Preventing weight gain in U.S. Air Force personnel using a novel mobile health intervention

使用新型移动健康干预措施防止美国空军人员体重增加

• 批准号: 10346255
• 负责人: Deborah F. Tate
• 金额: $ 65.26万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-10 至 2027-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10346255
• 关键词: Accelerometer; Address; Adoption; Age; Air; Air Force Personnel; Body Weight Changes; Body Weight decreased; Body mass index; Car Phone; Cellular Phone; Color; Control Groups; Department of Defense; Diet; Education; Effectiveness; Employee; Evaluation; Evidence based treatment; Face; Feedback; Female; Gender; General Population; Hybrids; Income; Internet; Intervention; Leadership; Life Style; Maintenance; Measures; Military Personnel; Monitor; National Security; Obesity; Outcome; Overweight; Periodicity; Persons; Phase; Physical activity; Prevention trial; Primary Prevention; Process; Professional counselor; Public Health; Randomized Controlled Trials; Reach Effectiveness Adoption Implementation and Maintenance; Readiness; Reporting; Research; Risk Factors; S-nitro-N-acetylpenicillamine; Sampling; Site; Surface; System; Techniques; Telephone; Testing; Thinness; Time; Training; Translations; Underserved Population; United States; Weight; Weight Gain; Weight maintenance regimen; Woman; active duty; age group; behavior change; design; digital; effectiveness trial; evidence base; experience; fitness; healthy weight; intervention delivery; mHealth; men; military service; mobile application; mobile computing; novel; novel strategies; preference; prevent; preventive intervention; primary outcome; programs; psychosocial; racial and ethnic; recruit; remote delivery; service member; sound; success; tool; treatment effect; trial design; weight gain prevention; young adult

PROJECT ABSTRACT Weight gain is disproportionately high among young adults (YAs) with average weight gain of 30 lbs. occurring between ages 18-35 and is associated with an early worsening of CVD risk factors. Primary prevention of weight gain is important because weight loss is difficult to achieve, access to programs is limited, and initially successful people regain weight over time. Weight gain is a serious problem in the Department of Defense, our nation’s largest employer, with more employees than Walmart or Amazon. The military, comprised largely of YAs, has growing rates of obesity and yearly weight gain. Many people believe that young, active-duty men and women are fit, lean, and healthy because of the military lifestyle and protected from obesity. Unfortunately, obesity rates in active U.S. military personnel have mirrored those of civilians. Furthermore, inability to maintain a healthy weight results in early discharges and threatens the readiness of well-trained Airmen to be deployed. Overweight in the military is now considered a threat to national security. Few weight gain prevention (WGP) trials have been done in military populations, and previous trials with YAs have mixed results and poor external validity. Our proposal is designed to address the major public health problem of weight gain in the military, as well as address notable gaps in pragmatic mHealth and WGP trials. The SNAP- M intervention will be adapted, with partners and key stakeholder from the US Air Force, from our evidence- based WGP intervention for YAs, the Study of Novel Approaches to weight gain Prevention (SNAP). SNAP tested 2 self-regulatory interventions in 599 general population YAs and found that both reduced weight gain over 2-3 years compared to controls. This project proposes to make 1) critical adaptions to SNAP to facilitate translation and 2) conduct a Pragmatic Hybrid Type 1 Effectiveness Trial of the SNAP-M intervention using a 2-group randomized controlled trial (RCT) design in 454 Air Force Airmen recruited from 4 military installations with the primary outcome of mean weight change from baseline to 2 years. We will compare the groups on key outcomes and examine potential moderators of treatment effect. Additionally, we will apply a RE-AIM Framework to determine reach and representativeness, and potential for organizational-level adoption, implementation, and maintenance of SNAP-M, if successful. The proposed research fills key research gaps in an underserved population in critical need of weight gain prevention with completely remote delivery suitable for YAs in the military.

项目摘要 年轻人（YA）的体重增加不成比例，平均体重增加30磅。发生 在18-35岁之间，与CVD危险因素的早期后悔有关。一级预防 体重增加很重要，因为减肥很难实现，获取程序是有限的，最初是 成功的人会随着时间的流逝而恢复体重。体重增加是国防部的一个严重问题，我们 国家最大的员工，员工的员工多于沃尔玛或亚马逊。军方主要由 Yas，肥胖率不断增长和年体重增加。许多人认为年轻，活跃的人 由于军事生活方式并免受肥胖症的保护，妇女身体健康，苗条和健康。很遗憾， 活跃的美国军事人员的肥胖率反映了平民。此外，无法 保持健康的体重会导致早期出院，并威胁训练有素的飞行员的准备 部署。现在，军队超重被认为对国家安全构成威胁。体重增加很少 预防（WGP）试验已在军事人群中进行，并且先前与YA的试验混合了 结果和外部有效性不佳。我们的建议旨在解决主要的公共卫生问题 军事体重增加，并解决了务实的MHealth和WGP试验中的显着差距。快照 - 从我们的证据中，将与美国空军的合作伙伴和主要利益相关者进行调整 - 基于WGP的YAS干预，研究新颖的体重增加预防方法（SNAP）。折断 在599个普通人群中测试了2种自我调节干预措施，发现两者都减轻了体重增加 与对照组相比，超过2 - 3年。该项目提出的提议1）关键改编以促进 翻译和2）使用A进行SNAP-M干预的务实杂交1型有效性试验 2组随机对照试验（RCT）设计在454名空军空军中，从4个军事装置中招募 从基线到2年的平均体重变化的主要结果。我们将比较密钥上的小组 结果和检查治疗效应的潜在主持人。此外，我们将应用一个re-aim 确定覆盖范围和代表的框架，以及组织一级采用的潜力， 如果成功的话，SNAP-M的实施和维护。拟议的研究填补了关键的研究空白 服务不足的人口迫切需要预防体重增加，完全远程交付适合 在军队中。