Randomized Controlled Pilot Study Testing Use of Smartphone Technology for Obesity Treatment

Randomized Controlled Pilot Study Testing Use of Smartphone Technology for Obesity Treatment
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DOI:
10.1155/2013/151597
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发表时间:
2013-01-01
期刊:
影响因子:
3.3
通讯作者:
Hauck, Sara
Hauck, Sara
中科院分区:
其他
文献类型:
--
作者:
Allen, Jerilyn K.;Stephens, Janna;Hauck, Sara

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背景资料。既定的减肥干预措施是资源密集型的,这可能会为充分参与和最终翻译制造障碍。这项初步研究的主要目标是评估智能手机技术提供的基于理论的行为干预的可行性、可接受性和初步效果。方法:研究方法。这项研究随机让68名肥胖成年人接受四种干预措施中的一种,为期六个月:(1)强化咨询干预,(2)强化咨询+智能手机干预,(3)较低强度咨询+智能手机干预,以及(4)仅智能手机干预。在基线和6个月时评估体重、BMI、腰围、自我报告的饮食摄入量和体力活动等结果指标。结果。样本中78%为女性,49%为非裔美国人,平均年龄为45岁,平均BMI为34.3 kg/m(2)。四个干预组之间的体重减轻有差异的趋势。强化咨询+自我监控智能手机组和非强化咨询+自我监控智能手机组的受试者体重下降幅度分别为5.4 kg和3.3 kg。结论。这项减肥干预的试点试验结果为使用智能手机应用程序进行自我监测作为行为咨询的辅助工具提供了初步支持。
Background. The established interventions for weight loss are resource intensive which can create barriers for full participation and ultimate translation. The major goal of this pilot study was to evaluate the feasibility, acceptability, and preliminary efficacy of theoretically based behavioral interventions delivered by smartphone technology. Methods. The study randomized 68 obese adults to receive one of four interventions for six months: (1) intensive counseling intervention, (2) intensive counseling plus smartphone intervention, (3) a less intensive counseling plus smartphone intervention, and (4) smartphone intervention only. The outcome measures of weight, BMI, waist circumference, and self-reported dietary intake and physical activity were assessed at baseline and six months. Results. The sample was 78% female and 49% African American, with an average age of 45 years, and average BMI of 34.3 kg/m(2). There were trends for differences in weight loss among the four intervention groups. Participants in the intensive counseling plus self-monitoring smartphone group and less intensive counseling plus self-monitoring smartphone group tended to lose more weight than other groups (5.4 kg and 3.3 kg, resp.). Conclusions. The results of this pilot trial of a weight loss intervention provide preliminary support for using a smartphone application for self-monitoring as an adjunct to behavioral counseling.