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线上生活方式干预超重和肥胖:一项随机对照试验的研究方案

En_Línea. An online treatment to change lifestyle in overweight and obesity: study protocol for a randomized controlled trial.

机构信息

Department of Clinical Psychology and Psychobiology, Faculty of Psychology, University of Barcelona, Passeig Vall d'Hebrón, 171 P.C, 08035, Barcelona, Spain.

Institut de Neurociències, University of Barcelona, Passeig de la Vall d'Hebron, 171 P.C, 08035, Barcelona, Spain.

出版信息

BMC Public Health. 2019 Nov 21;19(1):1552. doi: 10.1186/s12889-019-7928-1.

Abstract

BACKGROUND

Obesity has become a major public health problem. Innovative treatments are necessary. Internet and new technologies have been reported effective results in weight control programs, especially those with personalized feedback. This paper presents the protocol for a randomized controlled trial to test the effectiveness of an online weight control program, called en_línea, comparing with a standard group therapy and a control group.

METHODS

This is a randomized controlled trial with three intervention arms: en_línea, standard group therapy and control group. To perform this study, 305 adults (18-65 years) with overweight type II (27-29.9 kg/m) or obesity type I (30-34.9 kg/m) will be invited to participate. Interventions will last 17 weeks with follow-ups 1, 3, 6 and 12 months after the post-treatment appointment. The primary outcome will be post-treatment weight loss and the maintenance during the follow-ups. Secondary outcomes will be adherence rates, drop outs and quality of life. Participants will be assessed before randomization and they will be sign an inform consent.

DISCUSSION

The future challenge is to design innovative obesity treatments. Internet could be a useful tool to improve traditional weight control programs. This new intervention format is appropriate for patients who prefer not to share their intimate problems with a group, and for the new generations who feel comfortable using new technologies. Besides, Internet allows reaching a large amount of people at the same time, even if they live far away.

TRIAL REGISTRATION

ClinicalTrials.gov NCT04127201. Retrospectively registered 15th October 2019.

摘要

背景

肥胖已成为一个主要的公共卫生问题。需要创新的治疗方法。互联网和新技术已被报道在体重控制项目中取得了有效成果,尤其是那些具有个性化反馈的项目。本文介绍了一项随机对照试验的方案,以测试名为 en_línea 的在线体重控制计划的有效性,该计划将与标准团体治疗和对照组进行比较。

方法

这是一项随机对照试验,有三个干预组:en_línea、标准团体治疗和对照组。为了进行这项研究,将邀请 305 名超重 II 型(27-29.9kg/m)或肥胖 I 型(30-34.9kg/m)的成年人参与。干预将持续 17 周,在治疗后 1、3、6 和 12 个月进行随访。主要结果将是治疗后体重减轻和随访期间的维持情况。次要结果将是依从率、脱落率和生活质量。参与者将在随机分组前进行评估,并签署知情同意书。

讨论

未来的挑战是设计创新的肥胖治疗方法。互联网可能是改进传统体重控制项目的有用工具。这种新的干预形式适合那些不愿与小组分享个人问题的患者,也适合那些使用新技术感到舒适的新一代人。此外,互联网允许同时接触大量的人,即使他们住在很远的地方。

试验注册

ClinicalTrials.gov NCT04127201。2019 年 10 月 15 日回顾性注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ee/6873678/b223ff87e908/12889_2019_7928_Fig1_HTML.jpg

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