Translation of social media obesity treatment into two college campus communities

将社交媒体肥胖治疗转化为两个大学校园社区

基本信息

批准号：
9066144
负责人：
Melissa A Napolitano
金额：
$ 65.32万
依托单位：
GEORGE WASHINGTON UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-05-01 至 2019-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9066144
关键词：
18 year old 19 year old Adolescence Adolescent Adult Age Alcohol or Other Drugs use Behavior Body Image Body Weight Body Weight Changes Body Weight decreased Boston Characteristics Communities Data Diabetes Mellitus Enrollment Feedback Female Functional disorder Goals Gold Health Health Benefit High Density Lipoprotein Cholesterol Hypertension Intervention Life Location Massachusetts Media Intervention Mental Depression Metabolic Metabolic syndrome Methods Modeling Monitor Obesity Overweight Participant Penetration Population Public Health Publishing Randomized Randomized Controlled Trials Recruitment Activity Reporting Research Research Infrastructure Risk Risk Behaviors Risk Factors Services Social support Students Technology Text Translating Translations Treatment Protocols Treatment/Psychosocial Effects Triglycerides Universities Washington Weight Weight Gain Work age group aged base cardiovascular disorder risk college cost cost effectiveness design emerging adult evidence base high risk behavior high risk sexual behavior high school individualized medicine male matriculation meetings obesity treatment podcast portion control primary outcome programs randomized trial social social media social networking website standard of care success tool treatment program university student weight loss intervention young adult

项目摘要

DESCRIPTION (provided by applicant): The transitional period from late adolescence to early adulthood is a vulnerable period for weight gain, with a twofold increase in overweight/obesity during this life transition. Among the 50% of adolescents who attend college, weight gain averages 1.7 kg (females) and 4.2 kg (males) from matriculation to graduation. These increases are compounded by the fact that about one-third of college students are already overweight or obese. The health consequences of overweight and obesity are well established; however, metabolic risks are largely unstudied in this population, with undiagnosed metabolic dysfunction of concern: 26-40% of college students already have one abnormal component of the Metabolic Syndrome. Despite these public health risks and negative health consequences, a gap exists for evidence-based obesity treatment programs targeted to emerging adults (18-26y) and available on college campuses. College campuses make ideal locations from which to launch obesity treatment programs. As of 2009, 70.1% of recent high school completers, including GED recipients, enrolled in college. Additionally, 50% of all adolescents ages 18-19 years old are enrolled in college. The proposed study is based on promising pilot data of a randomized controlled trial (RCT) of 57 college students which demonstrated the initial efficacy of a social media delivered weight loss treatment. To our knowledge, our RCT was the first to examine social media weight loss treatments for college students. The next step in this research is to examine whether this type of program can be translated to other college campus communities. Thus, we propose to randomly assign 450 overweight/obese college students (ages 18- 26) enrolled at two colleges (George Washington University and University of Massachusetts-Boston) to one of two social media weight loss treatments (Tailored or Targeted) or a contact control. The social media treatments consist of Facebook groups to provide social support, connectedness and intervention content, as well as daily text messages. We posit that the use of a social media as an intervention tool will appeal to this age group who are accustomed to technology use. Assessments will be conducted at baseline, 6, 12, and 18 months post baseline, with the primary outcome being weight loss at 18 months. The secondary aim is to evaluate changes in metabolic risk factors among those participants who have maintained at least 5% weight loss at 18 months. Finally, we will conduct additional formative work to evaluate the implementation feasibility of this intervention on college campuses, including an assessment of costs as well as the sustainability infrastructure using the PRISM (Practical, Robust Implementation and Sustainability Model) model as a guide. The results of this study have the potential to significantly impact the delivery of obesity treatment services on college campuses.

描述（由申请人提供）：从青春期到成年初期的过渡期是体重增加的脆弱时期，在这一生命过渡期间超重/肥胖增加了两倍。在上大学的50％的青少年中，体重增加1.7公斤（女性）和4.2公斤（男性），从入学到毕业。这些增长使大约三分之一的大学生已经超重或肥胖的事实更加复杂。超重和肥胖的健康后果已得到充分确立；但是，在该人群中，代谢风险在很大程度上没有研究，没有诊断的代谢功能障碍：26-40％的大学生已经患有代谢综合征的一个异常成分。尽管有这些公共卫生风险和负面的健康后果，但仍存在针对新兴成年人（18-26岁）并在大学校园内获得的基于证据的肥胖治疗计划的差距。大学校园是启动肥胖治疗计划的理想位置。截至2009年，包括GED接收者在内的最近的高中完成者中有70.1％参加了大学。此外，有50％的18-19岁青少年被录入大学。拟议的研究基于57名大学生的随机对照试验（RCT）的有前途的飞行员数据，这些数据证明了社交媒体提供减肥治疗的最初功效。据我们所知，我们的RCT是第一个研究大学生社交媒体减肥治疗的人。这项研究的下一步是检查是否可以将这种类型的计划转化为其他大学校园社区。因此，我们建议将450名超重/肥胖的大学生（18-26岁）纳入两所学院（乔治华盛顿大学和马萨诸塞州波士顿大学），向两种社交媒体减肥治疗（量身定制或有针对性）或接触控制。社交媒体治疗由Facebook小组组成，以提供社交支持，联系性和干预内容以及每日短信。我们认为，将社交媒体用作干预工具将吸引习惯于技术使用的年龄段。评估将在基线后的基线，6、12和18个月进行，主要结果是18个月时的体重减轻。次要目的是评估那些在18个月时保持至少5％体重减轻5％的参与者中的代谢风险因素的变化。最后，我们将进行其他形成性工作，以评估这种干预对大学校园的可行性，包括使用Prism（实用，强大的实施和可持续性模型）模型评估成本以及可持续性基础设施作为指南。这项研究的结果有可能对大学校园的肥胖治疗服务产生重大影响。