COVID-19 期间针对大学生体重管理的动机性访谈：一项探索性随机对照试验
Motivational interviewing for weight management among college students during COVID-19: An exploratory randomized controlled trial.
作者信息
Suire Kameron B, Kavookjian Jan, Strunk Kamden, Wadsworth Danielle D
机构信息
Motivating Movement Lab, Kinesiology Department, Berry College, Mt. Berry, Georgia, USA.
Health Outcomes Research and Policy, Harrison School of Pharmacy, Auburn University, Auburn, AL, USA.
出版信息
Obes Pillars. 2023 Dec 26;9:100097. doi: 10.1016/j.obpill.2023.100097. eCollection 2024 Mar.
BACKGROUND
College students encounter challenges in managing their weight. The Coronavirus Disease 2019 (COVID-19) pandemic exacerbated the problem. The purpose of this study was to determine the effect of a motivational interviewing (MI) intervention compared to online education (control) on body composition and self-determination theory constructs among college students with overweight.
METHODS
This was a randomized clinical trial of 40 college students comparing an MI versus a control group. The MI group received monthly interviews: three face-to-face interviews before the pandemic, and three video chat interviews after the outbreak of COVID-19 spanning a total of six months. The control group received six, monthly education modules. Body composition was measured by the iDexa and self-determination theory (SDT) variables were assessed with surveys.
RESULTS
Mixed ANOVAs from pre-post revealed significant changes in fat mass (p = .03, η = 0.22), lean mass (p < .05, η = 0.18), body fat percentage ( < .01, η = 0.37), autonomy (p < .01, η = 0.38), relatedness (p < .01, η = 0.41), amotivation (p = .01, η = 0.29), external regulation (p = .02, η = 0.23), identified regulation (p = .02, η = 0.25), integrated regulation (p < .00, η = 0.49), and intrinsic regulation (p = .01, η = 0.27).
CONCLUSIONS
In this exploratory analysis, MI demonstrated a positive trend in body composition maintenance when compared to online education among overweight college students during a national pandemic. Future studies utilizing MI would enhance the literature by further investigating the relationship between MI and SDT and measuring body composition.Clinicaltrials.gov. identifier: NCT04130386.
背景
大学生在控制体重方面面临挑战。2019年冠状病毒病（COVID-19）大流行加剧了这一问题。本研究的目的是确定与在线教育（对照组）相比，动机性访谈（MI）干预对超重大学生身体成分和自我决定理论结构的影响。
方法
这是一项针对40名大学生的随机临床试验，比较MI组和对照组。MI组每月接受访谈：在大流行前进行三次面对面访谈，在COVID-19爆发后进行三次视频聊天访谈，共持续六个月。对照组接受六个每月一次的教育模块。通过iDexa测量身体成分，并用调查问卷评估自我决定理论（SDT）变量。
结果
前后混合方差分析显示，脂肪量（p = 0.03，η = 0.22）、瘦体重（p < 0.05，η = 0.18）、体脂百分比（< 0.01，η = 0.37）、自主性（p < 0.01，η = 0.38）、关联性（p < 0.01，η = 0.41）、无动机（p = 0.01，η = 0.29）、外部调节（p = 0.02，η = 0.23）、认同调节（p = 0.02，η = 0.25）、整合调节（p < 0.00，η = 0.49）和内在调节（p = 0.01，η = 0.27）有显著变化。
结论
在这项探索性分析中，与全国大流行期间超重大学生的在线教育相比，MI在维持身体成分方面呈现出积极趋势。未来利用MI的研究将通过进一步研究MI与SDT之间的关系以及测量身体成分来丰富文献。Clinicaltrials.gov标识符：NCT04130386。
Zotero 插件