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超重和肥胖患者的个体赋能:一项研究方案。

Individual empowerment in overweight and obese patients: a study protocol.

机构信息

Region Friuli Venezia Giuia, Regional Centre for the Training in Primary care, Monfalcone, Italy.

出版信息

BMJ Open. 2013 May 14;3(5):e002669. doi: 10.1136/bmjopen-2013-002669.

Abstract

INTRODUCTION

Obesity is a growing health problem in Europe and it causes many diseases. Many weight-reducing methods are reported in medical literature, but none of them proved to be effective in maintaining the results achieved over time. Self-empowerment can be an important innovative method, but an effectiveness study is necessary. In order to standardise the procedures for a randomised controlled study, a pilot study will be run to observe, measure and evaluate the effects of a period of self-empowerment group treatment on overweight/obese patients.

METHODS

and analysis Non-controlled, experimental, pilot study. A selected group of patients with body mass index >25, with no severe psychiatric disorders, with no aesthetic or therapeutic motivation will be included in the study. A set of quantitative and qualitative measures will be utilised to evaluate the effects of a self-empowerment course in a 12 month time. Group therapy and medical examinations will also complete this observational phase. At the end of this pilot study, a set of appropriate measures and procedures to determine the effectiveness of individual empowerment will be identified and agreed among the different professional figures. Results will be recorded and analysed to start a randomised controlled trial to evaluate the effectiveness of the proposed methodology.

ETHICS AND DISSEMINATION

This protocol was approved by the local Ethics Committee of Udine in March 2012. The findings of the trial will be disseminated through peer-reviewed journals, national and international conference presentations and public events involving the local administrations of the towns where the trial participants are resident.

TRIAL REGISTRATION

http://www.clinicalstrials.gov identifier NCT01644708.

摘要

简介

肥胖是欧洲日益严重的健康问题,它会导致许多疾病。医学文献中报道了许多减肥方法,但没有一种方法被证明能有效地维持长期减肥效果。自我赋权可以是一种重要的创新方法,但需要进行有效性研究。为了规范随机对照研究的程序,将进行一项试点研究,以观察、测量和评估超重/肥胖患者接受一段时间的自我赋权小组治疗的效果。

方法

非对照、实验、试点研究。将选择一组身体质量指数(BMI)>25、无严重精神障碍、无审美或治疗动机的患者纳入研究。将采用一套定量和定性措施,在 12 个月的时间内评估自我赋权课程的效果。小组治疗和体检也将完成这一观察阶段。在这项试点研究结束时,将确定一套适当的措施和程序,以确定个体赋权的有效性,并在不同的专业人士中达成一致。将记录和分析结果,以启动一项随机对照试验,评估所提出方法的有效性。

伦理和传播

本方案于 2012 年 3 月获得乌迪内当地伦理委员会的批准。试验结果将通过同行评议期刊、国家和国际会议报告以及涉及试验参与者所在城镇的地方政府的公共活动进行传播。

试验注册

http://www.clinicaltrials.gov 标识符 NCT01644708。

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