A technology-assisted health coaching intervention vs. enhanced usual care for Primary Care-Based Obesity Treatment: a randomized controlled trial.
A technology-assisted health coaching intervention vs. enhanced usual care for Primary Care-Based Obesity Treatment: a randomized controlled trial.
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DOI：
10.1186/s40608-018-0226-0
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发表时间：
2019-01-01
期刊：
影响因子：
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通讯作者：
Jay, Melanie
中科院分区：
文献类型：
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作者：
Viglione, Clare;Bouwman, Dylaney;Jay, Melanie
背景：进食和运动目标(GEM)是一种技术辅助的健康教练干预措施，旨在改善退伍军人健康管理局(VHA)初级保健中的体重管理，这是我们通过先前严格的形成性研究设计的。GEM被整合到以患者为中心的医疗之家，并利用学生健康教练志愿者为患者提供咨询，并鼓励他们参与VHA的密集体重管理计划Move！这项研究的主要目的是确定与增强型日常护理(EUC)相比，GEM的可行性和可接受性。我们的第二个目的是测试与EUC相比，GEM对体重、饮食和体力活动的影响。方法：将体重指数≥为30 kg/m2或25-29.9 kg/m2的退伍军人分为两个阶段招募，随机分为GEM组(n=22)和EUC组(n=23)。我们收集了过程测量(例如，完成的指导呼叫的数量、生活方式目标的数量和类型、咨询文档)以及关于咨询质量和呼叫持续时间的可接受性的定性反馈。我们还测量了体重和行为结果。结果：GEM参与者报告接受了健康教练的高质量咨询，通话持续时间和频率是可以接受的。他们平均收到了12次指导电话中的5.9次(SD=3.7)，并且GEM参与者在6个月内完成的指导电话数量与更大的体重减轻相关(Spearman系数=0.71，p
BACKGROUND: Goals for Eating and Moving (GEM) is a technology-assisted health coaching intervention to improve weight management in primary care at the Veterans Health Administration (VHA) that we designed through prior rigorous formative studies. GEM is integrated within the patient-centered medical home and utilizes student health coach volunteers to counsel patients and encourage participation in VHA's intensive weight management program, MOVE!. The primary aim of this study was to determine the feasibility and acceptability of GEM when compared to Enhanced Usual Care (EUC). Our secondary aim was to test the impact of GEM on weight, diet and physical activity when compared to EUC.METHODS: Veterans with a Body Mass Index ≥30kg/m2 or 25-29.9kg/m2 with comorbidities (n=45) were recruited in two phases and randomized to GEM (n=22) or EUC (n=23). We collected process measures (e.g. number of coaching calls completed, number and types of lifestyle goals, counseling documentation) and qualitative feedback on quality of counseling and acceptability of call duration. We also measured weight and behavioral outcomes.RESULTS: GEM participants reported receiving high quality counseling from health coaches and that call duration and frequency were acceptable. They received 5.9 (SD=3.7) of 12 coaching calls on average, and number of coaching calls completed was associated with greater weight loss at 6-months in GEM participants (Spearman Coefficient=0.71, p