自助式成功减肥：阶梯式照护方法。
Successful weight loss with self-help: a stepped-care approach.
机构信息
Department of Psychology, Bowling Green State University, Bowling Green, OH 43403, USA.
出版信息
J Behav Med. 2009 Dec;32(6):503-9. doi: 10.1007/s10865-009-9221-8.
In a stepped-care approach to treatment, patients are transitioned to more intensive treatments when less intensive treatments fail to meet treatment goals. Self-help programs are recommended as an initial, low intensity treatment phase in stepped-care models. This investigation examined the effectiveness of a self-help, stepped-care weight loss program. Fifty-eight overweight/obese adults (BMI ≥27 kg/m(2)) participated in a weight loss program. Participants were predominately Caucasian (93.1%) and female (89.7%) with a mean BMI of 36.6 (SD=7.1). Of those completing the program, 57% of participants (N=21) who remained in self-help maintained an 8% weight loss at follow-up. Participants who were stepped-up self-monitored fewer days and reported higher daily caloric intake than self-help participants. Once stepped-up, weight loss outcomes were equivalent between individuals who remained in self-help compared to those who were stepped-up. Individuals who were stepped-up benefited from early intensive intervention when unsuccessful at losing weight with self-help.
在分级治疗方法中，如果低强度治疗未能达到治疗目标，患者将转为更强化的治疗。自助计划被推荐作为分级治疗模式中的初始、低强度治疗阶段。本研究调查了一种自助式分级减肥计划的有效性。58 名超重/肥胖成年人（BMI≥27kg/m2）参加了减肥计划。参与者主要为白种人（93.1%）和女性（89.7%），平均 BMI 为 36.6（SD=7.1）。在完成计划的人中，57%的参与者（N=21）在随访中保持了 8%的体重减轻。与自助组参与者相比，升级到自我监测的参与者记录的每日卡路里摄入量更高，自我监测天数更少。一旦升级，那些留在自助组的人和那些升级到自我监测的人的减肥效果相当。对于那些通过自助减肥不成功的人来说，早期强化干预是有益的。
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