Novel Individual Tailored Mobile Messages to Enhance Weight Loss for Teens

肥胖影响着数百万的美国儿童，并增加了他们患成年肥胖症的风险，这是一种严重的并发症， 病态，增加的医疗保健费用和过早死亡。找到扭转这种局面的方法 疫情是关键。多学科行为体重管理计划提供了有效的承诺， 治疗儿童肥胖症然而，此类计划通常会因治疗计划的遵守情况不佳而受到影响， 高流失率。拟议的项目旨在通过经常接触解决这些问题， 病人在办公室访问。这种临时联系将通过自动发送定制的消息来实现 作为一种辅助手段， 到诊所就诊。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 例如价值观、内在动机和目标。该研究项目将通过4 阶段：（1）与密歇根大学健康传播研究中心合作， 候选人将建立在基础工作，以创造一个图书馆的定制信息和计算机应用程序 在一天中的不同时间将这些消息发送到参与者的移动的电话，接收来自参与者的回复， 并发送适当的，有针对性的答复;（2）将与肥胖青少年进行重点小组讨论， 评估第一阶段所制定的信息的相关性和可接受性;（3）为期四周的 将进行干预，以评估可行性和可接受性，并测试 （4）将在60名受试者（随机分配至 干预组和对照组），来自密歇根州儿科门诊体重评估和减少 计划，然后是结果和成本分析。职业发展活动将包括以下方面的培训 与行为干预的设计和实施相关的先进理论和应用技术 对于临床环境，高级数据分析侧重于路径和成本分析。通过正规训练， 与她的指导团队的互动，以及拟议项目的执行， 知识和技能，是一个独立的研究人员和专家在儿童肥胖治疗领域。 相关性（参见说明）： 肥胖是一个重要的和昂贵的公共卫生问题，但很少有有效的循证方法来解决它的问题。 对青少年有治疗。通过使用技术来传达个人相关信息， 青少年之间的办公室访问，拟议的干预措施可以显着提高肥胖治疗， 潜在地以最小的增量成本到达大量青少年。

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 multidisciplinaryweight 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 conjunctionwith the University of Michigan Center for Health Communication Research, the candidate will build upon preliminarywork 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) Apilot test of the 20-week intervention will be conducted among 60 subjects (randomized to intervention and control groups), from the Michigan Pediatric OutpatientWeight Evaluationand Reduction Program, followed by an analysis of outcomes and costs. Career development activities will includetraining 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 formaltraining, interaction with her mentoring team, and the execution ofthe proposed project, the Candidatewill acquire the knowledge and skills to be an independent researcher and expert in the field of pediatric obesity treatment. RELEVANCE (See instructions): 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.