针对超重成年人的减肥的指导式和非指导式电子教练支持。
Directive and nondirective e-coach support for weight loss in overweight adults.
机构信息
Mental Health, G.V. Sonny Montgomery VA Medical Center, Jackson, MS 39216, USA.
出版信息
Ann Behav Med. 2011 Apr;41(2):252-63. doi: 10.1007/s12160-010-9240-2.
Abstract
BACKGROUND
Although e-coach support increases the effectiveness of Internet weight loss interventions, no studies have assessed influence of type of e-coach support.
PURPOSE
The effects of nondirective (collaborative, flexible) and directive (prescriptive, protocol driven) e-coach support on weight loss, dietary behavior, physical activity, and engagement were assessed in a 12-week weight loss e-coaching program.
PROCEDURES
Overweight adults (N = 104) were randomly assigned to nondirective, directive, or minimal support. All received weekly lessons and feedback graphs via e-mail. Participants in the nondirective and directive support conditions received individualized nondirective or directive weight loss support.
RESULTS
For females, weight loss (η(2) = 0.10) and changes in waist circumference (η(2) = 0.07) were greater in the directive than in the nondirective and minimal support conditions.
CONCLUSIONS
Differences in type of e-coach support are salient to participants. Directive support is beneficial to females in a 12-week e-coach weight loss program.
摘要
背景
尽管电子教练的支持提高了互联网减肥干预措施的效果，但尚无研究评估电子教练支持类型的影响。
目的
在为期 12 周的减肥电子教练计划中，评估非指导（协作式、灵活式）和指导（指令式、基于方案式）电子教练支持对减肥、饮食行为、身体活动和参与度的影响。
程序
将超重成年人（N=104）随机分配到非指导、指导或最小支持组。所有人都通过电子邮件每周接收课程和反馈图表。非指导和指导支持条件下的参与者会收到个性化的非指导或指导减肥支持。
结果
对于女性，指导组的体重减轻（η(2) = 0.10）和腰围变化（η(2) = 0.07）大于非指导组和最小支持组。
结论
电子教练支持类型的差异对参与者很重要。在为期 12 周的电子教练减肥计划中，指令式支持对女性有益。
相似文献
1
Directive and nondirective e-coach support for weight loss in overweight adults.
Ann Behav Med. 2011 Apr;41(2):252-63. doi: 10.1007/s12160-010-9240-2.
2
Personalized Web-Based Weight Loss Behavior Change Program With and Without Dietitian Online Coaching for Adults With Overweight and Obesity: Randomized Controlled Trial.
J Med Internet Res. 2020 Nov 5;22(11):e17494. doi: 10.2196/17494.
3
Effects of Internet behavioral counseling on weight loss in adults at risk for type 2 diabetes: a randomized trial.
JAMA. 2003 Apr 9;289(14):1833-6. doi: 10.1001/jama.289.14.1833.
4
Phone and e-mail counselling are effective for weight management in an overweight working population: a randomized controlled trial.
BMC Public Health. 2009 Jan 9;9:6. doi: 10.1186/1471-2458-9-6.
5
Using Internet technology to deliver a behavioral weight loss program.
JAMA. 2001 Mar 7;285(9):1172-7. doi: 10.1001/jama.285.9.1172.
6
Expert Coaching in Weight Loss: Retrospective Analysis.
J Med Internet Res. 2018 Mar 13;20(3):e92. doi: 10.2196/jmir.9738.
7
A randomized controlled trial of directive and nondirective smoking cessation coaching through an employee quitline.
BMC Public Health. 2016 Jul 11;16:550. doi: 10.1186/s12889-016-3202-y.
8
The SHED-IT community trial: a randomized controlled trial of internet- and paper-based weight loss programs tailored for overweight and obese men.
Ann Behav Med. 2013 Apr;45(2):139-52. doi: 10.1007/s12160-012-9424-z.
9
Computerized self-monitoring and technology-assisted feedback for weight loss with and without an enhanced behavioral component.
Patient Educ Couns. 2011 Dec;85(3):375-82. doi: 10.1016/j.pec.2010.12.024. Epub 2011 Feb 3.
10
Effects of a weight management program delivered by social media on weight and metabolic syndrome risk factors in overweight and obese adults: A randomised controlled trial.
PLoS One. 2017 Jun 2;12(6):e0178326. doi: 10.1371/journal.pone.0178326. eCollection 2017.
引用本文的文献
1
The Effectiveness of Strategies to Improve User Engagement With Digital Health Interventions Targeting Nutrition, Physical Activity, and Overweight and Obesity: Systematic Review and Meta-Analysis.
J Med Internet Res. 2023 Dec 19;25:e47987. doi: 10.2196/47987.
2
Effect of Age and Gender on the Efficacy of a 12-Month Body Weight Reduction Program Conducted Online-A Prospective Cohort Study.
Int J Environ Res Public Health. 2022 Sep 22;19(19):12009. doi: 10.3390/ijerph191912009.
3
A Novel Virtual Coaching System Based on Personalized Clinical Pathways for Rehabilitation of Older Adults-Requirements and Implementation Plan of the vCare Project.
Front Digit Health. 2020 Oct 5;2:546562. doi: 10.3389/fdgth.2020.546562. eCollection 2020.
4
The Impact of a Culinary Coaching Telemedicine Program on Home Cooking and Emotional Well-Being during the COVID-19 Pandemic.
Nutrients. 2021 Jul 5;13(7):2311. doi: 10.3390/nu13072311.
5
Effectiveness of web-based feedback interventions for people with overweight and obesity: systematic review and network meta-analysis of randomized controlled trials.
J Eat Disord. 2021 Jun 26;9(1):75. doi: 10.1186/s40337-021-00432-6.
6
Leveraging Genomic Associations in Precision Digital Care for Weight Loss: Cohort Study.
J Med Internet Res. 2021 May 19;23(5):e25401. doi: 10.2196/25401.
7
Development and evaluation of the Directive and Nondirective Support Scale for Patients with Type 2 Diabetes.
Int J Nurs Sci. 2020 Sep 24;7(4):453-459. doi: 10.1016/j.ijnss.2020.09.007. eCollection 2020 Oct 10.
8
Predictors of employment in people with moderate to severe mental illness participating in a randomized controlled trial of Individual Placement and Support (IPS).
Int J Soc Psychiatry. 2021 Mar;67(2):150-157. doi: 10.1177/0020764020934841. Epub 2020 Jul 15.
9
Wellness Coaching: An Intervention to Increase Healthy Behavior in Breast Cancer Survivors.
Clin J Oncol Nurs. 2020 Jun 1;24(3):305-315. doi: 10.1188/20.CJON.305-315.
10
Rehabilitation, the Great Absentee of Virtual Coaching in Medical Care: Scoping Review.
J Med Internet Res. 2019 Oct 1;21(10):e12805. doi: 10.2196/12805.
本文引用的文献
1
A randomized comparison of two motivationally enhanced Internet behavioral weight loss programs.
Behav Res Ther. 2008 Sep;46(9):1090-5. doi: 10.1016/j.brat.2008.06.008. Epub 2008 Jun 28.
2
A review of eHealth interventions for physical activity and dietary behavior change.
Am J Prev Med. 2007 Oct;33(4):336-345. doi: 10.1016/j.amepre.2007.05.007.
3
A randomized trial comparing human e-mail counseling, computer-automated tailored counseling, and no counseling in an Internet weight loss program.
Arch Intern Med. 2006;166(15):1620-5. doi: 10.1001/archinte.166.15.1620.
4
Gender, cancer experience and internet use: a comparative keyword analysis of interviews and online cancer support groups.
Soc Sci Med. 2006 May;62(10):2577-90. doi: 10.1016/j.socscimed.2005.11.016. Epub 2005 Dec 19.
5
Depressive symptoms after lung cancer surgery: Their relation to coping style and social support.
Psychooncology. 2006 Aug;15(8):684-93. doi: 10.1002/pon.997.
6
Directive and nondirective social support in diabetes management.
Int J Behav Med. 1997;4(2):131-44. doi: 10.1207/s15327558ijbm0402_3.
7
Differentiated roles of social encouragement and social constraint on physical activity behavior.
Ann Behav Med. 2005 Jun;29(3):210-5. doi: 10.1207/s15324796abm2903_7.
8
Clinical implications of obesity with specific focus on cardiovascular disease: a statement for professionals from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Foundation.
Circulation. 2004 Nov 2;110(18):2952-67. doi: 10.1161/01.CIR.0000145546.97738.1E. Epub 2004 Oct 27.
9
Weight management through lifestyle modification for the prevention and management of type 2 diabetes: rationale and strategies. A statement of the American Diabetes Association, the North American Association for the Study of Obesity, and the American Society for Clinical Nutrition.
Am J Clin Nutr. 2004 Aug;80(2):257-63. doi: 10.1093/ajcn/80.2.257.
10
International physical activity questionnaire: 12-country reliability and validity.
Med Sci Sports Exerc. 2003 Aug;35(8):1381-95. doi: 10.1249/01.MSS.0000078924.61453.FB.
Zotero 插件