Enhanced Internet Behavior Therapy for Treating Obesity

治疗肥胖的增强型互联网行为疗法

• 批准号: 6471501
• 负责人: Deborah F. Tate
• 金额: $ 34.76万
• 依托单位: MIRIAM HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2006-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6471501
• 关键词: Internet; behavior therapy; behavioral /social science research tag; biofeedback; body physical activity; clinical research; clinical trials; cognitive behavior therapy; computer assisted patient care; eating disorders; health care service utilization; human subject; human therapy evaluation; nutrient intake activity; obesity; outcomes research; personal log /diary; questionnaires; reinforcer; self care; social support network; weight control; weight loss

DESCRIPTION (provided by applicant): Given the increasing prevalence of obesity and fact that many adults have a strong preference to lose weight without attending weekly treatment meetings, there is need to develop effective alternatives to behavioral lifestyle interventions requiring less face-to-face contact. The Internet offers exciting opportunities to deliver behavior change interventions that minimize face-to-face interaction. We have recently developed and tested an Internet behavioral weight loss program compared with an Internet educational program in a randomized trial and found the behavioral program produced significantly better weight losses (4.1 kg) at 6 months. Our study clearly establishes the potential for using the Internet to deliver alternative treatment programs; however, treatment efficacy research is needed to further develop an Internet approach that will promote longer-term weight loss. The objectives of the proposed study are I) to enhance our Internet program to develop a state of the art Internet Cognitive-Behavior Therapy (I-CBT) program for obesity treatment; and 2) to conduct a randomized trial comparing the enhanced program with a Minimal CBT program also delivered via the Internet. We propose to recruit 100 overweight adults and randomly assign them to Enhanced Internet CBT or Minimal Internet CBT programs. The Minimal I-CBT condition will be given links to weight loss websites, weekly structured cognitive-behavioral lessons for weight loss, weekly prompting, and an on-line bulletin board. The Enhanced I-CBT program will have these same features plus weekly on-line group therapy sessions, computer-aided self-monitoring diaries, and weekly individual e-mail feedback from a therapist. The primary outcome is weight loss from 0-12 months. Secondary outcomes will examine patterns of weight change and changes in waist, diet, physical activity, and social support. The proposed research has significant implications for expanding the audience served by obesity treatment program by using the Internet. This study utilizes an innovative approach and extends our programmatic research on the development of a cognitive-behavioral Internet treatment for obesity.

描述（由申请人提供）：鉴于肥胖症的越来越多，许多成年人都有强烈的减肥而没有 参加每周的治疗会议，需要有效发展 行为生活方式干预措施需要更少面对面的替代方案 接触。互联网提供了激动人心的机会来改变行为改变 干预措施最小化面对面的互动。我们最近有 与 一项随机试验中的互联网教育计划，发现行为 计划在6个月时产生了明显更好的减肥（4.1公斤）。我们的 研究清楚地确定了使用互联网交付的潜力 替代治疗计划；但是，需要治疗功效研究 进一步开发一种将促进长期体重的互联网方法 损失。拟议的研究的目标是i）增强我们的互联网 开发最先进的互联网认知行为疗法的计划 （I-CBT）肥胖治疗计划； 2）进行随机试验 将增强程序与最小CBT程序进行比较也通过 互联网。我们建议招募100名超重成年人并随机分配 它们可以增强Internet CBT或最小的Internet CBT程序。最小 I-CBT条件将获得与减肥网站的链接，每周结构化 体重减轻，每周提示和在线的认知行为课程 公告板。增强的I-CBT程序将具有这些相同的功能加上 每周在线组小组治疗，计算机辅助自我监控日记， 以及每周的个人电子邮件反馈，来自治疗师。主要结果是 体重减轻为0-12个月。次要结果将检查 体重变化和腰部，饮食，体育锻炼和社会的变化 支持。拟议的研究对扩大 肥胖治疗计划提供的观众通过互联网服务。这项研究 利用一种创新的方法，并扩展了我们关于 开发肥胖的认知行为互联网治疗。