Enhancement of care through self-monitoring and tailored feedback via text messaging and their use in the treatment of childhood overweight
Enhancement of care through self-monitoring and tailored feedback via text messaging and their use in the treatment of childhood overweight
复制标题
DOI：
10.1016/j.pec.2010.03.014
复制
发表时间：
2010-06-01
影响因子：
3.5
通讯作者：
Kordy, Hans
中科院分区：
文献类型：
--
作者：
Bauer, Stephanie;de Niet, Judith;Kordy, Hans
目标：本文首先阐述了短信服务 (SMS) 在症状和行为监控以及提供定制反馈方面的一般潜力。其次，引入了基于 SMS 的维持治疗 (SMSMT)，旨在加强儿童超重的治疗。方法：经过 12 周的认知行为小组治疗 (CBGT)，40 名儿童被分配到 SMSMT，为期 36 周。孩子们被要求每周发送有关饮食行为、运动行为和情绪的自我监测数据，并收到量身定制的反馈。分析了第一和第二治疗阶段对 SMSMT 的遵守情况以及体重指数标准差评分 (BMI-SDS) 的变化。结果：儿童（平均年龄 = 10.05，SD = 1.28）提交了他们预计每周发送的 SMS 的 67%。在 CBGT 期间，观察到 BMI-SDS 显着降低了 0.20。 SMSMT期间BMI-SDS降低0.07并未达到统计显着性。结论：结果支持SMSMT治疗儿童超重的可行性。干预措施的有效性需要在随机对照试验中得到证明。实践意义：SMSMT 是一种很有前途的干预措施，可以以合理的成本和努力扩大儿童超重治疗中心的覆盖范围。 (C) 2010 Elsevier Ireland Ltd. 保留所有权利。
Objective: This paper first illustrates the general potential of the short message service (SMS) for symptom and behavior monitoring and the provision of tailored feedback. Second, an SMS-based maintenance treatment (SMSMT) is introduced aimed at enhancing the treatment of childhood overweight.Methods: After a 12-week cognitive behavioral group treatment (CBGT), 40 children were assigned to the SMSMT for a period of 36 weeks. Children were asked to send weekly self-monitoring data on eating behavior, exercise behavior, and emotions and received tailored feedback. The adherence to SMSMT and changes in Body Mass Index Standard Deviation Scores (BMI-SDS) during the first and second treatment phase were analysed.Results: Children (mean age = 10.05, SD = 1.28) submitted 67% of the weekly SMS that they were expected to send in. During CBGT a significant reduction by 0.20 BMI-SDS was observed. The reduction by 0.07 BMI-SDS during the SMSMT did not reach statistical significance.Conclusion: The results support the feasibility of SMSMT in the treatment of childhood overweight. The efficacy of the intervention needs to be demonstrated in an RCT.Practice implications: SMSMT is a promising intervention that may extend the reach of treatment centers for childhood overweight at reasonable cost and effort. (C) 2010 Elsevier Ireland Ltd. All rights reserved.