SMART trial: A randomized clinical trial of self-monitoring in behavioral weight management-design and baseline findings.
SMART trial: A randomized clinical trial of self-monitoring in behavioral weight management-design and baseline findings.
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DOI：
10.1016/j.cct.2009.07.003
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发表时间：
2009-11
影响因子：
2.2
通讯作者：
Sevick MA
中科院分区：
文献类型：
--
作者：
Burke LE;Styn MA;Glanz K;Ewing LJ;Elci OU;Conroy MB;Sereika SM;Acharya SD;Music E;Keating AL;Sevick MA
今天治疗肥胖的主要形式是行为疗法。自我监测饮食和身体活动在针对行为和体重变化的干预中起着重要作用。SMART减肥试验检查了用个人数字助理（PDA）取代用于自我监测的标准纸质记录的影响。本文描述了SMART试验的设计、方法、干预和基线样本特征。SMART试验采用3组设计，以确定不同模式的自我监测对短期和长期体重减轻的影响，以及在24个月的干预中坚持自我监测的影响。参与者被随机分配到以下三种情况之一：（1）使用标准纸质记录（PR）;（2）使用带有饮食和体力活动软件（PDA）的PDA;或（3）使用带有相同软件的PDA加上定制反馈程序（PDA + FB）。我们筛选了704人，随机分配了210人。三个队列在年龄、教育、HDL胆固醇、血糖和收缩压方面存在统计学差异，但无临床显著性差异。24个月时，三个队列中第一个队列的留存率为90%。据我们所知，SMART试验是第一个比较行为减肥干预中不同自我监测方法的大型研究，并比较PDA与传统纸质记录的使用。这项研究有可能揭示有关自我监控模式的重要细节，以及技术是否可以提高对这一重要干预成分的依从性。
The primary form of treatment for obesity today is behavioral therapy. Self-monitoring diet and physical activity plays an important role in interventions targeting behavior and weight change. The SMART weight loss trial examined the impact of replacing the standard paper record used for self-monitoring with a personal digital assistant (PDA). This paper describes the design, methods, intervention, and baseline sample characteristics of the SMART trial. The SMART trial used a 3-group design to determine the effects of different modes of self-monitoring on short- and long-term weight loss and on adherence to self-monitoring in a 24-month intervention. Participants were randomized to one of three conditions (1) use of a standard paper record (PR); (2) use of a PDA with dietary and physical activity software (PDA); or (3), use of a PDA with the same software plus a customized feedback program (PDA + FB). We screened 704 individuals and randomized 210. There were statistically but not clinically significant differences among the three cohorts in age, education, HDL cholesterol, blood glucose and systolic blood pressure. At 24 months, retention rate for the first of three cohorts was 90%. To the best of our knowledge, the SMART trial is the first large study to compare different methods of self-monitoring in a behavioral weight loss intervention and to compare the use of PDAs to conventional paper records. This study has the potential to reveal significant details about self-monitoring patterns and whether technology can improve adherence to this vital intervention component.
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影响因子：
3.2
作者：
Burke LE;Swigart V;Warziski Turk M;Derro N;Ewing LJ
通讯作者：
Ewing LJ
影响因子：
4.2
作者：
Blanton, Cynthia A.;Moshfegh, Alanna J.;Kretsch, Mary J.
通讯作者：
Kretsch, Mary J.
影响因子：
5.9
作者：
KANFER, FH
通讯作者：
KANFER, FH
影响因子：
16.2
作者：
KRISKA, AM;KNOWLER, WC;KULLER, LH
通讯作者：
KULLER, LH
影响因子：
4.2
作者：
Jeffery, RW;Drewnowski, A;Hill, DR
通讯作者：
Hill, DR