BEHAVIOR CHOICE TREATMENT PROMOTES WEIGHT MAINTENANCE

描述（改编自研究者摘要）：本项目的目的 是比较行为选择治疗（BCT）的有效性，一种新的 基于理论的饮食干预，与行为疗法在生产 持续的行为改变和体重维持超过两年的随访。 这项研究的中心假设是，BCT，一种 基于行为学原理的肥胖症认知行为治疗 决策理论，可以促进持续减肥和运动维持 24个月的随访。这一假设是根据试点数据制定的 这表明，行为选择治疗成功地应用于 促进持续减肥和运动超过12个月的后续行动（Sbrocco等 例如，1999年）。在一年的随访中，受试者没有显示出恢复， BCT表现出缓慢，持续的体重减轻，在22磅（10公斤）， 随访本申请的目的是（1）进一步评估 行为选择治疗与传统治疗相比的长期疗效 行为疗法在非洲裔美国妇女，（2）延长后续行动， 2年，（3）检查卡路里处方水平对 促进长期的体重维持。240名非裔美国人 来自华盛顿各教会的妇女将参加13次会议中的一次会议。 治疗（BCT与1800千卡; BT与1200千卡; BT与1800千卡），并将 使用多模式组合进行评估，以评估治疗过程， 结果（术后、3、6、12、18和24个月随访）。

DESCRIPTION (adapted from investigator's abstract): The purpose of this project is to compare the effectiveness of Behavior Choice Treatment (BCT), a new theoretically based dietary intervention, with Behavior Therapy in producing sustained behavior changes and weight maintenance over a two-year follow-up. The central hypothesis of the proposed research is that BCT, a cognitive-behavioral treatment for obesity based on principles of behavioral decision theory, can promote continuing weight loss and exercise maintenance over a 24-month follow-up. This hypothesis was formulated based on pilot data that demonstrated that Behavior Choice Treatment was successfully applied to promote continuing weight loss and exercise over 12-month follow-up (Sbrocco et al., 1999). Rather than showing regain at one-year follow-up, subjects in the BCT demonstrated a slow, continual weight loss totaling 22 lbs (10 kg) at follow-up. The objectives of this application are (1) to further evaluate the long-term efficacy of Behavior Choice Treatment compared to traditional behavior therapy among African-American women, (2) to extend the follow-up to two years, and (3) to examine the impact of level of calorie prescription in promoting long-term weight maintenance. Two hundred forty African-American women from churches in Washington, D.C, will participate in 1 of 3 13-session treatments (BCT with 1800 kcal; BT with 1200 kcal; BT with 1800 kcal) and will be assessed using a multi-modal battery to evaluate treatment process and outcome (post, 3, 6, 12, 18, & 24 month follow-ups).