Video telehealth for weight maintenance of African-American women.

Video telehealth for weight maintenance of African-American women.
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DOI:
10.1177/1357633x13490901
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发表时间:
2013-07
影响因子:
4.7
通讯作者:
Fitzgibbon ML
Fitzgibbon ML
中科院分区:
医学3区
文献类型:
--
作者:
Gerber BS;Schiffer L;Brown AA;Berbaum ML;Rimmer JH;Braunschweig CL;Fitzgibbon ML

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我们评估了家庭远程医疗对基于小组的减肥计划后体重维持的影响。家庭远程保健干预措施包括电话咨询和家庭互联网数字录像机,其中有三个视频节目频道。视频内容提供了强化和支持,以促进解决问题,防止复发,并保持动力。88名肥胖或超重的非洲裔美国妇女被随机分配接受每月电话咨询(对照)或家庭远程健康干预。两组在维持期间的体重变化均不显著(干预组0.6 kg,对照组0.0 kg),两者之间无显著差异。维持期间,两组之间的饮食、身体活动、社会支持和自我效能的变化没有显着差异。DVR的使用率很低:在干预期间,有效的DVR观看次数从每人0到42不等。DVR的使用与之前参加减肥课程呈正相关。基于家庭视频的远程保健是一种向非裔美国妇女提供减肥维持干预的新方法。在本研究中,它对体重维持没有影响。
We evaluated the effect of home telehealth on weight maintenance after a group-based weight loss programme. The home telehealth intervention comprised telephone counselling and home Internet-enabled digital video recorders (DVRs) with three channels of video programmes. The video content provided reinforcement and support to promote problem solving, prevent relapse, and sustain motivation. Eighty-eight obese or overweight African-American women were randomized to receive monthly telephone counselling (control) or the home telehealth intervention. The weight change during maintenance was not significant in either group (0.6 kg in the intervention group, 0.0 kg in the control group), and there was no significant difference between them. Changes in diet, physical activity, social support and self-efficacy during the maintenance period did not differ significantly between groups. DVR use was low: during the intervention, the number of valid DVR viewings ranged from zero to 42 per person. DVR use was positively associated with previous attendance at the weight loss classes. Home video-based telehealth is a new method of delivering a weight loss maintenance intervention to African-American women. It had no effect on weight maintenance in the present study.