Development and Validation of Online Nutrition Education Video EMPIRE (Emotion and Mind Power in Relationship with Eating) For Millennials with Overweight and Obesity


  • Khairizka Citra Palupi Esa Unggul University
  • Adela Esa Unggul University
  • Nadiyah Esa Unggul University
  • Laras Sitoayu Esa Unggul University



nutrition, education, EMPIRE, overweight, millennials, validation


Overweight and obesity are still the biggest health problem in Indonesia, especially for the current millennial generation. The concept of mindfulness and mindful eating can be one of the intervention strategies to overcome overweight and obesity in this modern era. The study aimed to develop and validate the online nutrition education video EMPIE (Emotion and Mind Power in Relationship with Eating) for millennials with overweight and obesity. This study uses a 3-step method, namely, development (development of EMPIRE online nutrition education video materials), validation (validating content and constructs by 10 experts and 3 millennial respondents with overweight/obesity), evaluation (evaluation stage is not carried out by researchers due to time constraints). For construct validation using Pearson correlation and content validation using Content Validity Ratio (CVR) and Item-Level Content Validity Index (I-CVI) ?0,80. Validation consists of content, objective, relevant, motivational and construct components such as language and writing, illustrations, and quality. The content and construct validation of the EMPIRE nutrition education video (1,2,3,4,5) by experts and millennial respondents with overweight was declared valid with an overall average value of CVI ? 0.80. The content and construct components in the EMPIRE online nutrition education video are valid, so they are suitable to help overcome overweight and obesity among millennials


Download data is not yet available.


(1) RISKESDAS. Hasil Utama Riset Kesehatan Dasar 2018. Kementrian Kesehat Republik Indones. 2018;

(2) Diana R, Yuliana I, Yasmin G, Hardinsyah D. Faktor Risiko Kegemukan pada Wanita dewasa Indonesia (Risk Factors of Overweight among Indonesian Women). J Gizi dan Pangan [Internet]. 2013;8(1):1–8. Available from:

(3) Fruh SM. Obesity: Risk factors, complications, and strategies for sustainable long-term weight management. J Am Assoc Nurse Pract. 2017;29:S3–14.

(4) Wylie A, Pierson S, Goto K, Giampaoli J. Evaluation of a Mindful Eating Intervention Curriculum Among Elementary School Children and their Parents. J Nutr Educ Behav. 2018;

(5) Olson KL, Emery CF. Mindfulness and weight loss: A systematic review. Psychosomatic Medicine. 2015.

(6) Dunn C, Thomas C, Whetstone L, Aggarwal S. Mindful eating and weight loss, results from a randomized trial. J Fam Med Community Heal. 2018;

(7) Lyzwinski LN, Caffery L, Bambling M, Edirippulige S. A Systematic Review of Electronic Mindfulness-Based Therapeutic Interventions for Weight, Weight-Related Behaviors, and Psychological Stress. Telemedicine and e-Health. 2018.

(8) Kay RH. Exploring the use of video podcasts in education: A comprehensive review of the literature. Comput Human Behav [Internet]. 2012;28(3):820–31. Available from:

(9) Arora C, Sinha B, Malhotra A, Ranjan P. Development and Validation of Health Education Tools and Evaluation Questionnaires for Improving Patient Care in Lifestyle Related Diseases. 2017;11(5):9–12.

(10) Galindo-neto NM, Carla A, Alexandre S, Carvalho KM De. Creation and validation of an educational video for deaf people about cardiopulmonary resuscitation *. 2019;

(11) Araujo TL de, Lopes MV de O, Silva VM da. Methods for Establishing the Accuracy of Clinical Indicators in Predicting Nursing Diagnoses. Int J Nurs Knowl. 2012;23:134–9.

(12) Ahrens R de B, Lirani L da S, de Francisco AC. Construct validity and reliability of the work environment assessment instrument WE-10. Int J Environ Res Public Health. 2020;17(20):1–19.

(13) Ayre C, Scally AJ. Critical values for Lawshe’s content validity ratio: Revisiting the original methods of calculation. Meas Eval Couns Dev. 2014;47(1):79–86.

(14) do Nascimento LA, Rodrigues AP, Joventino ES, Vieira NFC, da Costa Pinheiro PN, Ximenes LB. Validation of Educational Video to Promote Self-Efficacy in Preventing Childhood Diarrhea. Health (Irvine Calif). 2015;07(02):192–200.

(15) Webber D, Guo Z, Mann S. Self-care in health: we can define it, but should we also measure it? SelfCare J [Internet]. 2013;4(5):101–6. Available from:

(16) Ford T, Lee HS, Jeon MJ. The emotional eating and negative food relationship experiences of obese and overweight adults. Soc Work Health Care. 2017;

(17) May M. Eat What You Love , Love What You Eat How to Break Your Eat-Repent-Repeat Cycle. 2010.

(18) Teixeira PJ, Patrick H, Mata J. Why we eat what we eat: The role of autonomous motivation in eating behaviour regulation. Nutr Bull. 2011;

(19) Ogden J, Coop N, Cousins C, Crump R, Field L, Hughes S, et al. Distraction, the desire to eat and food intake. Towards an expanded model of mindless eating. Appetite. 2013;

(20) Lopez-Minguez J, Gómez-Abellán P, Garaulet M. Timing of breakfast, lunch, and dinner. Effects on obesity and metabolic risk. Nutrients. 2019;11(11):1–15.

(21) Robinson E, Aveyard P, Daley A, Jolly K, Lewis A, Lycett D, et al. Eating attentively: A systematic review and meta-analysis of the effect of food intake memory and awareness on eating. Am J Clin Nutr. 2013;

(22) Murawski ME, Milsom VA, Ross KM, Rickel KA, DeBraganza N, Gibbons LM, et al. Problem solving, treatment adherence, and weight-loss outcome among women participating in lifestyle treatment for obesity. Eat Behav. 2009;

(23) Whigham LD, Valentine AR, Johnson LK, Zhang Z, Atkinson RL, Tanumihardjo SA. Increased vegetable and fruit consumption during weight loss effort correlates with increased weight and fat loss. Eur J Nutr [Internet]. 2012;55(3):869–96. Available from:

(24) Gehart DR. Mindfulness for Chocolate Lovers: A Lighthearted Way to Stress Less and Savor More Each Day. London: Rowman & Littlefield; 2019.

(25) Wansink B. Mindless Eating?: Environmental Contributors to Obesity. 2011;

(26) Ducrot P, Méjean C, Aroumougame V, Ibanez G, Allès B, Kesse-Guyot E, et al. Meal planning is associated with food variety, diet quality and body weight status in a large sample of French adults. Int J Behav Nutr Phys Act. 2017;

(27) Katterman SN, Kleinman BM, Hood MM, Nackers LM, Corsica JA. Mindfulness meditation as an intervention for binge eating, emotional eating, and weight loss: A systematic review. Eating Behaviors. 2014.

(28) Kristeller JL, Epel E. Mindful Eating and Mindless Eating: The Science and the Practice. In: The Wiley Blackwell Handbook of Mindfulness. 2014.

(29) Monroe JT. Mindful Eating: Principles and Practice. Am J Lifestyle Med. 2015;9(3):217–20.

(30) McNeil J, Doucet É, Chaput JP. Inadequate Sleep as a Contributor to Obesity and Type 2 Diabetes. Can J Diabetes [Internet]. 2013;37(2):103–8. Available from:

(31) Attarian HP. Clinical Handbook of Insomnia. Clin Handb Insomnia. 2010;183–91.

(32) Elmagd MA. Benefits, need and importance of daily exercise. ~ 22 ~ Int J Phys Educ Sport Heal [Internet]. 2016;3(5):22–7. Available from:

(33) Kristeller JL, Jordan KD. Mindful eating: Connecting with the wise self, the spiritual self. Front Psychol. 2018;

(34) Sousa CS, Turrini RNT. Creating and validating educational material for patients undergoing orthognathic surgery. Asian Nurs Res (Korean Soc Nurs Sci) [Internet]. 2012;6(4):166–72. Available from:

(35) Moore WA, Smith AR. Effects of video podcasting on psychomotor and cognitive performance, attitudes and study behaviour of student physical therapists. Innov Educ Teach Int. 2012;49(4):401–14.