重新调整目标的时机：为何社区减肥项目应纳入学术性肥胖研究
Time to RE-AIM: Why Community Weight Loss Programs Should Be Included in Academic Obesity Research.
作者信息
Mitchell Nia S, Prochazka Allan V, Glasgow Russell E
机构信息
Division of General Internal Medicine, Anschutz Health and Wellness Center, Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus, Mail Stop C263, 12348 E Montview Blvd, Room 4110, Aurora, CO 80045. Email:
Denver VA Medical Center, Denver, Colorado, and University of Colorado Anschutz Medical College, Aurora, Colorado.
出版信息
Prev Chronic Dis. 2016 Mar 17;13:E37. doi: 10.5888/pcd13.150436.
Abstract
Despite decades of efficacy-based research on weight loss interventions, the obesity epidemic in the United States persists, especially in underserved populations. We used the RE-AIM (Reach, Efficacy/Effectiveness, Adoption, Implementation, and Maintenance) framework to describe the limitations of the current paradigm of efficacy-based research for weight loss interventions. We also used RE-AIM to propose that existing weight loss interventions (community-based programs) such as Jenny Craig, Take Off Pounds Sensibly (TOPS), and Weight Watchers be studied to supplement the efficacy-based research approaches to achieve population-level impact on obesity.
摘要
尽管对减肥干预措施进行了数十年基于疗效的研究，但美国的肥胖流行问题依然存在，尤其是在服务不足的人群中。我们使用RE-AIM（覆盖范围、疗效/效果、采用情况、实施情况和维持情况）框架来描述当前减肥干预措施基于疗效的研究范式的局限性。我们还利用RE-AIM提议对诸如珍妮·克雷格、明智减重（TOPS）和慧俪轻体等现有的减肥干预措施（社区项目）进行研究，以补充基于疗效的研究方法，从而在人群层面上对肥胖问题产生影响。
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