OʼBrien Tara, Jenkins Carolyn, Amella Elaine, Mueller Martina, Moore Michael, Hathaway Donna
Author Affiliations: College of Nursing, University of Tennessee Health Science Center, Memphis (Drs O'Brien and Hathaway); College of Nursing, Medical University of South Carolina, Charleston (Drs Jenkins, Almella, and Mueller); and Academic Technology, College of Health and Human Services, University of North Carolina at Charlotte (Dr Moore).
Comput Inform Nurs. 2016 Nov;34(11):513-519. doi: 10.1097/CIN.0000000000000275.
Older Appalachian women are an understudied population with few resources available to prevent obesity and chronic disease. This study explored the feasibility of a 12-week weight loss intervention using Internet technology for older rural Appalachian women. The sample (N = 24) included women 55 years or older recruited from two senior centers in the Appalachian region. The women were randomly assigned to either an Internet program called "Lose It" (Internet program for recording of daily calories and physical activity) or to a daily wellness program (health tips) delivered via e-mail. The mean age of participants was 69 ± 8 years. Their mean body mass index (kg/m) at baseline was 34.2 ± 8. A significant difference (P = .036) was observed between intervention and control group scores on the Social Pressure Subscale. Both groups improved their intake of fruits and vegetables and lost weight from baseline to week 12. Internet weight loss programs appear feasible for older rural women. Internet-delivered weight loss interventions that provide a way to record daily calories, physical activity, and weight may provide a technology platform leading to increased self-efficacy for weight loss.
阿巴拉契亚地区的老年女性是一个研究较少的群体，她们几乎没有资源来预防肥胖和慢性病。本研究探讨了利用互联网技术对阿巴拉契亚农村老年女性进行为期12周的减肥干预措施的可行性。样本（N = 24）包括从阿巴拉契亚地区的两个老年中心招募的55岁及以上的女性。这些女性被随机分配到一个名为“减肥”的互联网项目（用于记录每日卡路里和身体活动的互联网项目）或通过电子邮件提供的每日健康项目（健康小贴士）中。参与者的平均年龄为69±8岁。她们在基线时的平均体重指数（kg/m）为34.2±8。在社会压力子量表上，干预组和对照组的得分存在显著差异（P = 0.036）。两组从基线到第12周都增加了水果和蔬菜的摄入量并减轻了体重。互联网减肥项目对农村老年女性似乎是可行的。通过互联网提供的减肥干预措施，若能提供记录每日卡路里、身体活动和体重的方法，可能会提供一个技术平台，从而提高减肥的自我效能。
