A randomized controlled pilot study testing three types of health coaches for obesity treatment: Professional, peer, and mentor.
A randomized controlled pilot study testing three types of health coaches for obesity treatment: Professional, peer, and mentor.
复制标题
DOI：
10.1002/oby.20271
复制
发表时间：
2013-05
期刊：
影响因子：
6.9
通讯作者：
Wing, Rena R.
中科院分区：
文献类型：
--
作者：
Leahey, Tricia M.;Wing, Rena R.
尽管他们的流行，健康教练的经验支持是有限的。本研究旨在探讨三种不同的肥胖治疗辅导模式的可行性及初步成效。参与者（N=44）被随机分配到6个月的降低强度组行为减肥（rBWL）加上3种类型的健康教练之一：a）专业（rBWL干预者）; B）同伴（小组成员随机配对并相互指导）;或c）导师（成功减肥者）。在前6周内，各组每周开会一次，在接下来的6周内每两周开会一次，此后每月开会一次，共12次会议。在小组没有见面的几周内，参与者将他们的减肥信息通过电子邮件发送给他们的教练并收到反馈。对教练员进行了关于适当的辅导战略和反馈的培训。保留率为95%。在没有小组会议的12周中，参与者将他们的进展通过电子邮件发送给他们的教练10.8±1.9。教练在94%的时间里都有反馈。对于专业、同伴和导师条件，6个月时的体重减轻百分比分别为9.6±8.1、9.1±5.0和5.7±5.6。更多的参与者在专业和同伴条件下失去了10%的初始体重（专业：56%;同伴：50%;导师：17%），专业和导师条件之间的统计学显著差异（p=0.03）。这些初步的数据表明，结合降低强度的BWL计划与健康指导可能持有显着的承诺作为一个具有成本效益的肥胖治疗范例。需要进行更大规模的试验，以最终确定增加教练是否会改善降低强度治疗的减肥效果，并检查哪种类型的教练最有效。
Despite their popularity, empirical support for health coaches is limited. This study examined the feasibility and preliminary efficacy of 3 types of coaching models for obesity treatment. Participants (N=44) were randomized to 6 months of reduced intensity group behavioral weight loss (rBWL) plus 1 of 3 types of health coaches: a) Professional (rBWL interventionist); b) Peer (group members randomly paired and coached one another); or c) Mentor (successful weight loser). Groups met weekly for the first 6-weeks, biweekly for the next 6-weeks, and monthly thereafter, for a total of 12 meetings. During weeks that group did not meet, participants emailed their weight loss information to their coach and received feedback. Coaches were trained on appropriate coaching strategies and feedback delivery. Retention was 95%. Participants emailed their progress to their coach 10.8±1.9 out of the 12 weeks that there were no group meetings. Coaches responded with feedback 94% of the time. Percent weight losses at 6-months were 9.6±8.1, 9.1±5.0, and 5.7±5.6 for the Professional, Peer, and Mentor conditions, respectively. More participants in the Professional and Peer conditions lost 10% of their initial body weight (Professional: 56%; Peer: 50%; Mentor: 17%), with a statistically significant difference between the Professional and Mentor conditions (p=0.03). These preliminary data suggest that combining a reduced intensity BWL program with health coaching may hold significant promise as a cost-effective obesity treatment paradigm. Larger trials are needed to conclusively determine whether adding coaches improves weight loss outcomes in reduced intensity treatments and to examine which type of coach is most effective.
登录
查看更多内容
影响因子：
16.2
作者：
Katula, Jeffrey A.;Vitolins, Mara Z.;Goff, David C., Jr.
通讯作者：
Goff, David C., Jr.
影响因子：
5
作者：
PAFFENBARGER, RS;WING, AL;HYDE, RT
通讯作者：
HYDE, RT
影响因子：
4.2
作者：
Castro, Cynthia M.;Pruitt, Leslie A.;King, Abby C.
通讯作者：
King, Abby C.
影响因子：
6.9
作者：
Leahey, Tricia M.;Thomas, John G.;Wing, Rena R.
通讯作者：
Wing, Rena R.
影响因子：
7.2
作者：
Malchodi, CS;Oncken, C;Curry, SL
通讯作者：
Curry, SL