一对一生活方式指导对青少年肥胖的管理：一项在真实临床环境中进行的试点随机对照试验的结果
One-on-one lifestyle coaching for managing adolescent obesity: Findings from a pilot, randomized controlled trial in a real-world, clinical setting.
作者信息
Ball Geoff Dc, Mackenzie-Rife Kelly A, Newton Mandi S, Alloway Christina A, Slack Julie M, Plotnikoff Ronald C, Goran Michael I
机构信息
Pediatric Centre for Weight and Health, Stollery Children's Hospital;
出版信息
Paediatr Child Health. 2011 Jun;16(6):345-50. doi: 10.1093/pch/16.6.345.
BACKGROUND
Interventions for obese adolescents in real-world, clinical settings need to be evaluated because most weight management care occurs in this context.
OBJECTIVES
To determine whether a lifestyle intervention that includes motivational interviewing and cognitive behavioural therapy (Health Initiatives Program [HIP]) leads to weight management that is superior to a similar lifestyle intervention (Youth Lifestyle Program [YLP]) that does not include these techniques; and to determine whether the HIP and YLP interventions are superior to a wait list control (WLC) group.
METHODS
Obese adolescents were randomly assigned to a YLP (n=15), HIP (n=17) or WLC (n=14) group. The YLP and HIP were 16-session, one-on-one interventions. The primary outcome was the percentage change of body mass index z-score.
RESULTS
Completers-only analyses revealed 3.9% (YLP) and 6.5% (HIP) decreases in the percentage change of body mass index z-score compared with a 0.8% (WLC) increase (P<0.001). Levels of attrition did not differ among groups, but were relatively high (approximately 20% to 40%).
CONCLUSION
Lifestyle interventions delivered in a real-world, clinical setting led to short-term improvements in the obesity status of adolescents.
背景
由于大多数体重管理护理是在现实临床环境中进行的，因此需要对肥胖青少年的干预措施进行评估。
目的
确定一种包括动机性访谈和认知行为疗法的生活方式干预（健康倡议计划[HIP]）是否能带来优于不包括这些技术的类似生活方式干预（青少年生活方式计划[YLP]）的体重管理效果；并确定HIP和YLP干预措施是否优于等待名单对照组（WLC）。
方法
将肥胖青少年随机分为YLP组（n = 15）、HIP组（n = 17）或WLC组（n = 14）。YLP和HIP是为期16节的一对一干预。主要结局是体重指数z评分的百分比变化。
结果
仅对完成者进行的分析显示，与增加0.8%（WLC）相比，体重指数z评分的百分比变化中，YLP组下降了3.9%，HIP组下降了6.5%（P<0.001）。各组的损耗水平没有差异，但相对较高（约20%至40%）。
结论
在现实临床环境中实施的生活方式干预导致青少年肥胖状况得到短期改善。
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