Successful weight loss with self-help: A stepped-care approach
Successful weight loss with self-help: A stepped-care approach
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DOI：
10.1007/s10865-009-9221-8
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发表时间：
2009-12-01
影响因子：
3.1
通讯作者：
Koball, Afton
中科院分区：
文献类型：
--
作者：
Carels, Robert A.;Wott, Carissa B.;Koball, Afton
在阶梯式治疗方法中，当不太密集的治疗无法达到治疗目标时，患者将过渡到更密集的治疗。自助计划被推荐作为阶梯式护理模式中的初始低强度治疗阶段。这项调查研究了自助，分步护理减肥计划的有效性。58名超重/肥胖成年人（BMI为千分之一日元27 kg/m（2））参加了减肥计划。参与者主要是白人（93.1%）和女性（89.7%），平均BMI为36.6（SD = 7.1）。在完成该计划的参与者中，57%（N = 21）仍在自助中的参与者在随访时保持了8%的体重减轻。与自助参与者相比，加强自我监测的参与者的天数较少，并且报告的每日热量摄入量较高。一旦加强，体重减轻的结果是相同的个人谁保持在自助相比，那些谁是加强。当自助减肥不成功时，加强的个人从早期强化干预中受益。
In a stepped-care approach to treatment, patients are transitioned to more intensive treatments when less intensive treatments fail to meet treatment goals. Self-help programs are recommended as an initial, low intensity treatment phase in stepped-care models. This investigation examined the effectiveness of a self-help, stepped-care weight loss program. Fifty-eight overweight/obese adults (BMI a parts per thousand yen 27 kg/m(2)) participated in a weight loss program. Participants were predominately Caucasian (93.1%) and female (89.7%) with a mean BMI of 36.6 (SD = 7.1). Of those completing the program, 57% of participants (N = 21) who remained in self-help maintained an 8% weight loss at follow-up. Participants who were stepped-up self-monitored fewer days and reported higher daily caloric intake than self-help participants. Once stepped-up, weight loss outcomes were equivalent between individuals who remained in self-help compared to those who were stepped-up. Individuals who were stepped-up benefited from early intensive intervention when unsuccessful at losing weight with self-help.