Comparison of Smartphone-Based Behavioral Obesity Treatment With Gold Standard Group Treatment and Control: A Randomized Trial
Comparison of Smartphone-Based Behavioral Obesity Treatment With Gold Standard Group Treatment and Control: A Randomized Trial
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DOI：
10.1002/oby.22410
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发表时间：
2019-04-01
期刊：
影响因子：
6.9
通讯作者：
Wing, Rena R.
中科院分区：
文献类型：
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作者：
Thomas, J. Graham;Bond, Dale S.;Wing, Rena R.
目的本研究旨在确定主要基于智能手机的行为肥胖治疗（SMART）的体重减轻是否与更密集的基于组的行为肥胖治疗（GROUP）和对照条件（CONTROL）的体重减轻不同。方法将276例超重/肥胖成年人随机分为18个月的GROUP治疗组和SMART治疗组，其中GROUP治疗组每周开会一次，持续6个月，每两周开会一次，持续6个月，每月开会一次，并通过纸质日记进行自我监测和书面反馈，SMART治疗组包括在线课程、自我监测和反馈以及每月称重。或对照组，通过纸质日记进行自我监测，并提供书面反馈和每月称重。（17%男性; 7.2%少数民族;平均[SD]年龄：55.1 [9.9]岁;体重：95.9 [17.0] kg; BMI：35.2 [5.0] kg/m2），与对照组（66%）相比，组（83%）和SMART（81%）的18个月保持率显著更高。18个月内估计的平均（95% CI）体重变化在三种条件下无差异：组5.9 kg（95% CI：4.5-7.4），SMART 5.5 kg（95% CI：3.9-7.1），对照6.4 kg（95% CI：3.7-9.2）。结论移动的在线提供行为肥胖治疗可以实现至少与通过更密集的金标准基于组的方法获得的结果一样好的减肥结果。
Objective This study aimed to determine whether weight losses from a primarily smartphone-based behavioral obesity treatment (SMART) differed from those of a more intensive group-based behavioral obesity treatment (GROUP) and a control condition (CONTROL). Methods A total of 276 adults with overweight/obesity were randomly assigned to 18 months of GROUP-based treatment with meetings weekly for 6 months, meetings biweekly for 6 months, and meetings monthly for 6 months and self-monitoring via paper diaries with written feedback; SMART-based treatment with online lessons, self-monitoring, and feedback plus monthly weigh-ins; or a CONTROL condition with self-monitoring via paper diaries with written feedback and monthly weigh-ins. Results Among the 276 participants (17% men; 7.2% minority; mean [SD] age: 55.1 [9.9] years; weight: 95.9 [17.0] kg; BMI: 35.2 [5.0] kg/m(2)), 18-month retention was significantly higher in both GROUP (83%) and SMART (81%) compared with CONTROL (66%). Estimated mean (95% CI) weight change over 18 months did not differ across the three conditions: 5.9 kg (95% CI: 4.5-7.4) in GROUP, 5.5 kg (95% CI: 3.9-7.1) in SMART, and 6.4 kg (95% CI: 3.7-9.2) in CONTROL. Conclusions Mobile online delivery of behavioral obesity treatment can achieve weight loss outcomes that are at least as good as those obtained via the more intensive gold standard group-based approach.