Novel Individual Tailored Mobile Messages to Enhance Weight Loss for Teens

肥胖影响着数以百万计的美国儿童，并增加他们成年后患肥胖症的风险，有无数严重的 病态的条件、增加的医疗费用和过早的死亡。找到扭转这一局面的方法 流行病是至关重要的。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，此类方案经常受到治疗计划依从性差的影响，而且 高流失率。拟议的项目旨在通过经常与 在办公室探视之间的病人。此临时联系人将通过自动发送定制消息来实现 对参加多学科体重管理计划的青少年的手机，作为一个辅助工具 到诊所就诊。这些信息将针对6个目标行为，并将根据个人特征量身定做 比如价值观、内在动机和目标。拟议的研究项目将通过4个月完成 阶段：(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量身定制的消息库和一个计算机应用程序 为了在一天中的不同时间将这些消息发送到参与者的移动电话，接收参与者的回复， 并发送适当的、量身定制的答复；(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)为期四周的试用 将进行干预，以评估可行性和可接受性，并测试 技术；(4)为期20周的干预将在60名受试者中进行Apilot测试(随机至 干预和对照组)，来自密歇根州儿科门诊患者体重评估和减少 计划，然后对结果和成本进行分析。职业发展活动将包括以下培训： 与行为干预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。通过正规的训练， 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 具备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。 相关性(请参阅说明)： 肥胖是一个重大且代价高昂的公共卫生问题，但很少有有效的循证方法来解决它 针对青少年的治疗方法是存在的。通过使用技术将单独相关的信息传达给 青少年在办公室访问之间，拟议的干预措施可以显著提高肥胖治疗，并可能 潜在地以最低的增量成本接触到大量的青少年。

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.