Jones S E, Owens H M, Bennett G A
Hum Nutr Appl Nutr. 1986 Aug;40(4):272-81.
An experiment was carried out to evaluate the effect of introducing three procedures, associated with behaviour therapy, into a conventional National Health Service dietetic weight reduction clinic, without any extra resources or staff training. One hundred and sixty obese women entered the study and were randomly allocated to one of the eight combinations of three treatments in a 2 X 2 X 2 factorial design. The three procedures were (a) keeping a diet diary (self-monitoring), (b) receiving leaflets describing and recommending cue avoidance and (c) being seen in a group. Sixty-nine women completed 16 weeks of treatment, and of these 58 were followed up 1 year later. The mean overall weight loss was 5.25 kg at the end of treatment and 3.98 kg at follow-up. Weight loss was found to be greater for those women treated in groups and the greatest losses were found in those who were seen in groups and also provided with leaflets. There was no significant effects of the experiment on either weight loss at follow-up or reported compliance with the dietary regime of the 26 subjects who returned completed diaries to the dietitian. Possible explanations of these results are discussed, together with their implications for service provision.
开展了一项实验，旨在评估在国民保健服务体系传统的饮食减肥诊所引入三种与行为疗法相关的程序的效果，且不增加任何资源或进行员工培训。160名肥胖女性参与了该研究，并按照2×2×2析因设计被随机分配到三种治疗方法的八种组合之一。这三种程序分别为：(a) 记录饮食日记（自我监测），(b) 收到描述并建议避免提示因素的传单，(c) 参加小组治疗。69名女性完成了16周的治疗，其中58名在一年后接受了随访。治疗结束时平均总体体重减轻5.25千克，随访时为3.98千克。发现接受小组治疗的女性体重减轻更多，而接受小组治疗且还收到传单的女性体重减轻最多。该实验对随访时的体重减轻或26名向营养师返还完整日记的受试者报告的饮食方案依从性均无显著影响。讨论了这些结果的可能解释及其对服务提供的影响。
