(3), 663–676. https://doi.org/10.3102/00028312029003663

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