利用社会关系减轻肥胖（ROBUST）：一项社交网络生活方式干预随机对照试验的方案

Reducing Obesity Using Social Ties (ROBUST): Protocol for a randomized control trial of a social network lifestyle intervention.

作者信息

Phillips Erica, Potter Caitlin, Poole Jaleel, Lewis Anika, Nahid Mussarat, Christos Paul, Hootman Katie, Winston Ginger, de la Haye Kayla

机构信息

Department of Medicine, Division of General Internal Medicine, Weill Cornell Medicine, New York, New York, United States of America.

Department of Nutritional Sciences, College of Human Ecology, Cornell University, Ithaca, New York, United States of America.

出版信息

PLoS One. 2025 Apr 16;20(4):e0318990. doi: 10.1371/journal.pone.0318990. eCollection 2025.

DOI:10.1371/journal.pone.0318990

PMID:40239159

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12002803/

Abstract

AIM

The aim of the Reducing Obesity Using Social Ties (ROBUST) study is to address negative and positive social network processes that may influence weight loss among individuals enrolled in an evidence-based, 24-week lifestyle intervention modeled after the Diabetes Prevention Program.

METHODS

This is a randomized controlled trial (RCT) of a tailored social network-enhanced lifestyle intervention compared to an individual-level lifestyle intervention (control group) in adults (N=132) who self-identify as Black or Hispanic and have obesity (BMI ≥ 30 kg/m2). Intervention participants will recruit up to two members (n=132) of their social network to participate in skill-building sessions. Intervention and control participants will receive fourteen nutrition and lifestyle coaching sessions over 24 weeks. Diet, physical activity, positive affect, social network processes, communal coping, and anthropometrics will be measured at baseline and after intervention completion at 24 weeks.

DISCUSSION

This study will provide the first pragmatic evidence of the efficacy of activating a communal coping process within personal networks to optimize weight loss among Black and Hispanic adults. Our study explicitly targets a population that has been less responsive to other lifestyle approaches to weight loss.

TRIAL REGISTRATION

The study protocol was prospectively registered on ClinicalTrials.gov (NCT06335810).

摘要

目的

“利用社会关系减少肥胖（ROBUST）”研究的目的是解决可能影响参与一项基于证据的、为期24周的、仿照糖尿病预防计划的生活方式干预的个体体重减轻的负面和正面社交网络过程。

方法

这是一项随机对照试验（RCT），将一种量身定制的社交网络强化生活方式干预与个体层面的生活方式干预（对照组）进行比较，研究对象为132名自我认定为黑人或西班牙裔且患有肥胖症（BMI≥30 kg/m²）的成年人。干预组参与者将招募多达两名其社交网络中的成员（n = 132）参加技能培训课程。干预组和对照组参与者将在24周内接受14次营养和生活方式指导课程。将在基线时以及干预完成24周后测量饮食、身体活动、积极情绪、社交网络过程、共同应对方式和人体测量指标。