Implementation of an Internet Weight Loss Program in a Worksite Setting.
Implementation of an Internet Weight Loss Program in a Worksite Setting.
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DOI：
10.1155/2016/9372515
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发表时间：
2016
影响因子：
3.3
通讯作者：
Wing RR
中科院分区：
文献类型：
--
作者：
Ross KM;Wing RR
背景工作场所健康计划通常会产生适度的体重减轻。我们研究了一个有效的互联网行为减肥计划是否可以成功地实施在工作场所设置。方法.参与者是一个大型医疗保健系统的75名超重或肥胖员工/家属，他们接受了为期12周的基于互联网的多成分行为减肥计划。在基线、第3个月（干预结束）和第6个月（随访）进行评估。结果固位极佳（第3个月时为93%，第6个月时为89%）。意向治疗分析表明，从基线到第3个月，参与者的平均体重减轻（±SE）为−5.8 ± .60 kg，从第3个月到第6个月，体重恢复为1.1 ± .31 kg;总体而言，从基线到第6个月的体重减轻为−4.7 ± .71 kg，p < .001。男性比女性减轻更多的体重，p = 0.022，拥有大学或更高学历的人比教育程度较低的人减轻更多的体重，p = 0.005。坚持观看课程（12个中的8个）和自我监测（83%的天数）非常好，与体重减轻显著相关，ps <0.05。结论.基于互联网的行为体重管理干预可以在工作场所成功实施，并可以导致临床显着的体重减轻。鉴于提供这一方案的成本很低，它可以很容易地广泛传播。
Background. Worksite wellness programs typically produce modest weight losses. We examined whether an efficacious Internet behavioral weight loss program could be successfully implemented in a worksite setting. Methods. Participants were 75 overweight or obese employees/dependents of a large healthcare system who were given access to a 12-week Internet-based, multicomponent behavioral weight loss program. Assessments occurred at baseline, Month 3 (end of intervention), and Month 6 (follow-up). Results. Retention was excellent (93% at Month 3 and 89% at Month 6). Intent-to-treat analyses demonstrated that participants lost an average (±SE) of −5.8 ± .60 kg from baseline to Month 3 and regained 1.1 ± .31 kg from Month 3 to Month 6; overall, weight loss from baseline to Month 6 was −4.7 ± .71 kg, p < .001. Men lost more weight than women, p = .022, and individuals who had a college degree or higher lost more weight than those with less education, p = .005. Adherence to viewing lessons (8 of 12) and self-monitoring (83% of days) was excellent and significantly associated with weight loss, ps < .05. Conclusions. An Internet-based behavioral weight management intervention can be successfully implemented in a worksite setting and can lead to clinically significant weight losses. Given the low costs of offering this program, it could easily be widely disseminated.