Dennis Amajuoyi Ndububa, Akinjide Olurotimi Ogundokun, Oluwagbemiga Oluwole Ayoola, Adebanjo Babalola Adeyemi, Rahman Ayodele Bolarinwa, Taiwo Olumuyiwa Ogundipe, Abdulkadir Ayo Salako, Aaron Oladiipo Aboderin, Olusegun Temitope Afolabi, Anthony Taiwo Adenekan, Ige Oluwatosin Taiwo, Oluwabanke Gold Akanbi
A 5-year review of research ethics applications in a tertiary health and educational institution in Nigeria
African health sciences
numerous smartphone apps targeting physical activity pa healthy eating empirical evidence effectiveness initialization maintenance behavior change especially children adolescents still limited social settings influence individual behavior therefore core settings family need considered designing mobile health mhealth apps purpose study evaluate effectiveness theory evidencebased mhealth intervention called smartfamily sf targeting pa collective familybased setting smartphone app based behavior change theories techniques developed implemented evaluated cluster randomized controlled trial collective family setting baseline t0 postintervention t1 measurements included pa selfreported accelerometry measurements selfreported fruit vegetable intake primary outcomes secondary outcomes selfreported intrinsic motivation behaviorspecific selfefficacy family health climate t0 t1 families intervention group ig used sf app individually collaboratively 3 consecutive weeks whereas families control group cg received treatment four weeks following t1 followup assessment t2 completed participants consisting questionnaire items assess stability intervention effects multilevel analyses implemented r r foundation statistical computing acknowledge hierarchical structure persons level 1 clustered families level 2 overall 48 families cg n22 46 68 participants ig n26 54 88 participants recruited study two families cg n1 2 4 participants ig n1 2 4 participants chose drop study owing personal reasons t0 overall evidence meaningful statistically significant increases pa levels intervention observed physically active study participants p30 despite incorporating behavior change techniques rooted family life psychological theories sf intervention yield significant increases pa levels among participants results study mainly limited physically active participants large age range children adolescents enhancing intervention effectiveness may involve incorporating health literacy justintime adaptive interventions advanced features future app development research needed better understand intervention engagement tailor mhealth interventions individuals enhanced effectiveness primary prevention efforts german clinical trials register drks00010415 httpsdrksdesearchentrialdrks00010415 rr210219620534