Long C G, Simpson C M, Allott E A
Hum Nutr Appl Nutr. 1983 Apr;37(2):94-102.
This study examined the effectiveness of combining behaviour modification with dietetic counselling in a hospital outpatient clinic. Thirty-six females with an obesity index over 25 were placed in one of three 16-week treatment conditions: (1) individual dietetic counselling, (2) group dietetic counselling, (3) group dietetic counselling with behaviour modification. Median end of treatment weight losses were 8.3, 4.6 and 6.9 kg respectively. At one year follow-up patients in Gp 2 tended to have regained their weight while patients in Gps 1 and 3 were equally successful in maintaining weight loss. However, trends towards lower rates of attrition, slower rates of decay of treatment effects and a more economical use of professional time favoured the dietetic behavioural group condition as a treatment choice. In view of the successful use of behavioural techniques by a variety of professions their wider employment by dietitians is advocated.
本研究在一家医院门诊诊所检验了将行为矫正与饮食咨询相结合的有效性。36名肥胖指数超过25的女性被分配到三种为期16周的治疗方案之一：（1）个体饮食咨询，（2）团体饮食咨询，（3）团体饮食咨询与行为矫正相结合。治疗结束时体重减轻的中位数分别为8.3千克、4.6千克和6.9千克。在一年的随访中，第2组的患者往往恢复了体重，而第1组和第3组的患者在维持体重减轻方面同样成功。然而，较低的损耗率趋势、治疗效果衰减较慢的趋势以及更经济地利用专业时间，都表明饮食行为组作为一种治疗选择更具优势。鉴于各种专业成功地运用了行为技术，提倡营养师更广泛地运用这些技术。
