The Effect of a Behavioral Weight-Loss Intervention on Depressive Symptoms Among Latino Immigrants in a Randomized Controlled Trial.
The Effect of a Behavioral Weight-Loss Intervention on Depressive Symptoms Among Latino Immigrants in a Randomized Controlled Trial.
复制标题
DOI：
10.1007/s10903-017-0663-8
复制
发表时间：
2018-10
影响因子：
1.9
通讯作者：
Rosas LG
中科院分区：
文献类型：
--
作者：
Colombari Figueroa S;Stafford RS;Heaney CA;Rosas LG
行为减肥干预措施是否可以减轻拉丁裔移民的抑郁症状的证据有限。使用拉丁裔移民临床试验的数据评估了行为减肥干预对抑郁症状的影响。参与者被随机分为常规护理 (UC) 对照 (n = 41)、单独病例管理 (CM) (n = 84) 或社区卫生工作者支持下的 CM (CM+CHW) (n = 82)。使用广义估计方程模型来比较每种干预措施对 UC 的影响。进一步研究了贫困水平的影响修正。总体而言，治疗组与 24 个月 CES-D 评分的变化没有显着相关性。在低于 100% 联邦贫困线 (FPL) 的参与者中，随机分配到 CM+CHW 组的参与者 24 个月 CES-D 得分显着低于 UC 组参与者 (p = 0.01)（β 系数 = 0.72；95% CI 0.55–0.93）。行为减肥干预提供病例管理和社区卫生工作者的支持，减少了低于 100% FPL 的拉丁裔移民的抑郁症状。
Evidence of whether behavioral weight-loss interventions reduce depressive symptoms among Latino immigrants is limited. The effect of a behavioral weight-loss intervention on depressive symptoms was assessed using data from a clinical trial among Latino immigrants. Participants were randomized to a usual care (UC) control (n = 41), case management (CM) alone (n = 84), or CM with community health worker support (CM+CHW) (n = 82). Generalized estimating equation models were used to compare the impact of each intervention with UC. Effect modification by poverty level was further investigated. Overall, treatment groups were not significantly associated with 24-month changes in CES-D scores. Among participants below the 100% federal poverty level (FPL), those randomized to CM+CHW had 24-month CES-D scores significantly lower (Β coefficient = 0.72; 95% CI 0.55–0.93) than those in UC (p = 0.01). A behavioral weight-loss intervention providing case management and support from a CHW reduced depressive symptoms among Latino immigrants below the 100% FPL.
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：
120.7
作者：
Menke, Andy;Casagrande, Sarah;Cowie, Catherine C.
通讯作者：
Cowie, Catherine C.
影响因子：
3.1
作者：
Kieffer, Edith C.;Caldwell, Cleopatra H.;Guzman, J. Ricardo
通讯作者：
Guzman, J. Ricardo
DOI：
10.1016/j.jand.2013.07.025
发表时间：
2014-02-01
影响因子：
4.8
作者：
Drieling, Rebecca Lucia;Rosas, Lisa Goldman;Stafford, Randall Scott
通讯作者：
Stafford, Randall Scott
影响因子：
39.2
作者：
LeFevre, Michael L.
通讯作者：
LeFevre, Michael L.