{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:31:27Z","timestamp":1787070687046,"version":"build-2736575974"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Family-based digital interventions have been shown to be effective in helping children and families adopt healthier lifestyles. This study aims to assess the efficacy of virtual educational programs in promoting lifestyle modification, with a focus on improving dietary habits, increasing physical activity, and reducing tobacco use among families in Isfahan, Iran.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study was carried out in two stages from 2023 to 2024. The initial phase involved a comprehensive review of the existing literature, alongside consultations with health experts, to standardize and develop intervention programs tailored to the cultural context of Iranian society. The second phase was a randomized intervention survey conducted in parallel and double-blind (participants and statistics specialist) manner in two groups. Eligible participants included families registered at health centers, with at least one child aged 6\u201315 years and access to the internet and electronic devices. Participants were randomly assigned to either the intervention or control group. In the intervention group, each family member received virtual educational content via a website or mobile app. The program was delivered weekly for the first 8 weeks, followed by biweekly sessions for the next 8 weeks. The content focused on improving dietary habits, increasing physical activity, and reducing tobacco use and smoking exposure. The control group received no educational interventions but was given access to the recorded sessions after the study concluded. Participants were followed up at 2- and 6-month post-intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The primary outcomes include changes in body mass index (BMI), physical activity levels in both children and parents, dietary habits, smoking status, and exposure to indoor air pollutants. Conclusions: The rigorous design, incorporating cultural adaptation and a double-blind randomized controlled trial with follow-up assessments, provides a strong methodological framework for evaluating the effectiveness of virtual health interventions in a specific cultural context.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijpvm.ijpvm_389_24","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T09:01:14Z","timestamp":1751274074000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Virtual Education Protocol for Sustainable Lifestyle Modifications"],"prefix":"10.4103","volume":"16","author":[{"given":"Kasra Talebi","family":"Anaraki","sequence":"first","affiliation":[{"name":"Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motahar","family":"Heidari-Beni","sequence":"additional","affiliation":[{"name":"Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatemeh","family":"Saber","sequence":"additional","affiliation":[{"name":"Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ebrahim","family":"Abdollahpour","sequence":"additional","affiliation":[{"name":"Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roya","family":"Kelishadi","sequence":"additional","affiliation":[{"name":"Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6]]},"reference":[{"key":"R1-20250825","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/S2352-4642(19)30323-2","article-title":"Global trends in insufficient physical activity among adolescents:A pooled analysis of 298 population-based surveys with 1\u00b76 million participants","volume":"4","author":"Guthold","year":"2020","journal-title":"Lancet Child Adolesc Health"},{"key":"R3-20250825","doi-asserted-by":"crossref","first-page":"e1232","DOI":"10.1016\/S2214-109X(24)00150-5","article-title":"National, regional, and global trends in insufficient physical activity among adults from 2000 to 2022:A pooled analysis of 507 population-based surveys with 5\u00b77 million participants","volume":"12","author":"Strain","year":"2024","journal-title":"Lancet Global Health"},{"key":"R7-20250825","doi-asserted-by":"crossref","first-page":"1958","DOI":"10.1016\/S0140-6736(19)30041-8","article-title":"Health effects of dietary risks in 195 countries, 1990-2017:A systematic analysis for the Global Burden of Disease Study 2017","volume":"393","author":"Afshin","year":"2019","journal-title":"Lancet"},{"key":"R8-20250825","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1016\/j.maturitas.2011.08.005","article-title":"Tracking of obesity-related behaviours from childhood to adulthood:A systematic review","volume":"70","author":"Craigie","year":"2011","journal-title":"Maturitas"},{"key":"R9-20250825","doi-asserted-by":"crossref","first-page":"101299","DOI":"10.1016\/j.pmedr.2020.101299","article-title":"Family-based lifestyle interventions:What makes them successful?A systematic literature review","volume":"21","author":"Arnason","year":"2020","journal-title":"Prev Med Rep"},{"key":"R10-20250825","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/1479-5868-5-15","article-title":"Does parenting affect children's eating and weight status?","volume":"5","author":"Ventura","year":"2008","journal-title":"Int J Behav Nutr Phys Act"},{"key":"R11-20250825","doi-asserted-by":"crossref","first-page":"107247","DOI":"10.1016\/j.ypmed.2022.107247","article-title":"Parent-based interventions to improve multiple lifestyle risk behaviors among adolescents:A systematic review and meta-analysis","volume":"164","author":"Champion","year":"2022","journal-title":"Prev Med"},{"key":"R12-20250825","article-title":"A meta-analytic review of obesity prevention in the schools:1997-2008. 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