Divisions of Nursing (Drs Burr, Roberson, and Onsomu) and Behavioral Sciences (Dr Yancu), Winston-Salem State University, North Carolina; and Novant Health, Primary Care South Rowan, China Grove, North Carolina (Ms Pritchard).
Fam Community Health. 2020 Apr/Jun;43(2):106-117. doi: 10.1097/FCH.0000000000000248.
Adults living in rural areas are at greater risk of becoming overweight and obese due to health care disparities. A pre-/postmatched cohort design was used to evaluate a brief weight-loss counseling intervention, Ten Top Tips (10TT), in a rural primary care setting. The rank sum scores for total weight-loss behaviors and the subscales for dietary changes, self-monitoring, physical activity, and psychological coping taken before and 12 weeks after the intervention differed significantly (P = .0001). Ten Top Tips offers rural community clinics an effective weight-loss intervention.
由于医疗保健方面的差距，农村地区的成年人更容易超重和肥胖。本研究采用前后匹配队列设计，在农村初级保健环境中评估了一项简短的减肥咨询干预措施，即十大减肥秘诀（Ten Top Tips，10TT）。干预前后的总减肥行为以及饮食变化、自我监测、身体活动和心理应对等分维度的等级和分数差异均有统计学意义（P=0.0001）。Ten Top Tips 为农村社区诊所提供了一种有效的减肥干预措施。
