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基于习惯的体重管理应用程序“小贴士”的开发及初步使用情况、效果和可接受性的指示：混合方法试点研究。

Development of the Top Tips Habit-Based Weight Loss App and Preliminary Indications of Its Usage, Effectiveness, and Acceptability: Mixed-Methods Pilot Study.

机构信息

Nutritional Epidemiology Group, International Agency for Research on Cancer, World Health Organization, Lyon, France.

Department of Behavioural Science and Health, University College London, London, United Kingdom.

出版信息

JMIR Mhealth Uhealth. 2019 May 10;7(5):e12326. doi: 10.2196/12326.

DOI:10.2196/12326
PMID:31094352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6533874/
Abstract

BACKGROUND

The Ten Top Tips (10TT) is an intervention based on the habit formation theory that promotes a set of weight management behaviors alongside advice about repetition in a consistent context. Overall, 3 studies have demonstrated that the 10TT can support individuals to lose weight when delivered in a leaflet format. Delivery of 10TT via new technology such as a mobile app could potentially improve its effectiveness and make it more convenient, appealing, and wide reaching.

OBJECTIVE

This study aimed to provide preliminary indications of the usage, effectiveness, and acceptability of an Android app of the 10TT intervention (Top Tips only app) and a second version including self-regulatory strategies for dealing with tempting foods (Top Tips plus app).

METHODS

The 3-month pilot randomized adults with overweight or obesity to (1) Top Tips only app, (2) Top Tips plus app, or (3) waiting list condition. Automated data from app users were collected. Validated questionnaires assessed self-regulatory skills, weight loss (kg), and behaviors at baseline and 3 months. Users' feedback on their experience using the app was assessed using open questions.

RESULTS

A total of 81 participants took part in the pilot; 28 participants were randomized to the Top Tips only app, 27 to the Top Tips plus app, and 26 to the waiting list condition. On average, participants viewed a mean of 43.4 (SD 66.9) screens during a mean of 24.5 (SD 44.07) log-ins and used the app for 124.2 (SD 240.2) min over the 3-month period. Participants randomized to the Top Tips only app reported the greatest improvement in self-regulatory skills (mean 0.59, SD 1.0), weight loss (mean 4.5 kg, SD 5.2), and adherence to the target behaviors (mean 0.59, SD 0.49) compared with the Top Tips plus (mean 0.15, SD 0.42; mean -1.9, SD 3.9; and mean 0.29, SD 0.29) and waiting list condition (mean -0.02, SD 0.29; mean -0.01, SD 0.51; and mean 0.08, SD 0.38). Participants who reported the largest improvements, on average, viewed pages 2 to 3 times more, had 2 to 3 times more log-ins, logged their weight 2 to 3 times more, and achieved the tips more than those who reported smaller changes in these outcomes. According to users' feedback, engagement with the app could be increased by making the app more interactive and allowing more tailoring.

CONCLUSIONS

This study suggests that the Top Tips app could potentially be a useful intervention for promoting eating self-regulatory skills, weight loss, and weight management behaviors among adults with overweight or obesity. Future research should develop the app further based on user feedback and test it in larger sample sizes.

TRIAL REGISTRATION

ISRCTN Registry ISRCTN10470937; http://www.isrctn.com/ISRCTN10470937 (Archived by Webcite at http://www.webcitation.org/76j6rQibI).

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5f8/6533874/51bbbc5baf5a/mhealth_v7i5e12326_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5f8/6533874/a8bb84e5dbc3/mhealth_v7i5e12326_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5f8/6533874/0b8a1a5bae62/mhealth_v7i5e12326_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5f8/6533874/51bbbc5baf5a/mhealth_v7i5e12326_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5f8/6533874/a8bb84e5dbc3/mhealth_v7i5e12326_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5f8/6533874/0b8a1a5bae62/mhealth_v7i5e12326_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5f8/6533874/51bbbc5baf5a/mhealth_v7i5e12326_fig3.jpg
摘要

背景

Ten Top Tips（10TT）是一种基于习惯形成理论的干预措施，它在一致的背景下促进了一系列体重管理行为，并提供了关于重复的建议。总的来说，有 3 项研究表明，当以传单形式提供 10TT 时，可以支持个人减肥。通过移动应用程序等新技术提供 10TT 可能会提高其有效性，并使其更方便、更具吸引力和更广泛。

目的

本研究旨在初步了解超重或肥胖成年人使用 Ten Top Tips 干预措施（仅 Top Tips 应用程序）和包含应对诱人食物的自我调节策略的第二个版本（Top Tips plus 应用程序）的使用情况、有效性和可接受性。

方法

该 3 个月的试点随机分配超重或肥胖成年人（1）仅 Top Tips 应用程序，（2）Top Tips plus 应用程序，或（3）候补名单条件。从应用程序用户那里自动收集数据。经过验证的问卷评估了自我调节技能、体重减轻（kg）和 3 个月时的行为。使用开放式问题评估用户对使用应用程序的体验的反馈。

结果

共有 81 名参与者参加了试点；28 名参与者被随机分配到仅 Top Tips 应用程序，27 名参与者被随机分配到 Top Tips plus 应用程序，26 名参与者被分配到候补名单条件。平均而言，参与者在平均 24.5（SD 44.07）次登录期间查看了 43.4（SD 66.9）个屏幕，在 3 个月期间使用该应用程序 124.2（SD 240.2）分钟。与 Top Tips plus（均值 0.15，SD 0.42；均值-1.9，SD 3.9；均值 0.29，SD 0.29）和候补名单条件（均值-0.02，SD 0.29；均值-0.01，SD 0.51；均值 0.08，SD 0.38）相比，随机分配到仅 Top Tips 应用程序的参与者报告自我调节技能（均值 0.59，SD 1.0）、体重减轻（均值 4.5kg，SD 5.2）和目标行为的依从性（均值 0.59，SD 0.49）有最大的改善。报告平均变化最大的参与者平均查看了 2 到 3 倍的页面，登录次数增加了 2 到 3 倍，记录体重的次数增加了 2 到 3 倍，并且实现了更多的提示，而那些报告变化较小的参与者则较少。根据用户的反馈，通过使应用程序更具交互性和允许更多定制，可以提高应用程序的参与度。

结论

本研究表明，Top Tips 应用程序可能是一种有用的干预措施，可以促进超重或肥胖成年人的饮食自我调节技能、体重减轻和体重管理行为。未来的研究应该根据用户反馈进一步开发该应用程序，并在更大的样本量中进行测试。

试验注册

ISRCTN 注册表 ISRCTN10470937；http://www.isrctn.com/ISRCTN10470937（通过 Webcite 存档，http://www.webcitation.org/76j6rQibI）。

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