Cell phone intervention for you (CITY): A randomized, controlled trial of behavioral weight loss intervention for young adults using mobile technology.
Cell phone intervention for you (CITY): A randomized, controlled trial of behavioral weight loss intervention for young adults using mobile technology.
复制标题
DOI：
10.1002/oby.21226
复制
发表时间：
2015-11
期刊：
影响因子：
--
通讯作者：
Bennett GG
中科院分区：
文献类型：
--
作者：
Svetkey LP;Batch BC;Lin PH;Intille SS;Corsino L;Tyson CC;Bosworth HB;Grambow SC;Voils C;Loria C;Gallis JA;Schwager J;Bennett GG
为了确定两种基于移动技术(MHealth)的行为减肥干预措施对年轻人体重的影响。在体重指数为25 kg/m2(超重/肥胖)的18-35岁青少年中进行的随机对照比较有效性试验，参与者被随机分成两组，分别接受24个月的mHealth干预：通过手机上的交互式智能手机应用(CP)进行的mHealth干预；通过智能手机自我监控(PC)加强的个人指导；或对照。365名随机参与者的平均基线体重指数为35公斤/平方米。86%的参与者测量了最终体重。CP在各测点均不优于对照组。PC参与者在6个月时体重显著低于对照组(净效应−1.92公斤[CI−3.17，−0.67]，p=0.003)，但在12个月和24个月时没有。尽管干预参与度和研究保留率很高，在两种干预措施中都纳入了行为原则和工具，并且所有治疗组的体重都有所下降，但与对照组相比，CP并没有导致体重下降，PC也没有导致持续的体重下降。尽管移动健康解决方案提供了广泛的传播和可扩展性，但城市结果对移动应用程序提供的干预发出了警告。有效的干预可能需要移动技术的效率、个人教练的社会支持和人际互动，以及干预设计的适应性方法。ClinicalTrials.gov标识符NCT01092364。Https://clinicaltrials.gov/ct2/show/NCT01092364?term=Cell+phone+intervention+for+you&rank=3
To determine the effect on weight of two Mobile technology-based (mHealth) behavioral weight loss interventions in young adults. Randomized, controlled comparative effectiveness trial in 18–35 year olds with BMI ≥ 25 kg/m2 (overweight/obese), with participants randomized to 24 months of mHealth intervention delivered by interactive smartphone application on a cell phone (CP); personal coaching enhanced by smartphone self-monitoring (PC); or Control. The 365 randomized participants had mean baseline BMI of 35 kg/m2. Final weight was measured in 86% of participants. CP was not superior to Control at any measurement point. PC participants lost significantly more weight than Controls at 6 months (net effect −1.92 kg [CI −3.17, −0.67], p=0.003), but not at 12 and 24 months. Despite high intervention engagement and study retention, the inclusion of behavioral principles and tools in both interventions, and weight loss in all treatment groups, CP did not lead to weight loss and PC did not lead to sustained weight loss relative to control. Although mHealth solutions offer broad dissemination and scalability, the CITY results sound a cautionary note concerning intervention delivery by mobile applications. Effective intervention may require the efficiency of mobile technology, the social support and human interaction of personal coaching, and an adaptive approach to intervention design. ClinicalTrials.gov Identifier NCT01092364. https://clinicaltrials.gov/ct2/show/NCT01092364?term=Cell+phone+intervention+for+you&rank=3