Novel Individual Tailored Mobile Messages to Enhance Weight Loss for Teens

新颖的个人定制移动消息可促进青少年减肥

• 批准号: 8048984
• 负责人: Susan Woolford
• 金额: $ 13.22万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-05-01 至 2014-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8048984
• 关键词: Address; Adherence; Adolescent; Adult; Affect; American; Behavior; Behavior Therapy; Behavioral; Body Weight decreased; Car Phone; Characteristics; Child; Childhood; Clinic Visits; Clinical; Communication Research; Computers; Control Groups; Cost Analysis; Coupled; Data Analyses; Effectiveness; Enrollment; Epidemic; Evaluation; Faculty; Feedback; Focus Groups; Goals; Health Care Costs; Health Communication; Health behavior; Individual; Intervention; Knowledge; Libraries; Mentors; Methods; Michigan; Motivation; Obesity; Office Visits; Outcome; Outpatients; Participant; Pathway interactions; Patients; Phase; Premature Mortality; Principal Investigator; Process; Public Health; Randomized; Research; Research Personnel; Research Project Grants; Risk; Techniques; Technology; Teenagers; Testing; Time; Training; Universities; Weight; Work; behavior change; career development; cost; design; evidence base; experience; improved; multidisciplinary; novel; obesity in children; obesity treatment; performance tests; programs; public health relevance; response; skills; theories; treatment planning; week trial

DESCRIPTION (provided by applicant): Obesity affects millions of American children and increases their risk of adult obesity, a myriad of serious co morbid conditions, increased healthcare costs, and premature mortality. Finding methods to reverse this epidemic is crucial. Multidisciplinary behavioral weight management programs offer the promise of effectively treating childhood obesity. However, such programs often suffer from poor adherence to treatment plans and high attrition rates. The proposed project aims to address these problems through frequent contact with patients between office visits. This interim contact will be achieved by automatically sending tailored messages to the mobile phones of adolescents enrolled in a multidisciplinary weight management program, as an adjunct to clinic visits. The messages will address 6 target behaviors and will be tailored on individual characteristics such as values, intrinsic motivation, and goals. The proposed research project will be accomplished through 4 phases: (1) In conjunction with the University of Michigan Center for Health Communication Research, the candidate will build upon preliminary work to create a library of tailored messages and a computer application to send these messages to participants' mobile phones at varying times of day, receive replies from participants, and to send appropriate, tailored responses; (2) Focus groups with obese adolescents will be conducted to evaluate the relevance and acceptability of the messages developed in phase 1; (3) A four-week trial of the intervention will be performed to assess feasibility and acceptability, and to test the performance of the technology; (4) A pilot test of the 20-week intervention will be conducted among 60 subjects (randomized to intervention and control groups), from the Michigan Pediatric Outpatient Weight Evaluation and Reduction Program, followed by an analysis of outcomes and costs. Career development activities will include training in advanced theories and applied techniques related to the design and implementation of behavioral interventions for the clinical setting, advanced data analysis focusing on pathway and cost analyses. Through formal training, interaction with her mentoring team, and the execution of the proposed project, the Candidate will acquire the knowledge and skills to be an independent researcher and expert in the field of pediatric obesity treatment. PUBLIC HEALTH RELEVANCE: Obesity is a significant and costly public health concern, yet few effective evidence-based approaches to its treatment exist for adolescents. By using technology to communicate individually relevant information to teens between office visits, the proposed intervention could remarkably enhance obesity treatment and could potentially reach large numbers of teens with minimal incremental costs.

描述(申请人提供)：肥胖影响着数以百万计的美国儿童，增加了他们成年后肥胖、各种严重的合并症、增加的医疗费用和过早死亡的风险。找到扭转这一流行病的方法至关重要。多学科行为体重管理计划提供了有效治疗儿童肥胖症的承诺。然而，这类计划经常受到治疗计划依从性差和高流失率的影响。拟议的项目旨在通过在就诊期间与患者频繁接触来解决这些问题。这种临时联系将通过自动向参加多学科体重管理计划的青少年的手机发送定制的消息来实现，作为诊所就诊的辅助。这些信息将针对6种目标行为，并将根据个人特征进行定制，如价值观、内在动机和目标。拟议的研究项目将通过4个阶段完成：(1)与密歇根大学健康传播研究中心合作，候选人将在前期工作的基础上创建一个定制消息库和一个计算机应用程序，以便在一天中的不同时间将这些消息发送到参与者的手机，接收参与者的回复，并发送适当的定制回复；(2)将开展肥胖青少年焦点小组，以评估在第一阶段开发的消息的相关性和可接受性；(3)将进行为期四周的干预试验，以评估可行性和可接受性，并测试技术的性能；(4)将在密歇根州儿科门诊体重评估和减轻计划的60名受试者(随机分为干预组和对照组)中进行为期20周的干预试验，然后对结果和成本进行分析。职业发展活动将包括与为临床环境设计和实施行为干预措施有关的高级理论和应用技术的培训、侧重于途径和成本分析的高级数据分析。通过正式的培训，与她的指导团队的互动，以及拟议项目的执行，候选人将获得成为儿童肥胖治疗领域的独立研究员和专家的知识和技能。 与公共卫生相关：肥胖是一个重大且代价高昂的公共卫生问题，但对青少年来说，几乎没有有效的循证治疗方法。通过使用技术在办公室访问期间向青少年传达个人相关信息，拟议的干预措施可以显著加强肥胖治疗，并有可能以最低的增量成本惠及大量青少年。