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Portugal)","award":["POCI-01-0145-FEDER-007653"],"award-info":[{"award-number":["POCI-01-0145-FEDER-007653"]}]},{"name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia (FCT; Portugal)","award":["POCI-01-0145-FEDER-028209"],"award-info":[{"award-number":["POCI-01-0145-FEDER-028209"]}]},{"name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia (FCT; Portugal)","award":["SFRH\/BD\/104182\/2014"],"award-info":[{"award-number":["SFRH\/BD\/104182\/2014"]}]},{"name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia (FCT; Portugal)","award":["SFRH\/BI\/114330\/2016"],"award-info":[{"award-number":["SFRH\/BI\/114330\/2016"]}]},{"name":"FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia, I.P.","award":["POCI-01-0145-FEDER-007653"],"award-info":[{"award-number":["POCI-01-0145-FEDER-007653"]}]},{"name":"FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia, I.P.","award":["POCI-01-0145-FEDER-028209"],"award-info":[{"award-number":["POCI-01-0145-FEDER-028209"]}]},{"name":"FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia, I.P.","award":["SFRH\/BD\/104182\/2014"],"award-info":[{"award-number":["SFRH\/BD\/104182\/2014"]}]},{"name":"FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia, I.P.","award":["SFRH\/BI\/114330\/2016"],"award-info":[{"award-number":["SFRH\/BI\/114330\/2016"]}]},{"name":"CPUP-Centre for Psychology at University of Porto","award":["POCI-01-0145-FEDER-007653"],"award-info":[{"award-number":["POCI-01-0145-FEDER-007653"]}]},{"name":"CPUP-Centre for Psychology at University of Porto","award":["POCI-01-0145-FEDER-028209"],"award-info":[{"award-number":["POCI-01-0145-FEDER-028209"]}]},{"name":"CPUP-Centre for Psychology at University of Porto","award":["SFRH\/BD\/104182\/2014"],"award-info":[{"award-number":["SFRH\/BD\/104182\/2014"]}]},{"name":"CPUP-Centre for Psychology at University of Porto","award":["SFRH\/BI\/114330\/2016"],"award-info":[{"award-number":["SFRH\/BI\/114330\/2016"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: Digital interventions can have a positive effect on the health-related behaviors of adolescents. However, it is unclear if social network-based interventions using Facebook can help to optimize medical treatment as usual (TAU) for adolescent obesity in public health care centers. We examined the feasibility, usability, and effectiveness of APOLO-Teens, a Cognitive Behavioral Therapy Facebook-based intervention as a supplement to TAU on changing eating habits\/behaviors, physical activity levels, and psychological functioning of adolescents with overweight\/obesity. Methods: This was a Randomized Controlled Trial (Trial registration number: NCT04642222). One-hundred and thirty-five adolescents aged 13 to 18 years (67.5% females) were randomly assigned to the TAU control group (n = 66) and the APOLO-Teens intervention group (n = 69). Intervention outcomes were measured at baseline and the end of the intervention (6 months later). Using per-protocol analysis, the sample size retained for final analysis included 77 participants (Control group = 39; Intervention group = 38). Two-way mixed ANOVAs were used to test within-and between-group changes. Results: The APOLO-Teens social network-based intervention was feasible (adherence rate: 85.5%) and the intervention group had a significant increase in fruit consumption (F (1,35) = 6.99, p = 0.012; significant group-by-time interaction). Both groups increased vegetables on the plate consumption and decreased pastries\/cakes intake, depressive symptomatology, grazing eating pattern, and BMI z-score (p &lt; 0.05; significant time interaction). Conclusions: The APOLO-Teens social network-based intervention was feasible, and the effectiveness results suggest that it can be a beneficial supplementary intervention to TAU in adolescent obesity.<\/jats:p>","DOI":"10.3390\/nu17162586","type":"journal-article","created":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T15:30:52Z","timestamp":1754667052000},"page":"2586","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility and Effectiveness of a Social Network-Based Intervention for Adolescents Undergoing Weight Loss Treatment: A Randomized Controlled Trial"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1782-8122","authenticated-orcid":false,"given":"Sofia Marques","family":"Ramalho","sequence":"first","affiliation":[{"name":"Psychology for Development Research Center (CIPD), Institute of Psychology and Education Sciences, Lus\u00edada University, Rua de Mo\u00e7ambique 21 e 71 (Aldoar), 4100-348 Porto, Portugal"}]},{"given":"Pedro F.","family":"Saint-Maurice","sequence":"additional","affiliation":[{"name":"Champalimaud Foundation, 1400-038 Lisbon, Portugal"}]},{"given":"Diana","family":"Silva","sequence":"additional","affiliation":[{"name":"Unidade Local de Sa\u00fade de S\u00e3o Jo\u00e3o, E.P.E., 4200-319 Porto, Portugal"},{"name":"Faculdade de Ciencias da Nutri\u00e7\u00e3o e Alimenta\u00e7\u00e3o, Universidade do Porto (FCNAUP), Rua do Campo Alegre n\u00ba 823, 4150-180 Porto, Portugal"}]},{"given":"Helena Ferreira","family":"Mansilha","sequence":"additional","affiliation":[{"name":"Centro Hospitalar e Universit\u00e1rio de Santo Ant\u00f3nio, Centro Materno Infantil do Norte (CMIN), Largo da Maternidade de J\u00falio Dinis, 4050-651 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1982-5796","authenticated-orcid":false,"given":"Eva","family":"Concei\u00e7\u00e3o","sequence":"additional","affiliation":[{"name":"Faculdade de Ciencias da Nutri\u00e7\u00e3o e Alimenta\u00e7\u00e3o, Universidade do Porto (FCNAUP), Rua do Campo Alegre n\u00ba 823, 4150-180 Porto, Portugal"},{"name":"Faculty of Psychology and Education Sciences, Center for Psychology at University of Porto, University of Porto, 4200-135 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2025,8,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1007\/s13679-021-00439-9","article-title":"Adolescent and Childhood Obesity and Excess Morbidity and Mortality in Young Adulthood\u2014A Systematic Review","volume":"10","author":"Horesh","year":"2021","journal-title":"Curr. 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