ArticleBMC nursing2025
Effectiveness of a capacity-building program for adolescent obesity prevention on perceived skills, professional attitudes, and challenges among school nurses in a lower-middle-income community: a randomized controlled trial.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesChildhood obesity prevention is a public health priority to reduce the burden of chronic diseases. This study assessed the impact of a capacity-building program designed to enhance school nurses' competencies in adolescent obesity prevention in the Sousse region of Tunisia. TRIAL
designA randomized controlled trial was conducted among all school nurses in the region for nine months, from January to September 2024, in the Sousse region health district. Eligible participants were stratified by the school district and randomly assigned to either the intervention (IG) or control group (CG) using a random number generator.
methodsThe target population was school nurses actively engaged in school health services, including health promotion and obesity prevention, with a minimum of six months of professional experience. Ninety-five participants were allocated to the intervention. The intervention was multidisciplinary, including expert-led trainers on nutrition, communication, physical activity, and obesity. The primary outcome was perceived skills, and the secondary outcomes were professional attitudes and challenges regarding childhood obesity prevention. Blinding was not used in this study.
resultsA total of 116 nurses participated, predominantly female, with one-third aged 40-49 years. Forty-nine participants were randomised to the IG and 46 to the CG (n = 46). At baseline, the intervention group reported significantly lower self-perceived competency in obesity management than the control group (p = 10
conclusionThis capacity-building program significantly improved school nurses' skills, confidence, and motivation in adolescent obesity prevention. Nevertheless, skills related to family dynamics and behavioral management require more targeted interventions. Sustained professional training is crucial for addressing structural barriers and ensuring the long-term effectiveness of the program.
trial registrationThis clinical trial was registered with the Pan African Clinical Trial Registry on April 7, 2025, under reference number PACTR202504907833519.
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