Targeting important behaviors for weight loss through the use of social gaming and points: The Social Pounds Off Digitally (Social POD) study

通过使用社交游戏和积分来针对重要的减肥行为：Social Pounds Off Digitally (Social POD) 研究

• 批准号: 10275735
• 负责人: Gabrielle Michelle Turner-McGrievy
• 金额: $ 64万
• 依托单位: UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-16 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10275735
• 关键词: Adherence; Adult; African American; Age; Area; Behavior; Behavior Therapy; Behavioral; Body Weight decreased; Chronic Disease; Demographic Factors; Diabetes Mellitus; Diet; Diet Monitoring; Elements; Empathy; Ensure; Frequencies; Goals; Group Meetings; Health; Health behavior; Intervention; Link; Maintenance; Mediator of activation protein; Monitor; Motivation; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Outcome; Overweight; Participant; Pattern; Physical activity; Play; Prevention; Psychosocial Factor; Public Health; Race; Randomized; Research; Rewards; Risk Factors; Role; Sampling Studies; Social Interaction; Social Network; Social support; Testing; Time; Translating; Weight; Work; base; behavior change; behavior influence; behavioral health; cohort; comparison group; cost effective; design; dietary; digital; digital intervention; experimental group; mHealth; mobile application; novel; novel strategies; overweight adults; podcast; recruit; remote delivery; scale up; sex; social; treatment arm; usability; weight loss intervention; weight loss program

Overweight and obesity are linked to a number of chronic diseases, including type 2 diabetes mellitus (T2DM). Weight loss has been shown to help with the prevention of T2DM. Behavioral weight loss programs that provide, encourage, or facilitate social support are associated with greater adherence to treatment. Social support can also help to encourage consistent dietary self-monitoring, which is considered the cornerstone of weight loss treatment and an important component of interventions targeting T2DM prevention and management. Few studies have focused specifically on ways to target areas of social support that have proven to be effective in face-to-face delivery settings. The Social Pounds Off Digitally (Social POD) study was a three-month randomized weight loss intervention with content delivered remotely via twice-weekly podcasts (same for both intervention arms). Overweight adults (N=51) were recruited and randomly assigned to either the experimental group (n= 26; Social POD app that received points for self-monitoring and social support)) or the comparison group (n=25; standard diet tracking app with no points). Social POD group participants lost significantly more weight (-5.3 kg; 95%CI: -7.5, -3.0) than those in the standard app group (-2.2 kg; 95%CI: -3.6, -1.0; p=0.02) and total points earned significantly predicted % weight loss (B=-0.02, p=0.01). This study, with 39% of the participants being African American, represents one of the more diverse study samples for a digital weight loss intervention. The goal of the present proposal is to examine the Social POD intervention in a longer-term study (12 months) to ensure that use of social gaming leads to sustainable behavior changes and continued weight loss. Our study has the following aims: Aim 1) Determine if the Social POD app plus points intervention (SocialPOD+points; points for provision and receipt of social support) produces significantly more weight loss at 12 months than the Social POD without points (SocialPOD-) among 240 adults with overweight or obesity and ≥3 T2DM risk factors. Hypothesis: The SocialPOD+points group will lose more weight than the SocialPOD- group. Aim 2) Examine the differences in social support provision and receipt between groups at 12 months. Hypothesis: That the SocialPOD+points group will have greater levels of social support provision and receipt than the SocialPOD-. Secondary Aims) Examine usage patterns over time [e.g., do points sustain engagement and promote weight loss maintenance?], potential mediators and moderators [engagement (e.g., frequency of self-monitoring)], demographic factors (e.g., sex, race, age)], the usability and acceptability of the interventions, and the association of social support provision/receipt and psychosocial factors (e.g., motivation, enjoyment) with weight loss. This approach has considerable public health appeal since, if the social gaming approach proves to be successful in promoting and maintaining weight loss, it could be greatly scaled up for widespread dissemination.

超重和肥胖与多种慢性疾病有关，包括2型糖尿病 （T2DM）。体重减轻已被证明有助于预防T2DM。行为减肥计划 提供，鼓励或促进社会支持与更大的依从性有关。社会的 支持还可以帮助鼓励一致的饮食自我监控，这被认为是 减肥治疗和针对预防T2DM的干预措施的重要组成部分 管理。很少有研究专门针对针对社会支持领域的方法 在面对面的交付环境中有效。 以数字方式减少社交磅（社交豆荚）研究是一个三个月的随机减肥 通过每周两次播客远程交付的内容干预（两个干预臂相同）。 招募超重成年人（n = 51）并随机分配给实验组（n = 26； 获得自我监控和社会支持的积分）或比较组（n = 25; 没有点的标准饮食跟踪应用程序）。社会豆荚组参与者的体重增加了大大增加（-5.3 公斤;比标准应用程序组中的95％CI：-7.5，-3.0）（-2.2 kg; 95％CI：-3.6，-1.0; p = 0.02）和总点 获得的体重减轻百分比（b = -0.02，p = 0.01）。这项研究，39％的参与者是 非裔美国人代表了数字减肥干预措施的更多样化的研究样本之一。 本提案的目标是检查长期研究（12个月）中的社会豆荚干预措施 确保使用社交游戏会导致可持续的行为变化和持续的体重减轻。 我们的研究具有以下目的：目标1）确定社交豆荚应用程序是否加点干预 （SocialPod+积分；提供和接收社会支持的点）产生更多的体重减轻 在有超重或肥胖的240名成年人中，比没有积分的社交舱（社交pod-）的12个月 和≥3T2DM风险因素。假设：SocialPod+积分组的体重将比 SocialPod-Group。目标2）检查社会支持提供和群体之间收据的差异 12个月。假设：SocialPod+积分小组将有更大级别的社会支持提供 和收据比社交pod-。次要目的）检查随着时间的流逝的使用模式[例如，点持续点 参与和促进减肥维持？]，潜在的调解人和主持人[参与（例如， 自我监控的频率]，人口统计学因素（例如，性别，种族，年龄）]，可用性和可接受性 干预措施以及社会支持提供/收据和心理社会因素的协会（例如，动机， 享受）减肥。这种方法已经考虑了公共卫生的外观，如果社交游戏 事实证明，方法在促进和维持体重减轻方面取得了成功，可以大大扩展 宽度传播。