Modifying obesogenic homes: Impact on weight maintenance

改造致肥胖的房屋：对维持体重的影响

• 批准号: 7534505
• 负责人: Amy A Gorin
• 金额: $ 31.71万
• 依托单位: UNIVERSITY OF CONNECTICUT STORRS
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-05-01 至 2010-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7534505
• 关键词: Address; Adherence; Affect; Arts; Behavior; Behavior Therapy; Behavioral; Behavioral Model; Body Weight Changes; Body Weight decreased; Calories; Characteristics; Chronic Disease; Condition; Control Groups; Dietary intake; Disease model; Eating; Educational process of instructing; Environment; Epidemic; Equipment; Exercise; Family member; Fatty acid glycerol esters; Food; Goals; Habits; Health Promotion; Health behavior; Home environment; Hour; Hyperphagia; Individual; Instruction; Internet; Intervention; Investigation; Knowledge; Left; Life Style; Literature; Maintenance; Mediating; Mental Depression; Modeling; Modification; Motivation; Numbers; Obesity; Overweight; Participant; Pattern; Physical activity; Randomized; Rate; Research Personnel; Spouses; Standards of Weights and Measures; Stimulus; Television; Testing; Time; United States; Vacuum; Very Light Exercise; Week; Weight; Weight maintenance regimen; Woman; Work; base; behavior change; design; diaries; improved; innovation; men; monitoring device; pressure; programs; sedentary; skills; social; staff intervention; success; theories; treatment duration; treatment program; weight maintenance

DESCRIPTION (provided by applicant): The obesity epidemic observed in recent years can be largely attributed to an obesogenic environment that encourages overeating and sedentary lifestyles. Behavioral weight control treatment, the most empirically validated intervention approach, produces initial weight losses of 10%; however, maintenance of initial weight loss and behavior change has not been achieved. These disappointing long-term results may reflect the fact that participants are given only minimal, indirect instruction on how to change their environment to support their new weight-regulating behaviors. While in theory, the behavioral model emphasizes environmental antecedents and consequences of eating and exercise, in practice, only 1 to 2 sessions in standard treatment are dedicated to stimulus control-types of skills. By teaching weight control skills in a contextual vacuum, participants remain vulnerable to the same environmental influences that maintained their unhealthy eating and exercise habits. Given that the majority of eating and exercise is home-based, a logical step in strengthening behavioral treatment and moving toward an ecological model of behavior is to expand the focus of treatment from the individual to the individual plus their home environment. We propose to test the long-term impact of a behavioral weight control program designed to directly modify both the physical and social home environment of weight loss participants. Two hundred overweight and obese men and women will be randomly assigned to either 24 months of standard behavioral treatment (SBT) or 24 months of standard behavioral treatment plus direct modifications to the home environment (SBT+Home). SBT+Home will incorporate many strategies that have shown promise in improving weight loss (e.g., food and exercise equipment provision, spouse involvement) but will be the first to study both physical and social factors within the home simultaneously and will be the longest examination of the home environment conducted to date. Participants and spouses will be assessed at baseline, 6, 12, 18, and 24 months. We hypothesize that by broadening the focus of treatment from the individual to the individual plus their home environment, SBT+Home will produce both better long-term weight loss and better maintenance of initial weight loss and behavior change. This home environmental approach, if successful, has potential applications to the maintenance of other important health behaviors.

描述（由申请人提供）：近年来观察到的肥胖流行病在很大程度上可归因于一个肥胖的环境，鼓励暴饮暴食和久坐不动的生活方式。行为体重控制治疗是最经经验验证的干预方法，可使初始体重减轻10%;然而，尚未实现初始体重减轻和行为改变的维持。这些令人失望的长期结果可能反映了这样一个事实，即参与者只得到了最少的、间接的指导，告诉他们如何改变环境来支持他们新的体重调节行为。虽然在理论上，行为模型强调环境的前因和饮食和运动的后果，但在实践中，标准治疗中只有1到2个疗程专门用于刺激控制类型的技能。通过在环境真空中教授体重控制技能，参与者仍然容易受到维持其不健康饮食和运动习惯的相同环境影响。鉴于大多数饮食和运动都是以家庭为基础的，加强行为治疗和走向行为生态模型的一个合乎逻辑的步骤是将治疗的重点从个人扩展到个人加上他们的家庭环境。我们建议测试一个行为体重控制计划的长期影响，该计划旨在直接改变减肥参与者的物理和社会家庭环境。200名超重和肥胖的男性和女性将被随机分配到24个月的标准行为治疗（SBT）或24个月的标准行为治疗加直接改变家庭环境（SBT+家庭）。SBT+Home将结合许多在改善减肥方面表现出希望的策略（例如，食物和运动设备的提供，配偶的参与），但将是第一个同时研究家庭内部的物质和社会因素的研究，也是迄今为止对家庭环境进行的时间最长的研究。将在基线、6、12、18和24个月时对受试者及其配偶进行评估。我们假设，通过将治疗的重点从个人扩大到个人加上他们的家庭环境，SBT+家庭将产生更好的长期减肥和更好的维持初始减肥和行为改变。这种家庭环境的方法，如果成功的话，有潜在的应用，以维持其他重要的健康行为。

项目成果

Home food and exercise environments of normal-weight and overweight adults.

正常体重和超重成年人的家庭食物和运动环境。

• DOI: 10.5993/ajhb.35.5.10
• 发表时间: 2011
• 期刊: American journal of health behavior
• 影响因子: 2.3
• 作者: Gorin,AmyA;Phelan,Suzanne;Raynor,Hollie;Wing,RenaR
• 通讯作者: Wing,RenaR

Examining a ripple effect: do spouses' behavior changes predict each other's weight loss?

• DOI: 10.1155/2013/297268
• 发表时间: 2013
• 期刊: Journal of obesity
• 影响因子: 3.3
• 作者: Schierberl Scherr AE;McClure Brenchley KJ;Gorin AA
• 通讯作者: Gorin AA

The effects of self-criticism and self-oriented perfectionism on goal pursuit.

自我批评和自我导向的完美主义对目标追求的影响。

• DOI: 10.1177/0146167211410246
• 发表时间: 2011
• 期刊: Personality & social psychology bulletin
• 影响因子: 4
• 作者: Powers,TheodoreA;Koestner,Richard;Zuroff,DavidC;Milyavskaya,Marina;Gorin,AmyA
• 通讯作者: Gorin,AmyA