Treating Rural Pediatric Obesity Through Telemedicine: Outcomes From a Small Randomized Controlled Trial
Treating Rural Pediatric Obesity Through Telemedicine: Outcomes From a Small Randomized Controlled Trial
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DOI：
10.1093/jpepsy/jst005
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发表时间：
2013-10-01
影响因子：
3.6
通讯作者：
Malone, Brett
中科院分区：
文献类型：
--
作者：
Davis, Ann McGrath;Sampilo, Marilyn;Malone, Brett
本研究的目的是检验通过远程医疗向农村地区提供的多学科每周基于家庭的行为小组的有效性，并与标准的医生就诊干预进行比较。方法对58名农村儿童及其家庭进行随机对照试验，比较基于家庭的远程医疗行为干预与有组织的医生就诊情况。结果测量包括儿童体重指数z-score （BMIz）、24小时饮食回忆、加速度计数据、儿童行为检查表、行为儿科喂养评估量表以及可行性和保真度。结果两组患儿BMIz结局差异无统计学意义（F = 0.023, p = .881）。两组的体重指数、营养和身体活动都有所改善。结论远程医疗和组织就诊是农村儿童肥胖症治疗的可行和可接受的方法。
Objective The objective of the current study was to examine the effectiveness of a multidisciplinary weekly family-based behavioral group delivered via telemedicine to rural areas, compared with a standard physician visit intervention. Methods A randomized controlled trial was conducted with 58 rural children and their families comparing a family-based behavioral intervention delivered via telemedicine to a structured physician visit condition. Outcome measures included child body mass index z-score (BMIz), 24-hr dietary recalls, accelerometer data, Child Behavior Checklist, Behavioral Pediatrics Feeding Assessment Scale, and feasibility and fidelity. Results Child BMIz outcomes were not statistically different between the 2 groups (F = 0.023, p = .881). Improvements in BMIz, nutrition, and physical activity were seen for both groups. Conclusions Both telemedicine and structured physician visit may be feasible and acceptable methods of delivering pediatric obesity treatment to rural children.