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一项针对超重青少年的基于互联网的干预措施的效果分析:研究人员和临床医生的后续步骤

Effectiveness analysis of an internet-based intervention for overweight adolescents: next steps for researchers and clinicians.

作者信息

Fonseca Helena, Prioste Ana, Sousa Pedro, Gaspar Pedro, Machado Maria do Céu

机构信息

Department of Pediatrics, Faculdade de Medicina, Hospital de Santa Maria, Universidade de Lisboa, Av. Prof Egas Moniz 1, 1649-028 Lisboa, Portugal ; Rheumatology Research Unit, Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal.

Faculdade de Psicologia, Universidade de Lisboa, Lisboa, Portugal ; Escola de Psicologia e Ciências da Vida, COPELABS, Universidade Lusófona de Humanidades e Tecnologias, Lisboa, Portugal.

出版信息

BMC Obes. 2016 Mar 9;3:15. doi: 10.1186/s40608-016-0094-4. eCollection 2016.

Abstract

BACKGROUNDS

The development of effective strategies for the management of overweight in adolescence is a well recognized need. The current study investigates the effectiveness of an e-therapeutic platform (Next.Step) which aims to promote weight management skills and the adoption of health-promoting behaviours among overweight adolescents.

METHODS

We conducted a randomized clinical trial with a sample of 80 adolescents. The control group followed the standard intervention. The experimental group was invited to access the platform during 12 weeks in addition to the standard intervention.

RESULTS

Although there was no change in the primary outcomes (body mass index and percentage of fat mass), the results suggest that the program is associated with an improvement in the 'positive perspective of life' and 'benefits perceived from the intervention', which have been identified as relevant factors for an effective weight management.

CONCLUSIONS

Our findings provide little support for the effectiveness of internet-based weight management programs as an add-on to the standard intervention.

TRIAL REGISTRATION

NCT01904474.

摘要

背景

制定有效的青少年超重管理策略是公认的需求。本研究调查了一个电子治疗平台(Next.Step)的有效性,该平台旨在促进超重青少年的体重管理技能以及健康促进行为的养成。

方法

我们对80名青少年进行了一项随机临床试验。对照组接受标准干预。实验组除了标准干预外,还被邀请在12周内使用该平台。

结果

尽管主要结局指标(体重指数和体脂百分比)没有变化,但结果表明该项目与“积极的生活观”和“从干预中感知到的益处”的改善相关,而这些已被确定为有效体重管理的相关因素。

结论

我们的研究结果几乎没有支持基于互联网的体重管理项目作为标准干预补充措施的有效性。

试验注册

NCT01904474。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ec8/4784348/70f16c171c9b/40608_2016_94_Fig1_HTML.jpg

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