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母亲行动行为干预试点研究的设计和结果。

Design and outcomes of a Mothers In Motion behavioral intervention pilot study.

机构信息

College of Nursing, Michigan State University, East Lansing, MI 48824, USA.

出版信息

J Nutr Educ Behav. 2010 May-Jun;42(3 Suppl):S11-21. doi: 10.1016/j.jneb.2010.01.010.

Abstract

OBJECTIVE

This paper describes the design and findings of a pilot Mothers In Motion (P-MIM) program.

DESIGN

A randomized controlled trial that collected data via telephone interviews and finger stick at 3 time points: baseline and 2 and 8 months post-intervention.

SETTING

Three Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) sites in southern Michigan.

PARTICIPANTS

One hundred and twenty nine overweight and obese African-American and white mothers, 18-34 years old.

INTERVENTION

The 10-week, theory-based, culturally sensitive intervention messages were delivered via a series of 5 chapters on a DVD and complemented by 5 peer support group teleconferences.

MAIN OUTCOME MEASURES

Dietary fat, fruit, and vegetable intake; physical activity; stress; feelings; body weight; and blood glucose.

ANALYSIS

General linear mixed model was applied to assess treatment effects across 2 and 8 months post-intervention.

RESULTS

No significant effect sizes were found in primary and secondary outcome variables at 2 and 8 months post-intervention. However, changes in body weight and blood glucose showed apparent trends consistent with the study's hypotheses.

CONCLUSIONS AND IMPLICATIONS

The P-MIM showed promise for preventing weight gain in low-income overweight and obese women. However, a larger experimental trial is warranted to determine the effectiveness of this intervention.

摘要

目的

本文介绍了一项 Mothers In Motion(P-MIM)试验计划的设计和研究结果。

设计

这是一项随机对照试验,通过电话访谈和指尖采血在 3 个时间点收集数据:基线和干预后 2 个月及 8 个月。

地点

密歇根州南部的三个特殊补充营养计划妇女、婴儿和儿童(WIC)站点。

参与者

129 名超重和肥胖的非裔美国人和白人母亲,年龄在 18-34 岁之间。

干预

为期 10 周的、基于理论的、具有文化敏感性的干预信息通过一系列关于 DVD 的 5 章和 5 次同伴支持小组电话会议来传递。

主要结果测量

脂肪、水果和蔬菜摄入量;体力活动;压力;感觉;体重;和血糖。

分析

应用广义线性混合模型评估干预后 2 个月和 8 个月的治疗效果。

结果

在干预后 2 个月和 8 个月时,主要和次要结果变量均未发现显著的效果大小。然而,体重和血糖的变化显示出与研究假设一致的明显趋势。

结论和意义

P-MIM 显示出预防低收入超重和肥胖妇女体重增加的潜力。然而,需要进行更大的实验性试验来确定这种干预的有效性。

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