在线肥胖治疗和初级保健中的维护干预措施的务实实施:一项随机临床试验
J Graham Thomas1,2, Emily Panza1,2, Carly M Goldstein1,2
1Weight Control and Diabetes Research Center, The Miriam Hospital, Providence, Rhode Island.
JAMA internal medicine
|March 11, 2024
概括
自动在线减肥计划与积极维护显著减少重量恢复在两个多年的初级保健患者. 持续的支持对于长期的肥胖管理至关重要.
科学领域:
- 治疗肥胖症的治疗方法
- 行为科学是一种行为科学.
- 数字健康数字健康
背景情况:
- 行为减肥干预措施在初级保健中表现有前途.
- 实用,自动化和低监督治疗方法的测试不足.
- 减肥维护仍然是一个重大挑战.
研究的目的:
- 评估12个月和24个月的自动化在线行为肥胖治疗 (Rx减肥[RxWL]) 的长期有效性.
- 为了比较三个不同的减肥维护策略的有效性.
主要方法:
- 一个随机临床试验,涉及超重或肥胖的初级保健患者.
- 参与者接受了为期3个月的在线减肥计划,随后进行了为期9个月的维持阶段 (控制阶段,月度或刷新阶段).
- 在24个月内,通过电子医疗记录追踪体重变化.
主要成果:
- 自动在线治疗导致3个月后显著减肥.
- 与对照组相比,积极维护 (每月或刷新) 显著减少了12个月和24个月的体重恢复.
- 按月和刷新组的体重恢复较低,而不是通讯组的控制组.
结论:
- 实用地实施自动化在线肥胖治疗与积极维护,在两年内产生临床上显著的体重减轻.
- 持续的维护干预是防止重量恢复在初级保健机构中至关重要的.
- 这种方法提供了一个可扩展的解决方案,用于管理在初级保健肥胖症.
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