PhD, MPH, Behavioral Pediatrics, University of Kansas Medical Center, 3901 Rainbow Boulevard, Mail Stop 4004, Kansas City, KS 66160, USA.
J Pediatr Psychol. 2013 Oct;38(9):932-43. doi: 10.1093/jpepsy/jst005. Epub 2013 Feb 21.
The objective of the current study was to examine the effectiveness of a multidisciplinary weekly family-based behavioral group delivered via telemedicine to rural areas, compared with a standard physician visit intervention.
A randomized controlled trial was conducted with 58 rural children and their families comparing a family-based behavioral intervention delivered via telemedicine to a structured physician visit condition. Outcome measures included child body mass index z-score (BMIz), 24-hr dietary recalls, accelerometer data, Child Behavior Checklist, Behavioral Pediatrics Feeding Assessment Scale, and feasibility and fidelity.
Child BMIz outcomes were not statistically different between the 2 groups (F = 0.023, p = .881). Improvements in BMIz, nutrition, and physical activity were seen for both groups.
Both telemedicine and structured physician visit may be feasible and acceptable methods of delivering pediatric obesity treatment to rural children.
本研究旨在考察通过远程医疗向农村地区提供的多学科每周家庭为基础的行为小组的效果，与标准的医生就诊干预相比。
一项随机对照试验招募了 58 名农村儿童及其家庭，比较了通过远程医疗提供的家庭为基础的行为干预与结构化的医生就诊条件。结果测量包括儿童体重指数 z 分数（BMIz）、24 小时饮食回忆、加速度计数据、儿童行为检查表、行为儿科学喂养评估量表，以及可行性和保真度。
两组儿童的 BMIz 结果无统计学差异（F = 0.023，p =.881）。两组的 BMIz、营养和身体活动均有改善。
远程医疗和结构化医生就诊都可能是向农村儿童提供儿科肥胖治疗的可行且可接受的方法。
