Partner- and planning-based interventions to reduce fat consumption: randomized controlled trial.
Partner- and planning-based interventions to reduce fat consumption: randomized controlled trial.
复制标题
基于合作伙伴和计划的减少脂肪消耗的干预措施：随机对照试验。
DOI：
10.1111/bjhp.12047
复制
发表时间：
2014
影响因子：
7.9
通讯作者：
Prestwich A
中科院分区：
文献类型：
--
作者：
Prestwich A
目的该研究测试了基于合作伙伴和计划的干预措施在 6 个月内减少膳食脂肪摄入量的有效性。设计随机对照、盲法、平行试验。方法使用计算机随机化功能将理事会员工（N = 427 人，其中 393 人完成基线测量）分配到四种条件之一（合作伙伴 + 实施意图、仅合作伙伴、实施意图和对照组） 在他们完成基线测量以及基线后 1、3 和 6 个月的随访之前。结果指标包括经过验证的膳食脂肪摄入自我报告指标（饱和脂肪摄入量、脂肪摄入量、“好”脂肪与“坏”脂肪的比例）；社会心理中介（享受、意图、自我效能、社会影响、伴侣支持）；体重和腰围（仅限基线和 6 个月）。结果根据意向治疗分析对 393 名参与者的数据进行了分析。 3 个月后，所有干预组的脂肪摄入量均比对照组显着减少。与非伴侣组相比，基于伴侣的组在 3 个月和 6 个月时增加了“好”脂肪与“坏”脂肪的比例，并且腰围减少了更多英寸。基于伴侣的操纵对结果的影响部分是通过更大的感知社会影响、伴侣支持和避免高脂肪食物的享受来调节的。基于伴侣的干预措施也提高了意图和自我效能。然而，这项研究的效果通常很小，而且一般都不太显着。结论 基于合作伙伴的干预措施对 3 个月和 6 个月时的饮食相关结果有一些积极的益处。对实施意图的支持更加有限。贡献声明对此主题已有什么了解？在人群水平上可提供的最小干预措施可以产生重大的健康影响。鼓励合作伙伴支持饮食相关的改变已产生了好坏参半的结果。实施意图对减少不健康食品的摄入量有一点好处。这项研究增加了什么？这项试验是首次测试协作实施意图对饮食的影响。好处 发现了基于伴侣的心理社会、行为和身体结果策略。
ObjectiveThe research tested the efficacy of partner‐ and planning‐based interventions to reduce dietary fat intake over a 6‐month period.DesignRandomized controlled, blinded, parallel trial.MethodsA computer randomization feature was used to allocate council employees (N=427, of which 393 completed baseline measures) to one of four conditions (partner + implementation intentions, partner‐only, implementation intentions, and control group) before they completed measures at baseline and follow‐ups at 1, 3, and 6 months post‐baseline. Outcome measures were comprised of validated self‐report measures of dietary fat intake (saturated fat intake, fat intake, ratio of ‘good’ fats to ‘bad’ fats); psychosocial mediators (enjoyment, intention, self‐efficacy, social influence, partner support); weight and waist size (baseline and 6 months only).ResultsData from 393 participants were analysed in accordance with intention‐to‐treat analyses. All intervention groups reported greater reductions in fat intake than the control group at 3 months. The partner‐based groups increased the ratio of ‘good’ fats to ‘bad’ fats at 3 and 6 months and lost more inches on their waist, versus the non‐partner groups. The impacts of the partner‐based manipulations on outcomes were partially mediated by greater perceived social influences, partner support, and enjoyment of avoiding high‐fat foods. The partner‐based interventions also increased intention and self‐efficacy. However, the effects in this study were typically small and generally marginally significant.ConclusionsPartner‐based interventions had some positive benefits on dietary‐related outcomes at 3 and 6 months. Support for implementation intentions was more limited.Statement of contributionWhat is already known on this subject?Minimal interventions deliverable at a population level can have significant health impact.Encouraging partner support for dietary‐related changes has yielded mixed findings.Implementation intentions have a small benefit on reducing the intake of unhealthy foods.What does this study add?This trial is the first test of the effect of collaborative implementation intentions on diet.Benefits of partner‐based strategies on psychosocial, behavioural, and physical outcomes are found.
登录
查看更多内容
影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
实施意图效应的机制：目标意图、自我效能和计划组成部分的可及性的作用。
影响因子：
5.4
作者：
Thomas Llewelyn Webb;P. Sheeran
通讯作者：
P. Sheeran
影响因子：
4.2
作者：
Prestwich, Andrew;Conner, Mark T.;McEachan, Rosemary R. C.
通讯作者：
McEachan, Rosemary R. C.
影响因子：
7.6
作者：
RYAN, RM;CONNELL, JP
通讯作者：
CONNELL, JP
优化戒烟竞赛的效果：成功戒烟决定因素的探索。
影响因子：
2.4
作者：
L. van Osch;L. Lechner;A. Reubsaet;Mirjam Steenstra;Stefan Wigger;H. de Vries
通讯作者：
H. de Vries