Social Mobile Approaches to Reducing Weight (SMART) 2.0: protocol of a randomized controlled trial among young adults in university settings.

Social Mobile Approaches to Reducing Weight (SMART) 2.0: protocol of a randomized controlled trial among young adults in university settings.
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DOI:
10.1186/s13063-021-05938-7
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发表时间:
2022-01-03
期刊:
影响因子:
2.5
通讯作者:
Godino JG
Godino JG
中科院分区:
医学4区
文献类型:
--
作者:
Mansour-Assi SJ;Golaszewski NM;Costello VL;Wing D;Persinger H;Coleman A;Lytle L;Larsen BA;Jain S;Weibel N;Rock CL;Patrick K;Hekler E;Godino JG

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成年早期体重增加过多与未来体重增加和慢性疾病风险增加有关。虽然多模式的、基于技术的减肥干预措施有可能促进年轻人的减肥,但许多干预措施的个性化程度有限,很少有干预措施的部署和评估时间超过一年。我们的目标是评估一项高度个性化的为期2年的干预措施的效果,该措施使用流行的移动的和社交技术来促进年轻人的减肥。社会移动的减肥方法(SMART)2.0研究是一项为期24个月的平行组随机对照试验,将包括642名超重或肥胖的参与者,年龄在18-35岁之间,来自加利福尼亚州圣地亚哥的大学和社区学院。所有参与者都将获得可穿戴活动跟踪器、连接秤和相应的应用程序。随机分配到一个干预组的参与者将通过个性化的日常短信(即,SMS/MMS)、社交媒体平台上的帖子以及在线群组。第二个干预组的参与者除了接受简短的、以技术为媒介的健康指导外,还接受上述内容。对照组的参与者仅收到可穿戴活动跟踪器、连接的秤和相应的应用程序。主要结局是24个月内客观测量的体重(以千克为单位)。次要结果包括人体测量;生理测量;身体活动,饮食,睡眠和心理社会测量;以及参与干预方式。在基线和6、12、18和24个月时评估结局。将使用重复测量的混合模型分析随机化组之间的差异,并将基于意向治疗原则。我们假设,与对照组相比,两个SMART 2.0干预组都将显著改善体重减轻,接受健康指导的组将获得最大的改善。我们进一步假设,次要结果的差异将有利于干预组。迫切需要提高对多模式、以技术为基础的减肥干预措施的有效性的认识,这些干预措施有可能产生长期影响,并在年轻人中广泛传播。我们的研究结果应该为实施低成本和可扩展的减肥干预措施和降低风险的健康行为提供信息。ClinicalTrials.govNCT03907462.注册于2019年4月9日
Excess weight gain in young adulthood is associated with future weight gain and increased risk of chronic disease. Although multimodal, technology-based weight-loss interventions have the potential to promote weight loss among young adults, many interventions have limited personalization, and few have been deployed and evaluated for longer than a year. We aim to assess the effects of a highly personalized, 2-year intervention that uses popular mobile and social technologies to promote weight loss among young adults. The Social Mobile Approaches to Reducing Weight (SMART) 2.0 Study is a 24-month parallel-group randomized controlled trial that will include 642 overweight or obese participants, aged 18–35 years, from universities and community colleges in San Diego, CA. All participants receive a wearable activity tracker, connected scale, and corresponding app. Participants randomized to one intervention group receive evidence-based information about weight loss and behavior change techniques via personalized daily text messaging (i.e., SMS/MMS), posts on social media platforms, and online groups. Participants in a second intervention group receive the aforementioned elements in addition to brief, technology-mediated health coaching. Participants in the control group receive a wearable activity tracker, connected scale, and corresponding app alone. The primary outcome is objectively measured weight in kilograms over 24 months. Secondary outcomes include anthropometric measurements; physiological measures; physical activity, diet, sleep, and psychosocial measures; and engagement with intervention modalities. Outcomes are assessed at baseline and 6, 12, 18, and 24 months. Differences between the randomized groups will be analyzed using a mixed model of repeated measures and will be based on the intent-to-treat principle. We hypothesize that both SMART 2.0 intervention groups will significantly improve weight loss compared to the control group, and the group receiving health coaching will experience the greatest improvement. We further hypothesize that differences in secondary outcomes will favor the intervention groups. There is a critical need to advance understanding of the effectiveness of multimodal, technology-based weight-loss interventions that have the potential for long-term effects and widespread dissemination among young adults. Our findings should inform the implementation of low-cost and scalable interventions for weight loss and risk-reducing health behaviors. ClinicalTrials.govNCT03907462. Registered on April 9, 2019
DOI: 10.1136/bmj.g2646
发表时间: 2014-05-14
期刊: BMJ (Clinical research ed.)
影响因子: --
作者:
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DOI: 10.1186/1471-2458-12-444
发表时间: 2012-06-18
期刊: BMC public health
影响因子: 4.5
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DOI: 10.1186/1471-2458-14-1255
发表时间: 2014-12-10
期刊: BMC public health
影响因子: 4.5
作者:
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通讯作者: Tully MA
DOI: 10.1016/s0022-3999(99)00004-5
发表时间: 1999-05-01
影响因子: 4.7
作者:
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通讯作者: Jacobsen, P
DOI: 10.1249/mss.0b013e3182399b7e
发表时间: 2012-01-01
期刊: MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子: --
作者:
Freedson, Patty;Bowles, Heather R.;Haskell, William
通讯作者: Haskell, William