引导自助与肥胖儿童群体治疗:一项随机临床试验
Kerri N Boutelle1,2,3, Kyung E Rhee1, David R Strong2
1Department of Pediatrics, UC San Diego, La Jolla, California.
Pediatrics
|January 28, 2025
概括
以家庭为基础的自助行为治疗 (gshFBT) 与儿童肥胖症的传统FBT同样有效,以更低的成本提供类似的减肥. 这种高效的方法增加了更多需要肥胖干预措施的家庭的治疗机会.
科学领域:
- 治疗儿童肥胖症的治疗方法
- 行为健康干预措施 行为健康干预
- 卫生经济学 卫生经济学
背景情况:
- 儿童肥胖是一个重大的公共卫生问题,需要有效的干预措施.
- 基于家庭的行为治疗 (FBT) 是对儿科肥胖症的一种经过验证的方法.
- 需要更多的时间效率和成本效益的FBT交付模式.
研究的目的:
- 评估指导自助FBT (gshFBT) 计划与儿童减肥传统FBT相比的非劣势.
- 评估gshFBT与FBT在治疗儿科肥胖症方面的成本效益.
- 为了确定gshFBT是否可以增加有效的肥胖治疗对更多家庭的覆盖范围.
主要方法:
- 一项随机对照试验,涉及150名肥胖儿童 (年龄为7.0-12.9岁) 和他们的父母.
- 参与者被分配到一个为期6个月的gshFBT计划 (n=75) 或一个为期6个月的传统FBT计划 (n=75).
- 两组患者在治疗后进行了12个月的随访,以评估体重减轻和成本效益.
主要成果:
- 在儿童体重减轻方面,gshFBT被发现与FBT不劣 (ΔBMIz = -0.02).
- 在gshFBT程序是显著更具成本效益,花费1498美元每dyad相比2775美元的FBT.
- 两组之间没有观察到体重减轻结果的显著差异.
结论:
- gshFBT为肥胖儿童提供了与传统FBT相比的减肥结果.
- 由于gshFBT的时间缩短和成本降低,使其成为更具可扩展性和可访问性的干预措施.
- gshFBT有可能将有效的儿科肥胖治疗的覆盖范围扩大到更大的人口.
相关概念视频
Self-Help Support Groups
26
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
26
Group Therapy
23
Group therapy is a sociocultural approach to psychological treatment, where individuals with shared psychological challenges come together under the guidance of a mental health professional. This therapeutic modality offers unique opportunities for individuals to connect, share, and grow within the context of a supportive group. By fostering mutual understanding and collaboration, group therapy can address a range of psychological concerns effectively, often complementing or surpassing the...
23
Hazard Ratio
79
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
79
Binge Eating Disorders
46
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
46
Statistical Significance
20.1K
Once data is collected from both the experimental and the control groups, a statistical analysis is conducted to find out if there are meaningful differences between the two groups. A statistical analysis determines how likely any difference found is due to chance (and thus not meaningful). In psychology, group differences are considered meaningful, or significant, if the odds that these differences occurred by chance alone are 5 percent or less. Stated another way, if we repeated this...
20.1K
Group Design
8.9K
The most basic experimental design involves two groups: the experimental group and the control group. The two groups are designed to be the same except for one difference— experimental manipulation. The experimental group gets the experimental manipulation—that is, the treatment or variable being tested—and the control group does not. Since experimental manipulation is the only difference between the experimental and control groups, we can be sure that any differences between...
8.9K


