Using the Habit App for Weight Loss Problem Solving: Development and Feasibility Study.
Using the Habit App for Weight Loss Problem Solving: Development and Feasibility Study.
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DOI：
10.2196/mhealth.9801
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发表时间：
2018-06-20
影响因子：
5
通讯作者：
Jake-Schoffman DE
中科院分区：
文献类型：
--
作者：
Pagoto S;Tulu B;Agu E;Waring ME;Oleski JL;Jake-Schoffman DE
对减肥移动的应用程序的评论显示，它们几乎没有基于证据的功能，主要依赖于自我监测。不幸的是，坚持自我监测往往很低，特别是在患者的动机挑战。一个行为策略，是杠杆在几乎每一个访问的行为减肥干预措施，并专门用于处理遵守和动机问题是解决问题。问题解决已经在抑郁症移动的应用中成功实现，但还没有在减肥应用中实现。这项研究描述了Habit应用程序的开发和可行性测试，该应用程序旨在自动解决减肥问题。为了评估Habit应用程序的可行性和可接受性，进行了两项反复的单组试点研究。在每项试点研究中，超重或肥胖的成年人参加了为期8周的干预，其中包括Habit应用程序以及通过私人Facebook群组提供的支持。可行性结果包括保留率、应用程序使用率、可用性和可接受性。描述了8周内解决问题技能和体重的变化，以及16周时应用程序的使用和体重变化。两个试点的结果显示，习惯应用程序的使用超过8周，平均每周使用2到3次，这是推荐的使用率。可接受性评级是混合的，54%（13/24）和73%（11/15）的参与者认为饮食解决方案有帮助，71%（17/24）和80%（12/15）的参与者分别发现在试点1和2中设置习惯提醒有帮助。在这两个试点中，参与者的体重显著减轻（分别为P=.005和P=.03）。在这两个试点是一个影响解决问题的技能观察（P= 0.62和P= 0.27，分别）。在移动的应用程序环境中实施解决问题的减肥疗法是可行的;然而，自动化交付可能不会影响解决问题的技能，因为之前已经通过人工交付观察到。ClinicalTrials.gov NCT 02192905; https://clinicaltrials.gov/ct2/show/NCT02192905（由WebCite存档，网址为http：//www.webcitation.org/6zPQmvOF2）
Reviews of weight loss mobile apps have revealed they include very few evidence-based features, relying mostly on self-monitoring. Unfortunately, adherence to self-monitoring is often low, especially among patients with motivational challenges. One behavioral strategy that is leveraged in virtually every visit of behavioral weight loss interventions and is specifically used to deal with adherence and motivational issues is problem solving. Problem solving has been successfully implemented in depression mobile apps, but not yet in weight loss apps. This study describes the development and feasibility testing of the Habit app, which was designed to automate problem-solving therapy for weight loss. Two iterative single-arm pilot studies were conducted to evaluate the feasibility and acceptability of the Habit app. In each pilot study, adults who were overweight or obese were enrolled in an 8-week intervention that included the Habit app plus support via a private Facebook group. Feasibility outcomes included retention, app usage, usability, and acceptability. Changes in problem-solving skills and weight over 8 weeks are described, as well as app usage and weight change at 16 weeks. Results from both pilots show acceptable use of the Habit app over 8 weeks with on average two to three uses per week, the recommended rate of use. Acceptability ratings were mixed such that 54% (13/24) and 73% (11/15) of participants found the diet solutions helpful and 71% (17/24) and 80% (12/15) found setting reminders for habits helpful in pilots 1 and 2, respectively. In both pilots, participants lost significant weight (P=.005 and P=.03, respectively). In neither pilot was an effect on problem-solving skills observed (P=.62 and P=.27, respectively). Problem-solving therapy for weight loss is feasible to implement in a mobile app environment; however, automated delivery may not impact problem-solving skills as has been observed previously via human delivery. ClinicalTrials.gov NCT02192905; https://clinicaltrials.gov/ct2/show/NCT02192905 (Archived by WebCite at http://www.webcitation.org/6zPQmvOF2)
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影响因子：
4.4
作者：
Proudfoot J;Clarke J;Birch MR;Whitton AE;Parker G;Manicavasagar V;Harrison V;Christensen H;Hadzi-Pavlovic D
通讯作者：
Hadzi-Pavlovic D
影响因子：
7.4
作者：
Arean PA;Hallgren KA;Jordan JT;Gazzaley A;Atkins DC;Heagerty PJ;Anguera JA
通讯作者：
Anguera JA
影响因子：
3
作者：
Nezu, Christine Maguth;Nezu, Arthur M.;Colosimo, Meghan M.
通讯作者：
Colosimo, Meghan M.
影响因子：
10.5
作者：
Huband, Nick;McMurran, Mary;Duggan, Conor
通讯作者：
Duggan, Conor
影响因子：
4.1
作者：
Kleiboer, Annet;Donker, Tara;Cuijpers, Pim
通讯作者：
Cuijpers, Pim