Behavior-Specific Cognitions Moderate Rural Women's Responsiveness to Web-Based Interventions for Weight Loss.

Behavior-Specific Cognitions Moderate Rural Women's Responsiveness to Web-Based Interventions for Weight Loss.
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特定于行为的认知中等农村妇女对基于Web的减肥干预措施的反应能力。

DOI:
10.1016/j.jneb.2020.02.003
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发表时间:
2020-05
影响因子:
2.6
通讯作者:
Hageman, Patricia A.
Hageman, Patricia A.
中科院分区:
医学3区
文献类型:
--
作者:
Kupzyk, Kevin A.;Pozehl, Bunny;Pullen, Carol H.;Hageman, Patricia A.

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检查基线行为特定认知是否调节了2种基于网络的干预措施对农村妇女减肥成功的影响。对来自基于社区的随机对照试验的行为特异性认知数据进行二次分析,作为30个月以上体重减轻的潜在调节因素。超重或肥胖的女性,来自农村社区,年龄40-69岁,(n = 200)。以理论为基础的网络干预,具有同行领导的网络讨论或专业电子邮件咨询的增强功能。健康饮食和活动的益处和障碍,以及使用经验证的调查和体重对健康饮食和活动的自我效能和人际支持。纵向多水平模型(MLM)。在专业的电子邮件咨询组的妇女更容易减肥,如果他们认为更少的障碍和更高的自我效能的健康饮食和活动。在同伴主导的讨论组中,自我效能感较低和对障碍的感知较高的女性体重减轻幅度更大。人际支持没有缓和的干预措施的效果。虽然在2个不同的网络增强干预的妇女实现了类似的减肥,他们的行为特异性认知的基线感知缓和了他们的关系与干预和减肥成功的类型。这些发现,虽然是探索性的,但可能有助于将女性与最大限度地提高减肥成功率的网络干预相匹配。需要进一步研究。 NCT01307644
Examine whether baseline behavior-specific cognitions moderated the effects of 2 web-based interventions with enhanced features on weight loss success in rural women. Secondary analysis of behavior-specific cognition data from community-based randomized controlled trial, as potential moderators of weight loss over 30 months. Women, overweight or obese, from rural communities, ages 40–69, (n = 200). Theory-based web interventions, with enhanced features of either peer-led web-discussion or professional email counseling. Benefits and barriers to healthy eating and activity, and self-efficacy and interpersonal support for healthy eating and activity using validated surveys, and weight. Longitudinal multilevel models (MLM). Women in the professional email counseling group were more likely to lose weight if they perceived fewer barriers to and higher self-efficacy for healthy eating and activity. Greater weight loss in the peer-led discussion group was observed for women with lower self-efficacy and higher perceptions of barriers. Interpersonal support did not moderate the effects of the interventions. Although women in 2 different web-enhanced interventions achieved similar weight loss, their baseline perceptions of behavior-specific cognitions moderated their relationship with the type of intervention and weight loss success. These findings, while exploratory, may assist in matching women to web-interventions that would best maximize weight loss success. Further research is needed. NCT01307644
DOI: 10.1002/oby.20967
发表时间: 2015-01
期刊: Obesity (Silver Spring, Md.)
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