Effects of 6-month episodic future thinking training on delay discounting, weight loss and HbA1c changes in individuals with prediabetes.
Effects of 6-month episodic future thinking training on delay discounting, weight loss and HbA1c changes in individuals with prediabetes.
复制标题
DOI：
10.1007/s10865-021-00278-y
复制
发表时间：
2022-04
影响因子：
3.1
通讯作者：
Bickel WK
中科院分区：
文献类型：
--
作者：
Epstein LH;Paluch RA;Biondolillo MJ;Stein JS;Quattrin T;Mastrandrea LD;Gatchalian K;Greenawald MH;Bickel WK
2型糖尿病的发病率有哪些？他们可能会对未来延迟折扣（DD）进行折扣，而不会参与预防性健康行为。情景未来思维（EFT）可以减少未来情景提示时的DD，但需要研究来评估EFT的长期影响，当EFT没有提示。这项研究测试了EFT训练与对照组相比，糖尿病前期患者参加了为期6个月的减肥计划，包括DD，体重，HbA1c和体力活动。结果显示，EFT在提示（p = 0.0035）和非提示DD任务（p = 0.048）中对减少DD具有可靠的效果，体重（p <0.001）、HbA1c（p，0.001）和体力活动（p = 0.003）总体变化显著，但各组的这些结果无显著差异（p> 0.05）。68%的样本最终低于糖尿病前期HbA1c范围。这些结果表明，在较长的时间内，DD可以被修改，EFT的影响可以在没有EFT线索的情况下观察到。然而，这些数据并不表明体重，HbA1c或体力活动的变化是由于EFT训练。这项研究是在COVID-19大流行之前启动的，这为比较面对面或远程治疗的人的差异提供了机会。分析显示，在面对面和远程治疗之间没有观察到DD，体重，HBA1c或身体活动结果的差异，这表明远程医疗是治疗糖尿病前期的可扩展方法。
People with prediabetes are at risk for type 2 diabetes. They may discount the future delay discounting (DD), and not engage in preventive health behaviors. Episodic future thinking (EFT) can reduce DD when future scenarios are cued, but research is needed to assess long-term effects of EFT and when EFT is not cued. This study tested EFT training compared to control for people with prediabetes enrolled in a 6-month weight loss program on DD, weight, HbA1c, and physical activity. Results showed a reliable EFT effect on reducing DD in cued (p = 0.0035), and uncued DD tasks (p = 0.048), and significant overall changes in weight (p < 0.001), HbA1c (p, 0.001) and physical activity (p = 0.003), but no significant differences in these outcomes by group (p’s > 0.05). Sixty-eight percent of the sample ended below the prediabetes HbA1c range. These results suggest that DD can be modified over extended periods, and the effects of EFT can be observed without EFT cues. However, these data do not suggest that changes in weight, HbA1c or physical activity were due to EFT training. The study was initiated before the COVID-19 pandemic which provided the opportunity to compare differences for people treated in-person or remotely. Analyses showed no differences in DD, weight, HBA1c or physical activity outcomes were observed between in-person and remote treatment, suggesting telehealth is a scalable approach to treating prediabetes.
登录
查看更多内容
影响因子：
158.5
作者：
Knowler, WC;Barrett-Connor, E;Nathan, DM
通讯作者：
Nathan, DM
影响因子：
2.2
作者：
Bickel WK;Mueller ET
通讯作者：
Mueller ET
影响因子：
13.5
作者：
Bickel, Warren K.;Jarmolowicz, David P.;Mueller, E. Terry;Koffarnus, Mikhail N.;Gatchalian, Kirstin M.
通讯作者：
Gatchalian, Kirstin M.
影响因子：
4.2
作者：
Mellis, Alexandra M.;Snider, Sarah E.;Bickel, Warren K.
通讯作者：
Bickel, Warren K.
影响因子：
4.2
作者：
Hollis-Hansen, Kelseanna;Seidman, Jennifer;Epstein, Leonard H.
通讯作者：
Epstein, Leonard H.