Self-weighing for Weight Management in Adolescents with Obesity

肥胖青少年体重管理的自我称重

• 批准号: 10681278
• 负责人: Carolyn T Bramante
• 金额: $ 20.03万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-09 至 2025-08-08
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10681278
• 关键词: Accountability; Address; Adherence; Adolescence; Adolescent; Adolescent and Young Adult; Adolescent obesity; Adult; Behavior Therapy; Behavioral; Body Image; Body Weight decreased; Cardiometabolic Disease; Cessation of life; Clinic; Clinical; Counseling; Data; Development; Disease; Eating Behavior; Eating Disorders; Education; Electronic Health Record; Epidemiologic Methods; Extramural Activities; Face; Feedback; Focus Groups; Foundational Skills; Funding; Goals; Habits; Health; Height; High Prevalence; Home; Income; Intervention; Interview; K-Series Research Career Programs; Life Expectancy; Low income; Measurement; Measures; Medical; Medicine; Mentorship; Methods; Monitor; Moods; Obesity; Parents; Patients; Physical activity; Physicians; Pilot Projects; Practice Management; Provider; Psychological reinforcement; Public Health; Randomized; Recommendation; Research Personnel; Risk; Safety; Scientist; Self Efficacy; Self Perception; Self-control as a personality trait; Stress; Surveys; Technology; Testing; Training Programs; Treatment Efficacy; Weight; Weight maintenance regimen; acceptability and feasibility; adolescent health; adolescent patient; adult obesity; age group; arm; cardiometabolism; clinical care; design; diabetes risk; dietary; digital technology; efficacy testing; evidence base; improved; individualized feedback; intervention effect; multidisciplinary; novel; obese patients; obesity treatment; premature; prospective; psychologic; remote monitoring; safety assessment; skills; social cognitive theory; theories; therapy design; tool; transmission process; treatment as usual; weight loss intervention; weight maintenance

PROJECT SUMMARY Approximately 20% of adolescents in the US have obesity, which is significant because of its many health consequences, including cardiometabolic disease leading to premature death. Treatment of obesity is particularly important for adolescents because obesity in this age group also increases the risk for lower income and lower educational attainment in adulthood. The cornerstone of all forms of obesity treatment is behavioral modification strategies that support daily dietary and physical activity change. Self-monitoring is a powerful behavioral tool that is grounded in Social Cognitive Theory. This theory states that greater self- awareness through proximate self-measurement improves self-efficacy, self-control, and self-reinforcement. Self-monitoring of weight through daily self-weighing (SW) at home has been found to be effective and safe for weight loss and maintenance in adults, particularly when there is external accountability for the home weights. Daily SW at home with accountability to clinic represents a scalable intervention that can be feasibly implemented into the clinical care for adolescents with obesity. However, daily SW at home has not been prospectively assessed in adolescent patients with obesity who are seeking obesity treatment. The objective of this proposal is to evaluate the feasibility, acceptability, safety, and estimate the effect on weight of daily SW at home, integrated with the electronic health record (EHR) and clinical care of adolescents with obesity. I will: 1) Use mixed methods to determine adolescent and parent perspectives on daily weighing on smart scales connected to the EHR as a tool for adolescents with obesity who are seeking weight loss treatment; 2) Determine clinician and clinic staff perspectives on daily weighing on connected to the EHR; and 3) Conduct a randomized, clinic-based pilot study to compare the feasibility, acceptability, safety, and estimate the effect size of three conditions in a weight management clinic for adolescents with obesity: a) usual care, b) usual care + daily SW at home on a simple scale, and c) usual care + daily SW at home on a smart scale that is connected to clinic (with individualized feedback to the patient). I will prospectively and serially assess mood, body image, stress, weight management practices, and disordered eating behaviors. This project will generate critical preliminary data to inform the design of a larger study (R01) that fully evaluates safety and efficacy of daily SW at home, with and without regular external accountability from clinic, in adolescents with obesity. Completing this K23 training program will allow me to establish skills in mixed methods, epidemiologic methods and intervention design, and foundational skills in implementation of digital technology, as well as lay the groundwork for leading novel and high-impact obesity studies. The multidisciplinary mentorship during this career development award will prepare me to become an independent, extramurally-funded clinician scientist who investigates clinic-based interventions for obesity treatment.

项目总结

项目成果

Does COVID-19 Infection Increase the Risk of Diabetes? Current Evidence.

• DOI: 10.1007/s11892-023-01515-1
• 发表时间: 2023-08
• 期刊: CURRENT DIABETES REPORTS
• 影响因子: 4.2
• 作者: Wong, Rachel;Lam, Emily;Bramante, Carolyn T. T.;Johnson, Steven G. G.;Reusch, Jane;Wilkins, Kenneth J. J.;Yeh, Hsin-Chieh
• 通讯作者: Yeh, Hsin-Chieh

Association of Early Aspirin Use With In-Hospital Mortality in Patients With Moderate COVID-19.

• DOI: 10.1001/jamanetworkopen.2022.3890
• 发表时间: 2022-03-01
• 期刊: JAMA network open
• 影响因子: 13.8
• 作者: Chow JH;Rahnavard A;Gomberg-Maitland M;Chatterjee R;Patodi P;Yamane DP;Levine AR;Davison D;Hawkins K;Jackson AM;Quintana MT;Lankford AS;Keneally RJ;Al-Mashat M;Fisher D;Williams J;Berger JS;Mazzeffi MA;Crandall KA;N3C Consortium and ANCHOR Investigators
• 通讯作者: N3C Consortium and ANCHOR Investigators

The Most Undertreated Chronic Disease: Addressing Obesity in Primary Care Settings.

• DOI: 10.1007/s13679-021-00444-y
• 发表时间: 2021-09
• 期刊: Current obesity reports
• 影响因子: 8.8
• 作者: Tucker S;Bramante C;Conroy M;Fitch A;Gilden A;Wittleder S;Jay M
• 通讯作者: Jay M