成人体重管理服务中完成和早期学的决定因素:一项前性观察性研究
Jordan D Everitt1, Enzo M Battista-Dowds2, Daniel Heggs3
1Evidence Service, Public Health Wales, Cardiff, Wales, UK.
概括
参与支持会议显著改善了体重管理干预的完成. 男人性别,关节炎和通知不出席也促进了完成,而焦虑和抑郁症增加了早期学风险.
科学领域:
- 肥胖研究的研究.
- 公共卫生干预措施 公共卫生干预措施
- 行为科学是一种行为科学.
背景情况:
- 体重管理干预措施 (WMI) 的高消耗率限制了它们的有效性.
- 对于WMI完成和放弃的决定因素仍然不太了解.
研究的目的:
- 确定影响国家卫生服务 (NHS) WMIs完成和早期放弃的因素.
- 为改善WMI设计和参与者保留提供证据.
主要方法:
- 对329名符合条件的患者 (BMI≥30 kg/m2,年龄≥18) 进行前性观察性研究.
- 多变量逻辑回归分析以确定完成和提前学的几率比率 (OR).
- 分析包括参与,人口统计,健康状况和预约出席在内的变量.
主要成果:
- 干预完成率为39.8%,干预完成率为39.8%.
- 增加完成率的因素:支持会议参与度 (OR 10.6),男性性别 (OR 2.5),骨关节炎 (OR 1.9) 和通知不出席 (OR 1.8).
- 较高的早期学率与焦虑/抑郁相关 (OR 2.0);饮食1: 1支持显示较低的学率 (OR 0.3),但也较低的完成率 (OR 0.5).
结论:
- 支持参与对于WMI的成功至关重要.
- 患有焦虑和抑郁等心理健康状况的患者可能需要量身定制的支持,以防止过早学.
- 需要进一步进行定性研究,以了解消耗机制并提高WMI的有效性.
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