Using Motivational Interviewing to Improve Weight Loss Outcomes with Young Adults

使用动机访谈来改善年轻人的减肥效果

基本信息

批准号：
8536803
负责人：
Jessica Gokee LaRose
金额：
$ 7.12万
依托单位：
VIRGINIA COMMONWEALTH UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-09-01 至 2015-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8536803
关键词：
Adherence Adult Age Age-Years Area Behavior Behavioral Body Weight Changes Body Weight decreased Choice Behavior Client Coronary artery Data Development Diet Electronic Mail Enrollment Evidence based treatment Feedback Generations Goals Health Individual Internet Intervention Interview Life Lifestyle-related condition Literature Measures Monitor Motivation Obesity Outcome Overweight Participant Persons Physical activity Population Protocols documentation Public Health Randomized Recruitment Activity Relative (related person)Reporting Research Risk Self Determination Testing United States Visit Weight Weight Gain Weight maintenance regimen Work age group arm base behavior change brief intervention cardiovascular risk factor clinically significant cost drinking behavior effective intervention effective therapy emerging adulthood flexibility follow-up high risk improved interest meetings motivational enhancement therapy novel novel strategies obesity treatment pandemic disease programs public health relevance satisfaction standard measure theories therapy development young adult

项目摘要

DESCRIPTION (provided by applicant): Young adults 18-25 years of age are at particularly high risk for weight gain and obesity, but are dramatically underrepresented in standard behavioral weight loss (BWL) programs. There have been calls to develop programs specifically targeting this group, but little data exist to inform treatment development efforts. The primary aim of this application is to develop and test a brief, individual-level, Motivational Interviewing based approach to weight loss in this age group; the proposed intervention is routed in theory, extant data, and considerable formative work with the population of interest. Participants will be 40 young adults, 18-25 years old with a BMI of 25-40 kg/m2 who will be randomized to 1 of 2 arms: MI-based Brief Behavioral Weight Loss (MIBWL) or Brief Behavioral Weight Loss (BBWL). Both arms will receive a 12-week program, including 2 individual in-person sessions, followed by weekly BWL modules, reporting of key behaviors, and feedback on progress relative to goals, all via email. During the initial 2 weeks, participants in the MIBWL arm will receive 2 MI-based sessions, including personalized feedback on their behavior and physical measures relative to healthy standards - this feedback will be used to guide the sessions and enhance autonomous motivation. Although interventionists will present core BWL information, participants will be provided with options for diet, physical activity and self-monitoring and will self-select behavioral goals in each of these areas. In contrast, the BBWL arm will receive 2 in-person sessions in which they will receive core BWL information, a summary of their assessment measures, and standard BWL prescriptions for diet, activity and self-monitoring. Assessments will take place at 0, 3, and 6 months, followed by exit interviews to help refine the protocol as needed.

描述（由申请人提供）：18-25 岁的年轻人体重增加和肥胖的风险特别高，但在标准行为减肥 (BWL) 计划中的比例却严重不足。有人呼吁制定专门针对这一群体的计划，但几乎没有数据可以为治疗开发工作提供信息。该应用程序的主要目的是开发和测试简短的个人层面的动机访谈该年龄段的减肥方法；拟议的干预措施基于理论、现有数据以及与感兴趣人群的大量形成性工作。参与者将是 40 名 18-25 岁、BMI 为 25-40 kg/m2 的年轻人，他们将被随机分配到 2 组中的 1 组：基于 MI 的短期行为减肥 (MIBWL) 或短期行为减肥 (BBWL) 。两个部门都将接受为期 12 周的计划，包括 2 次单独的面对面会议，然后是每周的 BWL 模块、关键行为报告以及与目标相关的进展反馈，所有这些均通过电子邮件进行。在最初的 2 周内，MIBWL 组的参与者将接受 2 次基于 MI 的课程，包括针对其行为和与健康标准相关的身体测量的个性化反馈 - 该反馈将用于指导课程并增强自主动机。尽管干预专家将提供核心 BWL 信息，但参与者将获得饮食、身体活动和自我监测的选择，并且将在这些领域中自我选择行为目标。相比之下，BBWL 部门将接受 2 次面对面会议，其中他们将获得核心 BWL 信息、评估措施摘要以及饮食、活动和自我监控的标准 BWL 处方。评估将在第 0、3 和 6 个月时进行，然后进行离职面谈，以根据需要帮助完善协议。