Crane Melissa M, Feit Catherine, Yeh Chen, Ortiz Mariangeline Gonzalez, Appelhans Bradley M
Department of Family and Preventive Medicine Rush University Medical Center Chicago Illinois USA.
Rush-Esperanza Family Medicine Residency Program Chicago Southwest side USA.
Obes Sci Pract. 2025 Mar 1;11(2):e70066. doi: 10.1002/osp4.70066. eCollection 2025 Apr.
Men who work in trade and labor occupations experience high rates of obesity but are underrepresented in weight control programs. This pilot study evaluated the feasibility and acceptability of a program tailored to this working group compared with a standard (untailored) weight loss program.
Participants for this study were recruited via direct mail, a university medical center, and other efforts. They were randomly assigned to either a tailored program or a standard program. Both programs were delivered via 16 one-hour virtual group sessions over six months. Semi-structured interviews and self-reports were used to assess the acceptability of the interventions. Feasibility was assessed using recruitment metrics and proportion group sessions and completed study assessments.
Participants ( = 28; median 44.0 years, 31.8 BMI) were recruited into the study over 7 months, and 71% and 79% were retained for assessments at 3 and 6 months. Participants attended a median of 9.5 (tailored) and 5 (standard) of the 16 group sessions. All participants who completed the 6-month assessment in both groups reported that they would recommend the programs to other men. Participants achieved a median weight loss of 2.3% at 6 months (tailored: -3.0%; standard: -1.9%).
This study suggests that tailoring strategies identified in the formative work were feasible and potentially capable of producing weight loss similar to a standard program. Future research should focus on increasing recruitment and engagement before proceeding to a fully powered efficacy trial.
NCT05386238.
从事贸易和体力劳动职业的男性肥胖率较高，但在体重控制项目中的参与率较低。这项试点研究评估了一个针对该工作群体的项目与标准（非定制）减肥项目相比的可行性和可接受性。
本研究的参与者通过直邮、大学医学中心及其他途径招募。他们被随机分配到定制项目组或标准项目组。两个项目均通过为期六个月的16次一小时的虚拟小组会议进行。采用半结构化访谈和自我报告来评估干预措施的可接受性。使用招募指标、小组会议参与比例和完成的研究评估来评估可行性。
在7个月内招募了28名参与者（中位数年龄44.0岁，BMI为31.8），3个月和6个月时分别有71%和79%的参与者被保留用于评估。参与者参加的小组会议中位数为定制组9.5次、标准组5次（共16次）。两组中所有完成6个月评估的参与者均表示会向其他男性推荐这些项目。参与者在6个月时体重中位数下降了2.3%（定制组：-3.0%；标准组：-1.9%）。
本研究表明，在前期工作中确定的定制策略是可行的，并且有可能产生与标准项目相似的体重减轻效果。未来的研究应在进行全面的疗效试验之前，专注于提高招募率和参与度。
NCT05386238
