About this trial
Overweight and obesity are major public health problems associated with increased morbidity and mortality. Motivational interviewing is a patient-centered counseling approach that may improve lifestyle behaviors and weight management. This randomized controlled trial aims to evaluate the effect of motivational interviewing on anthropometric measurements, eHealth literacy, and healthy eating attitudes among overweight and obese adults attending Healthy Life Centers in Sakarya, Türkiye. Participants will be randomly assigned to either a motivational interviewing intervention group or a routine nutrition counseling control group. Outcomes will be assessed at baseline and after the intervention.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults aged 18 years and older.
Body mass index (BMI) ≥25 kg/m² (overweight or obese).
Registered at one of the participating Healthy Life Centers in Sakarya Province.
Able to communicate in Turkish.
Disqualifiers
Pregnancy or breastfeeding.
Severe psychiatric disorders or cognitive impairment affecting participation.
Serious medical conditions preventing participation in lifestyle counseling.
Currently participating in another behavioral or weight management intervention.
Trial design
Parallel
Treatments tested in this trial
Motivational Interviewing
BehavioralParticipants will receive four structured motivational interviewing sessions in addition to routine nutrition counseling. The first and fourth sessions will be delivered face-to-face, while the second and third sessions will be conducted by telephone or online. The intervention is based on motivational interviewing principles and aims to improve healthy eating behaviors, eHealth literacy, and anthropometric outcomes among overweight and obese adults.
Routine Nutrition Counseling
BehavioralParticipants will receive routine nutrition counseling provided by Healthy Life Centers according to standard clinical practice without motivational interviewing.
Treatment groups
Trial outcomes
Primary outcomes
Change in Body Weight
Body weight (kg) will be measured at baseline and after completion of the 12-week intervention using standardized anthropometric procedures. The primary outcome is the change in body weight from baseline to post-intervention.
Secondary outcomes
Change in Body Mass Index (BMI)
Body mass index will be calculated as weight in kilograms divided by height in meters squared.
Change in Waist Circumference
Waist circumference will be measured using standardized anthropometric techniques.
Change in Waist-to-Hip Ratio
Waist-to-hip ratio will be calculated from waist and hip circumference measurements.
Change in eHealth Literacy
eHealth literacy will be assessed using the Turkish version of the eHealth Literacy Scale (eHEALS).
Sponsors and contacts
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Sakarya University
Lead sponsor
Sakarya Provincial Health Directorate
Collaborator
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