Department of Psychology, Drexel University, Philadelphia, PA, USA.
Obes Rev. 2017 Jul;18(7):808-817. doi: 10.1111/obr.12545. Epub 2017 May 19.
Many racial and ethnic minority groups (minorities) are disproportionately affected by overweight and obesity; however, minorities are often under-represented in clinical trials of behavioural weight loss (BWL) treatment, potentially limiting the generalizability of these trials' conclusions. Interventions involving technology may be particularly well suited to overcoming the barriers to minority enrollment in BWL trials, such as demanding or unpredictable work schedules, caregiving responsibilities and travel burdens. Thus, this systematic review aimed to describe minority enrollment in trials utilizing technology in interventions, as well as to identify which form(s) of technology yield the highest minority enrollment. Results indicated relatively low enrollment of minorities. Trials integrating smartphone use exhibited significantly greater racial minority enrollment than trials that did not; trials with both smartphone and in-person components exhibited the highest racial minority enrollment. This review is the first to explore how the inclusion of technology in BWL trials relates to minority enrollment and can help address the need to improve minority enrollment in weight loss research.
许多少数族裔群体（少数民族）受到超重和肥胖的影响不成比例；然而，少数族裔在行为减肥（BWL）治疗的临床试验中往往代表性不足，这可能限制了这些试验结论的普遍性。涉及技术的干预措施可能特别适合克服少数民族参与 BWL 试验的障碍，例如苛刻或不可预测的工作时间表、照顾责任和旅行负担。因此，本系统评价旨在描述利用技术干预措施进行试验的少数民族参与情况，并确定哪种形式的技术可以获得最高的少数民族参与率。结果表明少数民族的参与率相对较低。整合智能手机使用的试验显示出明显更高的少数族裔参与率，而不使用智能手机的试验则没有；同时具有智能手机和面对面组件的试验显示出最高的少数族裔参与率。这是首次探讨 BWL 试验中纳入技术与少数民族参与之间的关系，并有助于解决改善减肥研究中少数民族参与的需求。
