A randomised trial of an Internet weight control resource: the UK Weight Control Trial [ISRCTN58621669].
A randomised trial of an Internet weight control resource: the UK Weight Control Trial [ISRCTN58621669].
复制标题
DOI：
10.1186/1472-6963-3-19
复制
发表时间：
2003-10-29
影响因子：
2.8
通讯作者：
Ransley JK
中科院分区：
文献类型：
--
作者：
Kirk SF;Harvey EL;McConnon A;Pollard JE;Greenwood DC;Thomas JD;Ransley JK
肥胖症的治疗是出了名的不成功，而患者报告的成功减肥的障碍之一是缺乏社会支持。互联网为健康信息的传递提供了一种新颖而快速的方法，使人们能够24小时获得帮助和建议。然而，互联网上提供的许多健康信息是不受监管的，或者不是由合格的卫生专业人员撰写的，以提供公正的信息。这项拟议的研究旨在将基于网络的减肥方案与传统的肥胖饮食疗法在参与者中进行比较。该项目旨在向患者提供高质量的信息，并从减肥结果和成本效益两个方面评估这些信息的有效性。这项研究是一项随机对照试验，对英国利兹的全科医生(GP)手术中提供的减肥方案和常规护理进行比较。参与者将通过在参与练习中张贴的海报进行招募。220人的目标招聘数字将使180人得以招聘(允许22%的人辍学)。同意参加这项研究的参与者将被随机分配到接受互联网网站访问的干预组或常规护理组。这项研究的主要结果将是，与传统治疗相比，该套餐在6个月和12个月内促进BMI变化的能力。次要结果将是互联网套餐促进所报告的生活方式行为的改变的能力。将收集关于参与者偏好、对治疗的坚持、医疗保健使用和休假时间的数据。还将估计提供干预措施的不同群体之间的成本差异和主要结果的成本。这项研究的积极结果将加强可用于肥胖管理的治疗方法的全套。否定的结果将被用来为研究议程提供信息，并有助于重新定义未来解决肥胖问题的战略。
Obesity treatment is notoriously unsuccessful and one of the barriers to successful weight loss reported by patients is a lack of social support. The Internet offers a novel and fast approach to the delivery of health information, enabling 24-hour access to help and advice. However, much of the health information available on the Internet is unregulated or not written by qualified health professionals to provide unbiased information. The proposed study aims to compare a web-based weight loss package with traditional dietary treatment of obesity in participants. The project aims to deliver high quality information to the patient and to evaluate the effectiveness of this information, both in terms of weight loss outcomes and cost-effectiveness. This study is a randomised controlled trial of a weight loss package against usual care provided within General Practice (GP) surgeries in Leeds, UK. Participants will be recruited via posters placed in participating practices. A target recruitment figure of 220 will enable 180 people to be recruited (allowing for 22% dropout). Participants agreeing to take part in the study will be randomly allocated using minimisation to either the intervention group, receiving access to the Internet site, or the usual care group. The primary outcome of the study will be the ability of the package to promote change in BMI over 6 and 12 months compared with traditional treatment. Secondary outcomes will be the ability of the Internet package to promote change in reported lifestyle behaviours. Data will be collected on participant preferences, adherence to treatment, health care use and time off work. Difference in cost between groups in provision of the intervention and the cost of the primary outcome will also be estimated. A positive result from this study would enhance the repertoire of treatment approaches available for the management of obesity. A negative result would be used to inform the research agenda and contribute to redefining future strategies for tackling obesity.
登录
查看更多内容
影响因子：
3.3
作者：
Kirk, SFL;Cade, JE;Greenhalgh, A
通讯作者：
Greenhalgh, A
影响因子：
3.7
作者：
AGRAS, WS;TAYLOR, CB;BURNETT, KF
通讯作者：
BURNETT, KF
影响因子：
7
作者：
Kirk, SFL
通讯作者：
Kirk, SFL
影响因子：
120.7
作者：
Tate, DF;Wing, RR;Winett, RA
通讯作者：
Winett, RA
影响因子：
16.2
作者：
PERRI, MG;SEARS, SF;CLARK, JE
通讯作者：
CLARK, JE