基于接受和承诺治疗的干预措施的共同开发,以增加青少年改变体重的内在动机:AIM2Change研究
Jennifer S Cox1, Aidan J Searle1, Idoia Iturbe2
1National Institute for Health and Care Research Bristol Biomedical Research Centre Diet and Physical Activity Theme, University Hospitals Bristol NHS Foundation Trust and University of Bristol, Bristol, United Kingdom.
PloS one
|November 3, 2025
概括
年轻人共同开发了AIM2Change,这是一种使用接受和承诺疗法 (ACT) 的在线干预,以提高儿童肥胖护理中体重管理的内在动机.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 儿童肥胖是一个日益严重的公共卫生问题,对个人和医疗保健系统产生重大影响.
- 现有的体重管理服务,如超重并发症 (CEW) 诊所,需要创新的方法.
- 需要进行干预措施,以培养年轻人对可持续体重管理的内在动机.
研究的目的:
- 与患有肥胖相关并发症的年轻人共同开发一种新的以人为中心的干预措施 (AIM2Change).
- 将接受和承诺疗法 (ACT) 原则纳入适合青少年的体重管理计划.
- 通过共同设计的在线治疗方法,增强对体重管理的内在动机.
主要方法:
- 从一家专门的儿科肥胖诊所 (CoCO,布里斯托尔,英国) 招募年轻人参与干预的共同开发.
- 在线,基于ACT的1对1干预 (AIM2Change) 的七次会议的交付.
- 通过定期编码和主题分析,基于共同开发者的定性反,对干预措施的代改进.
主要成果:
- 共同开发过程导致了代性变化,包括早期关注饮食行为和身体形象,以及实际参与活动.
- 主题分析揭示了四个关键主题:理论理解,治疗提供/接收,战略参与和现实世界的益处.
- 框架分析将共同开发者的反映射到特定的主题和干预会议.
结论:
- 共同开发过程显著塑造了AIM2Change,优化了它的价值,相关性和对年轻人的接受度.
- 调查结果表明,AIM2Change解决了当前儿童体重管理服务中尚未满足的需求.
- 共同设计的干预措施显示了通过增强内在动机来有效支持青少年控制体重的潜力.
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