Silveri Olivia C, Gallardo Nicholas A, Chandy Rithi J, Edwards-Hampton Shenelle A, Feldman Steven
Department of Dermatology, Edward Via College of Osteopathic Medicine, Blacksburg, USA.
Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, USA.
Cureus. 2024 Nov 11;16(11):e73474. doi: 10.7759/cureus.73474. eCollection 2024 Nov.
Limited adherence to weight loss regimens is a major contributor to the unsuccessful treatment of obesity in patients. Accountability approaches have been used to enhance weight loss program adherence. The purpose of our review is to characterize techniques used to improve patient accountability during weight loss programs. The PubMed database was used to search for studies, analyses, and clinical trials that improved adherence by promoting participant accountability. Articles cited by these references were analyzed, yielding 10 studies. The results were evaluated by comparing efficacy in weight loss, accountability measures used, and the value placed by participants on the program's focus on accountability measures. Interventions that required social and professional support, planning, physical activity, and an accountability advisor to follow up beyond self-motivation increased the adherence rates of patients. Tools such as online forums and team-based accountability sessions also promoted adherence to long-term weight loss goals. Treatment programs with multiple interventions are optimal when beginning a long-term treatment plan. These accountability strategies may be used in other areas of medicine.
患者对减肥方案的依从性有限是肥胖症治疗失败的主要原因。问责方法已被用于提高减肥计划的依从性。我们综述的目的是描述在减肥计划中用于提高患者问责制的技术。利用PubMed数据库搜索通过促进参与者问责制来提高依从性的研究、分析和临床试验。对这些参考文献引用的文章进行分析，得到10项研究。通过比较减肥效果、所采用的问责措施以及参与者对该计划对问责措施关注的重视程度来评估结果。需要社会和专业支持、规划、体育活动以及问责顾问进行自我激励之外的跟进的干预措施提高了患者的依从率。在线论坛和基于团队的问责会议等工具也促进了对长期减肥目标的坚持。开始长期治疗计划时，采用多种干预措施的治疗方案是最佳的。这些问责策略可能会应用于医学的其他领域。
