A randomized controlled trial comparing prevention and promotion cognitive strategies in a behavioral weight-loss intervention.
A randomized controlled trial comparing prevention and promotion cognitive strategies in a behavioral weight-loss intervention.
复制标题
一项随机对照试验，比较行为减肥干预中的预防和促进认知策略。
DOI：
10.1002/oby.23337
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Wing,RenaR
中科院分区：
文献类型：
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作者：
DemosMcDermott,KathrynE;Leblond,TiffanyL;Dunsiger,ShiraI;Rothman,AlexanderJ;Wing,RenaR
有两种方法可以将注意力从短期奖励转移到长期减肥目标：关注不健康选择的长期后果（预防）或健康选择的好处（促进）。这项随机对照试验测试了互联网提供的行为减肥干预（iBWL）中预防与促进重点策略的影响。方法共有95名超重/肥胖参与者被随机分配到三个12周iBWL之一：（1）标准（n= 31），（2）预防（标准iBWL+以预防为重点的培训;n= 32）或（3）PROMOTE（标准iBWL+以促进为重点的培训;n= 32）。参与者在两个增强武器的培训，在他们分配的策略，和经验教训和每周的反馈功能臂特定的内容和reminds. ResultsIntent-to-treat分析显示显着差异，体重减轻和自我控制的使用在12周（体重lossp= 0.002，自我控制= 0.0006）。PREVENT与6.6%（±4.5%）的体重减轻和20.3%（±26.5%）的自我控制增加相关，STANDARD和PROMOTE分别与4.4%（±4.2%）和3.1%（±3.1%）的体重减轻相关，STANDARD和PROMOTE参与者的自我控制均未表现出显著变化。跨武器，增加自我控制与更大的体重减轻（p= 0.0005）。ConclusionsCognitive strategies集中在防止不健康的选择的负面后果导致更大的体重减轻和自我控制相比，标准的iBWL和促进为重点的iBWL。预防策略应进一步关注超重/肥胖治疗。
ObjectiveTwo approaches may shift attention from short‐term rewards to longer‐term weight‐loss goals: focusing on long‐term consequences of unhealthy choices (prevention) or benefits of healthy choices (promotion). This randomized controlled trial tested the impact of prevention‐ versus promotion‐focused strategies in an internet‐delivered behavioral weight‐loss intervention (iBWL).MethodsA total of 95 participants with overweight/obesity were randomized to one of three 12‐week iBWLs: (1) STANDARD (n= 31), (2) PREVENT (standard iBWL+prevention‐focused training;n= 32), or (3) PROMOTE (standard iBWL+promotion‐focused training;n= 32). Participants in the two enhanced arms were trained in their assigned strategy, and lessons and weekly feedback featured arm‐specific content and reminders.ResultsIntent‐to‐treat analysis revealed significant differences in weight loss and self‐control use at 12 weeks (weight lossp= 0.002, self‐controlp= 0.0006). PREVENT was associated with 6.6% (±4.5%) weight loss and a 20.3% (±26.5%) increase in self‐control, STANDARD and PROMOTE were associated with 4.4% (±4.2%) and 3.1% (±3.1%) weight losses, respectively, and neither STANDARD nor PROMOTE participants exhibited significant changes in self‐control. Across arms, increased self‐control was associated with greater weight loss (p= 0.0005).ConclusionsCognitive strategies to focus on preventing negative consequences of unhealthy choices led to greater weight loss and self‐control compared with both standard iBWL and promotion‐focused iBWL. Prevention strategies should be given further attention for overweight/obesity treatment.