Managing obesity by combining behavioral weight loss and commercial approaches

通过结合行为减肥和商业方法来管理肥胖

• 批准号: 7665492
• 负责人: ANGELA Marinilli PINTO
• 金额: $ 16万
• 依托单位: BERNARD M. BARUCH COLLEGE
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-01 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7665492
• 关键词: Adherence; Adult; Area; Award; Behavior Therapy; Behavioral; Body Weight decreased; Body mass index; Clinical Ethics; Clinical effectiveness; Collaborations; Combined Modality Therapy; Cost Effectiveness Analysis; Cost Measures; Dietary intake; Eating; Educational process of instructing; Effectiveness; Elements; Environment; Epidemic; Epidemiologic Studies; Exercise; Goals; Gold; Habits; Hospitals; Individual; Intervention; Investigation; Kilogram; Measures; Mentored Patient-Oriented Research Career Development Award; Mentors; Methodology; Modeling; Obesity; Outcome; Outcome Measure; Overweight; Participant; Patients; Physical activity; Public Health; Quality-Adjusted Life Years; Randomized; Regulation; Relative (related person); Research; Research Personnel; Research Training; Resources; Running; Scientist; Self Efficacy; Services; Structure; Techniques; Time; Training; Travel; Treatment Protocols; United States; University Hospitals; Weight; Wing; Woman; Work; base; career; cost; cost effectiveness; effective therapy; experience; flexibility; innovation; interest; life time cost; medical schools; men; moderate obesity; obesity treatment; patient oriented research; programs; skills; standard care; statistics; success; treatment strategy; weight loss intervention

DESCRIPTION (provided by applicant): The goal of this Mentored Patient-Oriented Research Career Award (K23) is to provide Dr. Angela Pinto with the opportunity to develop the expertise needed to become an independent scientist studying cost-effective behavioral treatments for obesity. This training plan outlines a combination of didactic and direct mentored training experiences that will provide Dr. Pinito with the opportunity to develop and enhance skills in the following areas: the public health model of obesity and obesity treatment; behavioral approaches to weight regulation; methodology, statistics, and ethics of clinical obesity research; and the standards and techniques of cost-effectiveness analysis and their application to behavioral weight loss trials. Dr. Pinto will work closely with her primary mentor, Dr. Rena Wing, and her co-mentors, Drs. William Herman, Mark Schleinitz, Joseph Fava, and Robert Jeffery, throughout the course of this award. The resources at the Miriam Hospital/Brown Medical School, combined with the expertise of her mentoring team will provide Dr. Pinto with the ideal environment in which to achieve her training and research goals. Obesity is a major public health problem in the United States. University/hospital-based behavioral weight loss programs are the gold standard for moderate obesity, but they are costly to run and have limited accessibility to the majority of individuals seeking weight loss. Commercial weight loss programs offer widely recognized, highly accessible, and affordable treatment, but produce weight losses that are markedly less than those achieved in university/hospital based treatment. The scope of the obesity epidemic demands behavioral weight loss treatment that is both clinically effective and cost-effective for individuals who want to lose weight. Therefore, the purpose of this investigation is to develop and evaluate a cost-effective treatment for obesity that integrates the clinical effectiveness of behavioral weight loss interventions with the accessibility of the Weight Watchers commercial program. In this 12-month trial, 198 men and women with a BMI of 27-40 will be randomly assigned to receive standard behavioral weight loss, Weight Watchers, or a combination treatment. The long-term goal of this research is to expand the public health reach of cost-effective obesity treatment through increased collaboration between university/hospital-based behavioral weight loss programs and commercial weight loss organizations.

描述（由申请人提供）： 这个指导以患者为导向的研究职业奖（K23）的目标是为安吉拉平托博士提供机会，发展成为一名研究肥胖症成本效益行为治疗的独立科学家所需的专业知识。该培训计划概述了教学和直接指导培训经验的结合，将为Pinito博士提供在以下领域发展和提高技能的机会：肥胖和肥胖治疗的公共卫生模型;体重调节的行为方法;临床肥胖研究的方法，统计和伦理学;以及成本效益分析的标准和技术及其在行为减肥试验中的应用。平托博士将与她的主要导师，博士雷纳翼，和她的共同导师，博士威廉赫尔曼，马克Schleinitz，约瑟夫法瓦，和罗伯特杰弗里，在整个过程中，这个奖项。米里亚姆医院/布朗医学院的资源，加上她的指导团队的专业知识，将为平托博士提供理想的环境，以实现她的培训和研究目标。肥胖是美国的一个主要公共卫生问题。基于大学/医院的行为减肥计划是中度肥胖的黄金标准，但它们的运行成本很高，而且对大多数寻求减肥的人来说，可及性有限。商业减肥计划提供广泛认可的，高度可及的和负担得起的治疗，但产生的体重减轻明显低于大学/医院为基础的治疗。肥胖流行病的范围需要行为减肥治疗，这对于想要减肥的人来说既临床有效又具有成本效益。因此，本研究的目的是开发和评估一种具有成本效益的肥胖治疗方法，该方法将行为减肥干预的临床有效性与Weight Watchers商业计划的可及性相结合。在这项为期12个月的试验中，198名BMI在27-40之间的男性和女性将被随机分配接受标准行为减肥，Weight Watchers或联合治疗。这项研究的长期目标是通过加强大学/医院行为减肥计划和商业减肥组织之间的合作，扩大具有成本效益的肥胖治疗的公共卫生范围。