Enhanced Internet Behavior Therapy for Treating Obesity

治疗肥胖的增强型互联网行为疗法

• 批准号: 7072489
• 负责人: Deborah F. Tate
• 金额: $ 12.29万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2006-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7072489
• 关键词: Internet; behavioral /social science research tag; biofeedback; body physical activity; clinical research; clinical trials; cognitive behavior therapy; computer assisted patient care; eating disorders; health care service utilization; human subject; human therapy evaluation; nutrient intake activity; obesity; outcomes research; personal log /diary; questionnaires; reinforcer; self care; social support network; weight control; weight loss

DESCRIPTION (provided by applicant): Given the increasing prevalence of obesity and fact that many adults have a strong preference to lose weight without attending weekly treatment meetings, there is need to develop effective alternatives to behavioral lifestyle interventions requiring less face-to-face contact. The Internet offers exciting opportunities to deliver behavior change interventions that minimize face-to-face interaction. We have recently developed and tested an Internet behavioral weight loss program compared with an Internet educational program in a randomized trial and found the behavioral program produced significantly better weight losses (4.1 kg) at 6 months. Our study clearly establishes the potential for using the Internet to deliver alternative treatment programs; however, treatment efficacy research is needed to further develop an Internet approach that will promote longer-term weight loss. The objectives of the proposed study are I) to enhance our Internet program to develop a state of the art Internet Cognitive-Behavior Therapy (I-CBT) program for obesity treatment; and 2) to conduct a randomized trial comparing the enhanced program with a Minimal CBT program also delivered via the Internet. We propose to recruit 100 overweight adults and randomly assign them to Enhanced Internet CBT or Minimal Internet CBT programs. The Minimal I-CBT condition will be given links to weight loss websites, weekly structured cognitive-behavioral lessons for weight loss, weekly prompting, and an on-line bulletin board. The Enhanced I-CBT program will have these same features plus weekly on-line group therapy sessions, computer-aided self-monitoring diaries, and weekly individual e-mail feedback from a therapist. The primary outcome is weight loss from 0-12 months. Secondary outcomes will examine patterns of weight change and changes in waist, diet, physical activity, and social support. The proposed research has significant implications for expanding the audience served by obesity treatment program by using the Internet. This study utilizes an innovative approach and extends our programmatic research on the development of a cognitive-behavioral Internet treatment for obesity.

描述（由申请人提供）：考虑到肥胖症的患病率不断增加，而且许多成年人强烈倾向于在不吃药的情况下减肥。 参加每周的治疗会议，需要制定有效的治疗方案 需要较少面对面的行为生活方式干预的替代方案 接触。互联网为改变行为提供了令人兴奋的机会 尽量减少面对面互动的干预措施。我们最近有 开发并测试了一项互联网行为减肥计划，并与 一项随机试验中的互联网教育计划，发现行为 该计划在 6 个月时显着减轻了体重（4.1 公斤）。我们的 研究清楚地表明了利用互联网提供信息的潜力 替代治疗方案；然而，还需要治疗效果研究 进一步开发一种互联网方法，以促进长期体重 损失。拟议研究的目标是 I) 增强我们的互联网 开发最先进的互联网认知行为疗法的计划 (I-CBT) 肥胖治疗计划； 2) 进行随机试验 将增强型程序与同样通过以下方式提供的最小 CBT 程序进行比较 互联网。我们建议招募 100 名超重成年人并随机分配 增强型互联网 CBT 或最小化互联网 CBT 计划。最小的 I-CBT 条件将给出减肥网站的链接，每周结构化 减肥认知行为课程、每周提示和在线课程 布告栏。增强型 I-CBT 计划将具有这些相同的功能以及 每周在线团体治疗课程、计算机辅助自我监控日记、 以及每周来自治疗师的个人电子邮件反馈。主要结果是 0-12个月体重减轻。次要结果将检查以下模式： 体重变化以及腰围、饮食、体力活动和社交的变化 支持。拟议的研究对于扩大 通过互联网接受肥胖治疗项目的观众。这项研究 利用创新方法并扩展我们的规划研究 开发针对肥胖症的认知行为互联网疗法。