ENGAGED: E-Networks Guiding Adherence to Goals for Exercise and Diet

参与:电子网络指导遵守运动和饮食目标

基本信息

  • 批准号:
    7837950
  • 负责人:
  • 金额:
    $ 50万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2009
  • 资助国家:
    美国
  • 起止时间:
    2009-09-25 至 2011-08-31
  • 项目状态:
    已结题

项目摘要

DESCRIPTION (provided by applicant): This application addresses Broad Challenge Area (06) Enabling Technologies and Specific Challenge Topic 06-OD(OBSSR)-101*, "Using new technologies to improve adherence" The Diabetes Prevention Program (DPP) intensive lifestyle intervention is the gold standard weight loss treatment for adults with cardiometabolic risk factors. Despite its efficacy, the DPP has not been widely adopted, because its 16 individual, face-to-face sessions with a specialist are considered too burdensome and expensive to be a sustainable program. Attempts to reduce cost by decreasing session number have yielded greatly diminished weight loss. Behavioral adherence to diet and activity goals declines and weight regain routinely begins once frequent face-to-face meetings cease. The still unmet challenge of DPP implementation is how to reduce treatment intensity without excising the regular social support, accountability, and feedback that are essential to maintain adherence. We hypothesize that it is feasible to implement DPP Intensive Lifestyle Treatment as effectively but twice as efficiently by using hand held technology to preserve feedback, accountability, and regular social support. The smartphone-based technology system to be tested is guided by Carver and Scheier's control systems theory of self-regulation. Initial formative research will upgrade the smartphone with engaging features that motivate participants to use the device to self- monitor and interact with a coach and peer support group. Use of the finalized tool will be compared to usual recording on paper records in a preliminary 2-group randomized controlled trial (RCT) involving 64 obese adults. By enabling peer support, accountability, and feedback on diet, physical activity, and weight loss goals continuously through the 6-month intervention period, the ENGAGED system is expected to enhance (1) behavioral adherence [operationalized by (a) self-monitoring of diet and activity and (b) attainment of diet and activity goals], and (2) weight loss. An enabling technology that integrates specialist and peer support resources to improve treatment adherence could help to curtail the obesity epidemic by increasing the efficiency, feasibility, and reach of effective DPP lifestyle intervention. . Lay Summary Long in-person treatment with a professional is now necessary to maintain the adherence to diet and activity goals that is needed for successful weight loss. The ENGAGED study tests a way to reduce cost by having half as many in-person treatment sessions and using specially designed smart phones that help people engage virtually with a counselor and peers who support behavioral adherence to weight loss.
描述(由申请人提供):本申请涉及广泛的挑战领域 (06) 支持技术和具体挑战主题 06-OD(OBSSR)-101*,“使用新技术提高依从性” 糖尿病预防计划 (DPP) 强化生活方式干预是针对具有心脏代谢危险因素的成年人的黄金标准减肥治疗。尽管 DPP 很有效,但它并没有被广泛采用,因为它与专家进行的 16 次单独、面对面的会议被认为过于繁重和昂贵,无法成为一个可持续的计划。通过减少训练次数来降低成本的尝试已大大减少了减肥效果。一旦频繁的面对面会议停止,对饮食和活动目标的行为依从性就会下降,体重通常会开始反弹。 DPP 实施仍面临的挑战是如何在不放弃维持依从性所必需的定期社会支持、问责制和反馈的情况下降低治疗强度。我们假设,通过使用手持技术来保留反馈、问责制和定期社会支持,可以有效地实施 DPP 强化生活方式治疗,但效率提高一倍。待测试的基于智能手机的技术系统以卡弗和谢尔的自我调节控制系统理论为指导。初步的形成性研究将升级智能手机,使其具有引人入胜的功能,激励参与者使用该设备进行自我监控并与教练和同伴支持小组互动。最终工具的使用将与一项涉及 64 名肥胖成年人的初步 2 组随机对照试验 (RCT) 中通常记录的纸质记录进行比较。通过在 6 个月的干预期内持续提供有关饮食、身体活动和减肥目标的同伴支持、问责制和反馈,ENGAGED 系统预计将增强 (1) 行为依从性 [通过 (a) 饮食和活动的自我监控以及 (b) 饮食和活动目标的实现来操作],以及 (2) 减肥。整合专家和同行支持资源以提高治疗依从性的支持技术可以通过提高有效 DPP 生活方式干预的效率、可行性和范围来帮助遏制肥胖流行。 。外行总结 现在有必要接受专业人士的长期面对面治疗,以保持对成功减肥所需的饮食和活动目标的坚持。 ENGAGED 研究测试了一种降低成本的方法,即减少一半的面对面治疗次数,并使用专门设计的智能手机,帮助人们与支持减肥行为的顾问和同伴进行虚拟互动。

项目成果

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Bonnie Spring其他文献

Bonnie Spring的其他文献

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{{ truncateString('Bonnie Spring', 18)}}的其他基金

Pragmatic Trial
务实试用
  • 批准号:
    10682534
  • 财政年份:
    2022
  • 资助金额:
    $ 50万
  • 项目类别:
Pragmatic Trial
务实试用
  • 批准号:
    10454619
  • 财政年份:
    2022
  • 资助金额:
    $ 50万
  • 项目类别:
Behavioral and Psychosocial Research Training in Cancer Prevention and Control
癌症预防和控制的行为和心理社会研究培训
  • 批准号:
    10212311
  • 财政年份:
    2015
  • 资助金额:
    $ 50万
  • 项目类别:
ENGAGED: E-Networks Guiding Adherence to Goals for Exercise and Diet
参与:电子网络指导遵守运动和饮食目标
  • 批准号:
    7936879
  • 财政年份:
    2009
  • 资助金额:
    $ 50万
  • 项目类别:
ACCISS: Activating Collaborative CIS Support Services
ACCISS:激活协作 CIS 支持服务
  • 批准号:
    7226134
  • 财政年份:
    2006
  • 资助金额:
    $ 50万
  • 项目类别:
ACCISS: Activating Collaborative CIS Support Services
ACCISS:激活协作 CIS 支持服务
  • 批准号:
    7295804
  • 财政年份:
    2006
  • 资助金额:
    $ 50万
  • 项目类别:
Make Better Choices (MBC) - Multiple Behavior Change in Diet and Activity
做出更好的选择 (MBC) - 饮食和活动的多种行为改变
  • 批准号:
    8656296
  • 财政年份:
    2004
  • 资助金额:
    $ 50万
  • 项目类别:
Make Better Choices (MBC) - Multiple Behavior Change in Diet and Activity
做出更好的选择 (MBC) - 饮食和活动的多种行为改变
  • 批准号:
    8134147
  • 财政年份:
    2004
  • 资助金额:
    $ 50万
  • 项目类别:
Make Better Choices (MBC) - Multiple Behavior Change in Diet and Activity
做出更好的选择 (MBC) - 饮食和活动的多种行为改变
  • 批准号:
    8102126
  • 财政年份:
    2004
  • 资助金额:
    $ 50万
  • 项目类别:
Multiple Behavior Change in Diet and Activity
饮食和活动的多种行为改变
  • 批准号:
    6826338
  • 财政年份:
    2004
  • 资助金额:
    $ 50万
  • 项目类别:

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