一个集群随机研究的技术辅助健康辅导重量管理在初级保健
Melanie R Jay1,2,3, Sandra Wittleder4,3, Sarvenaz Vandyousefi4
1Department of Medicine, New York University Grossman School of Medicine, New York, New York melanie.jay@nyulangone.org.
Annals of family medicine
|September 23, 2024
概括
进食和运动 (GEM) 干预的目标并没有显著减少初级保健患者的体重. 虽然没有实现减肥目标,但该研究为未来的技术辅助减肥计划提供了见解.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 肥胖管理 肥胖管理
- 数字健康干预措施 数字健康干预措施
背景情况:
- 初级保健机构对于管理超重和肥胖至关重要.
- 技术辅助健康辅导为体重管理提供了可扩展的方法.
- 评估新的干预措施,如进食和移动目标 (GEM) 是必不可少的.
研究的目的:
- 评估进食和运动目标 (GEM) 干预措施在初级保健中体重管理的有效性.
- 为了比较GEM,一个技术辅助的健康指导计划,与增强的常规护理.
主要方法:
- 一个集群随机对照试验,涉及19个初级保健团队.
- 干预组接受了GEM (1个面对面,12个通过软件的电话辅导会话).
- 对照组接受了增强的常规护理 (教育手册).
- 参与研究的患者年龄在18-69岁之间,体重超重或肥胖.
主要成果:
- 12个月后GEM和增强的常规护理之间体重变化没有统计学上显著的差异 (-1.4公斤 vs -0.8公斤).
- 在二次结果中没有发现显著差异.
- 探索性分析表明,在GEM手臂中,中度至强度体力活动的潜在增加.
结论:
- 在这种初级保健环境中,GEM干预并没有导致临床上显著的体重减轻.
- 调查结果表明,目前的干预强度或交付模式存在局限性.
- 未来的研究应该考虑更高强度的干预措施和肥胖管理的综合医疗/外科选择.
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