A mobile health intervention for weight management among young adults: a pilot randomised controlled trial

A mobile health intervention for weight management among young adults: a pilot randomised controlled trial
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DOI:
10.1111/jhn.12155
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发表时间:
2014-08-01
影响因子:
3.3
通讯作者:
Allman-Farinelli, M.
Allman-Farinelli, M.
中科院分区:
医学3区
文献类型:
--
作者:
Hebden, L.;Cook, A.;Allman-Farinelli, M.

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工作背景:今天这一代年轻人的体重增加速度比他们的父母更快;然而,仍然没有足够的证据为预防这种体重增加的干预措施提供信息。移动的电话是一种流行的通信手段,可以提供一种方便、廉价的方式来提供健康干预方案。这项试点研究的目的是衡量为期12周的移动的健康(mHealth)干预对体重,体重指数和特定的生活方式programme.Methods的影响:大学生和工作人员年龄在18-35岁(n = 51)进行了随机(比例1:1,干预:对照)。两组人都收到了一本由营养师准备的打印好的饮食手册。干预组还收到了短信服务(SMS)短信(每周4次),电子邮件(每周4次),并可使用智能手机应用程序和互联网论坛。干预前后,干预组的参与者体重下降[平均值(SD)] [-1.6(2.6)kg],增加了他们的光强度活动[34(35)min天(-1)],并报告了增加的蔬菜(1.0中位食用日(-1))和减少的含糖饮料摄入量[-355(836)mL周(-1)]。尽管如此,干预后的结果变化并没有显着不同的controls.Conclusions:试点移动健康计划提供了一些短期的积极变化,体重,营养和体力活动,使用低成本,方便的交付方法,为这个人群。然而,变化与对照组中观察到的变化没有差异。这可能部分是由于干预措施参与者对方案的参与程度较低,这可能需要进一步修改,以提供更定期、个性化和受监测的支持。
Background: Today's generation of young adults are gaining weight faster than their parents; however, there remains insufficient evidence to inform interventions to prevent this weight gain. Mobile phones are a popular means of communication that may provide a convenient, inexpensive means to deliver health intervention programmes. This pilot study aimed to measure the effect of a 12-week mobile health (mHealth) intervention on body weight, body mass index and specific lifestyle behaviours addressed by the programme.Methods: University students and staff aged 18-35 years (n = 51) were randomised (ratio 1:1, intervention : control). Both groups received a printed diet booklet with instructions prepared by a dietitian. The intervention group also received Short Message Service (SMS) text messages (four per week), e-mails (four per week), and had access to smartphone applications and Internet forums.Results: Pre-to post-intervention, participants in the intervention group decreased their body weight [mean (SD)] [-1.6 (2.6) kg], increased their light intensity activity [34 (35) min day(-1)] and reported an increased vegetable (1.0 median serving day(-1)) and decreased sugar-sweetened beverage intake [-355 (836) mL week(-1)]. Despite this, post-intervention changes in outcomes were not significantly different from controls.Conclusions: The piloted mHealth programme provided some short-term positive changes in weight, nutrition and physical activity using a low cost, convenient delivery method for this population. However, changes were no different from those observed among controls. This might partly be explained by intervention participants' low engagement with the programme, which is likely to require further modification to provide more regular, personalised, monitored support.