The use of TeleMedicine in the treatment of paediatric obesity: feasibility and acceptability

The use of TeleMedicine in the treatment of paediatric obesity: feasibility and acceptability
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DOI:
10.1111/j.1740-8709.2010.00248.x
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发表时间:
2011-01-01
影响因子:
3.4
通讯作者:
Malone, Brett
Malone, Brett
中科院分区:
医学3区
文献类型:
--
作者:
Davis, Ann McGrath;James, Rochelle L.;Malone, Brett

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评估通过远程医疗进行实证支持的以家庭为基础的儿科肥胖群体治疗的可行性。17个家庭被随机分配到两种情况中的一种(医生访问,远程医疗)。测量包括可行性、满意度和干预结果测量,如BMI百分位数、营养和活动行为。在基线、治疗后和1年随访时完成测量。分析表明,远程医疗干预的可行性和满意度数据均为积极的。干预结果显示两个治疗组的BMI百分位数或营养和活动行为均无变化。通过远程医疗提供的以行为为基础的家庭减肥干预得到了父母和提供者的好评。由于样本量小,有关干预结果的无效发现应谨慎解释。未来的研究应侧重于如何增加这种干预对关键结果变量的影响。
To assess the feasibility of conducting empirically supported family-based paediatric obesity group treatment via TeleMedicine. Seventeen families were randomly assigned to one of two conditions (physician visit, TeleMedicine). Measures included feasibility, satisfaction and intervention outcome measures such as BMI percentile, and nutrition and activity behaviours. Measures were completed at baseline, post-treatment and at 1-year follow-up. Analyses indicate that both feasibility and satisfaction data regarding the TeleMedicine intervention were positive. Intervention outcome indicates no change in BMI percentile or nutrition and activity behaviours for either treatment group. A behavioural family-based weight loss intervention delivered via TeleMedicine was well received by both parents and providers. Due to the small sample size, null findings regarding intervention outcome should be interpreted with caution. Future research should focus on methods to increase the impact of this intervention on key outcome variables.