Maintaining Activity and Nutrition through Technology-Assisted Innovation in Prim

通过 Prim 的技术辅助创新保持活动和营养

• 批准号: 8548281
• 负责人: Margaret B Conroy
• 金额: $ 49.01万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-30 至 2017-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8548281
• 关键词: Maintaining; Activity; Nutrition; through; Technology

DESCRIPTION (provided by applicant): Obesity is a major and increasing health problem in the United States. While many interventions have resulted in short-term weight loss, few programs exist that support successful maintenance of a healthy body weight, and fewer still are generalizable to a primary care population. Obesity tends to be a chronic, lifelong condition and relapse after weight loss is common. Despite the fact that obesity is associated with a host of medical diseases, weight interventions are usually conducted in a vacuum, divorced from the participants' usual medical care and without the input from the primary care team. Therefore, there is a great need for interventions that can assist with long-term maintenance of healthy body weight in the general population and in persons with existing medical conditions. Furthermore, such efforts should be linked to ongoing medical care. Our research team has developed an intervention - Virtual Lifestyle Management (VLM) - that successfully uses health information technology (HIT) to promote weight loss among primary care patients. We now propose to extend our work to evaluation of HIT tools designed to promote weight maintenance and prevent relapse in primary care patients who have successfully lost weight. Our proposal leverages recent developments in HIT, such as online visits and electronic health records, which enable primary care sites to contact patients and track their progress in ongoing weight maintenance efforts. We propose a randomized clinical trial - Maintaining Activity and Nutrition through Technology-Assisted Innovation in Primary Care (MAINTAIN-PC) - to test whether online tracking tools and weight maintenance "coaching" visits for patients and "real time" electronic progress reports for primary care providers (PCPs) [Continued Coaching (CC)] will support more successful weight maintenance than online tracking tools alone [Tracking Only (TO)] in a group of primary care patients who have lost e 5% of their body weight. The online coaching visits for participants will be delivered through the primary care site's electronic patiet portal (HealthTrak) and the electronic progress reports for PCPs delivered through the electronic health record (EHR). Our proposed intervention has a sound theoretical framework, incorporating both the Chronic Care Model and principles related to successful behavioral weight loss programs: self-monitoring, support, problem solving, and relapse prevention. By focusing on weight maintenance and relapse prevention, increased collaboration with primary care, and integration with existing HIT systems and tools, we will extend our previous work and fill a crucial gap in the successful treatment of obesity as a chronic medical condition.

描述（由申请人提供）：肥胖是美国的重大健康问题。尽管许多干预措施导致了短期的体重减轻，但很少有计划支持成功维持健康体重，而对于初级保健人群来说仍然很少。肥胖往往是一种慢性，终身状况，体重减轻后复发很常见。尽管肥胖与大量医疗疾病有关，但体重干预通常是在真空中进行的，与参与者的通常医疗服务不同，没有初级保健团队的投入。因此，需要进行干预措施，可以帮助长期维持健康的体重，并在现有医疗状况中的患者中。此外，这种努力应与正在进行的医疗服务有关。我们的研究团队已经开发了一种干预措施 - 虚拟生活方式管理（VLM） - 成功地使用健康信息技术（HIT）来促进初级保健患者的体重减轻。现在，我们建议将工作扩展到评估旨在促进体重维持的命中工具，并防止成功减轻体重的初级保健患者的复发。我们的提案利用了最新的HIT发展，例如在线访问和电子健康记录，这使初级保健网站能够与患者联系并跟踪他们在持续的体重维持工作中的进展。 We propose a randomized clinical trial - Maintaining Activity and Nutrition through Technology-Assisted Innovation in Primary Care (MAINTAIN-PC) - to test whether online tracking tools and weight maintenance "coaching" visits for patients and "real time" electronic progress reports for primary care providers (PCPs) [Continued Coaching (CC)] will support more successful weight maintenance than online tracking tools alone [Tracking Only (TO)] in a group of primary care patients who have lost e 5% of their体重。参与者的在线教练访问将通过初级保健网站的电子Patiet Portal（HealthTrak）以及通过电子健康记录（EHR）提供的PCP的电子进度报告进行。我们提出的干预措施具有合理的理论框架，既结合了与成功的行为减肥计划：自我监控，支持，解决问题和预防复发”的慢性护理模型和原则。通过专注于体重维持和预防复发，与初级保健的合作增加以及与现有的命中系统和工具的集成，我们将扩大以前的工作，并填补成功将肥胖作为长期医疗状况的成功治疗中的重要差距。