A State-Wide Initiative to Spread Effective Behavioral Weight Loss Strategies

在全州范围内传播有效的行为减肥策略的倡议

• 批准号: 7882122
• 负责人: Rena R Wing
• 金额: $ 48.48万
• 依托单位: MIRIAM HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-01 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7882122
• 关键词: Accountability; Address; Adherence; Adult; Algorithms; Behavior; Behavioral; Body Weight; Body Weight decreased; Businesses; Communities; Computer software; Computers; Data; Diabetes Mellitus; Dietary Fats; Education; Educational Materials; Effectiveness; Enrollment; Feedback; Generations; Health; Health Benefit; Human Resources; Indium; Individual; Intake; Internet; Intervention; Minority; Modeling; Monitor; Moods; Obesity; Outcome; Overweight; Participant; Physical activity; Pilot Projects; Public Health; Quality of life; Randomized; Randomized Clinical Trials; Randomized Controlled Trials; Records; Recruitment Activity; Reporting; Rhode Island; Risk; Shapes; Study Section; Technology; Testing; Time; Training; Weight Gain; Weight maintenance regimen; Work; Workplace; base; behavior change; cardiovascular risk factor; clinically significant; computer generated; cost; design; diabetes prevention program; diet and exercise; effective intervention; follow-up; health related quality of life; hypertension prevention; improved; individualized feedback; innovation; intervention program; medical complication; member; obesity treatment; outreach; prevent; programs; public health relevance; satisfaction; success; weight loss intervention

DESCRIPTION (provided by applicant): Obesity is a major public health problem. Behavioral weight loss programs have been shown to be successful in reducing body weight and preventing the onset of medical complications of obesity. There is a need to develop cost-effective approaches to disseminating these weight loss interventions. This project evaluates an innovative approach to disseminating weight loss interventions. It uses a self-sustaining statewide program called "Shape Up Rhode Island", as a means of recruiting large numbers of participants to the program and combines this program with effective behavioral weight control strategies to improve the weight loss outcome. Shape-Up Rhode Island is a 12 week program to help Rhode Islanders lose weight and increase activity through an Internet delivered team-based competition, which recruited over 13,000 participants in 2009. To avoid markedly increasing personnel costs or participant burden, the Shape-Up Rhode Island program will be enhanced with a behavioral weight loss intervention including (1) education about diet, exercise and behavior strategies delivered via weekly multi-media behavioral lessons based on the Diabetes Prevention Program and Look AHEAD, that can be viewed by the participant on their computer; and (2) increased accountability through submission of weekly self-monitoring records and computer-generated individualized feedback. A pilot study of this enhanced intervention indicated that participants in Shape-Up RI adhered well to these added components and that the enhanced program significantly improved weight losses in the Shape-Up RI program. We propose to conduct a randomized controlled trial with 600 Shape-Up Rhode Island participants who will be randomly assigned to receive the 12-week standard Shape-Up Rhode Island program or an enhanced program, which includes not only the standard Shape-Up Rhode Island program, but also weekly video behavioral lessons and weekly automated feedback. The primary hypothesis is that the enhanced program will improve weight losses at week 12. Secondary aims are to compare the treatments on percent of participants achieving a 5% weight loss, on 6 and 12-month follow-up, and on behavior changes related to weight control, and to conduct cost-effective and cost-utility analyses comparing the two programs. This innovative intervention, which uses a statewide campaign for outreach combined with effective behavioral strategies for weight loss success, has the potential to be an important public health model for the treatment of obesity. PUBLIC HEALTH RELEVANCE: Behavioral weight loss programs can successfully reduce body weight, but these programs are available to limited numbers of overweight and obese individuals. This project evaluates a unique weight loss approach that combines a self-sustaining weight loss campaign (for outreach) with training in behavioral weight loss strategies and strategies to increase accountability (to improve weight loss success). This innovative combination has the potential to be a cost-effective model for disseminating weight control interventions.

描述（由申请人提供）：肥胖是一个主要的公共卫生问题。行为减肥计划已被证明在减轻体重和防止肥胖症的医疗并发症的开始方面取得了成功。有必要开发具有成本效益的方法来传播这些减肥干预措施。该项目评估了一种创新的方法来传播减肥干预措施。它使用一个称为“ Shape Up Rhode Island”的自我维持的全州计划，作为招募大量参与者参加该计划的手段，并将该计划与有效的行为重量控制策略相结合以改善减肥结果。 Shape-Up Rhode Island is a 12 week program to help Rhode Islanders lose weight and increase activity through an Internet delivered team-based competition, which recruited over 13,000 participants in 2009. To avoid markedly increasing personnel costs or participant burden, the Shape-Up Rhode Island program will be enhanced with a behavioral weight loss intervention including (1) education about diet, exercise and behavior strategies delivered via weekly multi-media behavioral lessons based on the Diabetes Prevention Program and Look AHEAD,参与者可以在计算机上查看这一点； （2）通过提交每周的自我监控记录和计算机生成的个性化反馈来增加问责制。对这项增强干预措施的试点研究表明，Shape-Up RI的参与者非常遵守这些添加的组件，并且增强的程序在Shape-Up RI计划中显着改善了体重减轻。我们建议对600个形状的罗德岛参与者进行随机对照试验，他们将被随机分配以接收为期12周的标准Shape-Up Rhode Island计划或增强计划，其中不仅包括标准的Shape-Up-Rhode Island计划，还包括每周的视频行为课程和每周的自动反馈。主要的假设是增强计划将在第12周提高体重减轻。次要目的是比较在6和12个月的随访以及与体重控制相关的行为变化以及进行成本效益和成本效果分析的参与者中，以比较5％的体重减轻的百分比。这种创新的干预措施利用全州运动进行外展，并结合了有效的减肥行为策略，有可能成为治疗肥胖症的重要公共卫生模型。 公共卫生相关性：行为减肥计划可以成功减轻体重，但是这些计划可用于有限数量的超重和肥胖个人。该项目评估了一种独特的减肥方法，该方法将自我维持的减肥运动（用于外展）与行为减肥策略的培训相结合，并提高责任感（以提高减肥成功）。这种创新的组合有可能成为传播体重控制干预措施的成本效益模型。