Health Promotion Research, Copenhagen University Hospital, Steno Diabetes Center Copenhagen, Herlev, Denmark.
Health Promotion Research, Copenhagen University Hospital, Steno Diabetes Center Copenhagen, Herlev, Denmark; Department of Food and Resource Economics, University of Copenhagen, Frederiksberg, Denmark.
J Nutr Educ Behav. 2023 May;55(5):371-380. doi: 10.1016/j.jneb.2023.03.001.
To design an appealing time-restricted eating (TRE) intervention by exploring behavioral and social mechanisms to improve TRE adoption and maintenance among people with type 2 diabetes (T2D) and overweight. Time-restricted eating is an intermittent fasting regimen suggested to improve glycemic control and body weight.
Intervention development combined coherence theory and empirical data (workshops and semistructured interviews with the target group, their relatives, and health care professionals [HCPs]). Abductive analysis was applied.
The analysis suggested designing the TRE intervention in 2 phases: a short period with strict TRE, followed by a longer period focusing on adapting TRE to individual needs with support from HCPs, relatives, and peers. To reinforce TRE motivation and maintenance, HCPs should adopt a whole-person approach that focuses on participants' previous experiences.
Important intervention elements to promote TRE adoption and maintenance are suggested to include a 2-phase design and support from professionals, family, and peers.
通过探索行为和社会机制，设计一个有吸引力的限时进食（TRE）干预措施，以提高 2 型糖尿病（T2D）和超重人群对 TRE 的采用和维持。限时进食是一种间歇性禁食方案，被认为可以改善血糖控制和体重。
干预措施的开发结合了连贯性理论和实证数据（与目标人群、他们的亲属以及医疗保健专业人员 [HCP] 进行的研讨会和半结构化访谈）。采用了溯因分析。
分析表明，将 TRE 干预分为 2 个阶段进行设计：一个严格的短期 TRE 阶段，然后是一个较长的阶段，重点是在 HCP、亲属和同伴的支持下，根据个人需求调整 TRE。为了加强 TRE 的动机和维持，HCP 应该采取一种关注参与者先前经验的整体方法。
建议将包括两阶段设计和专业人员、家庭和同伴支持在内的重要干预要素纳入其中，以促进 TRE 的采用和维持。
