التفاصيل البيبلوغرافية
| العنوان: |
An addiction-based mobile health weight loss intervention: protocol of a randomized controlled trial |
| المؤلفون: |
Vidmar, Alaina P, Salvy, Sarah J, Pretlow, Robert, Mittelman, Steven D, Wee, Choo Phei, Fink, Cassandra, Fox, D Steven, Raymond, Jennifer K |
| بيانات النشر: |
eScholarship, University of California |
| سنة النشر: |
2019 |
| المجموعة: |
University of California: eScholarship |
| مصطلحات موضوعية: |
Biomedical and Clinical Sciences, Public Health, Health Sciences, Nutrition and Dietetics, Clinical Research, Substance Misuse, Pediatric, Nutrition, Brain Disorders, Behavioral and Social Science, Prevention, Comparative Effectiveness Research, Clinical Trials and Supportive Activities, Health Services, Obesity, 3.1 Primary prevention interventions to modify behaviours or promote wellbeing, Prevention of disease and conditions, and promotion of well-being, Stroke, Cardiovascular, Metabolic and endocrine, Cancer, Oral and gastrointestinal, Good Health and Well Being, Adolescent, Body Weight, California, Executive Function, Feeding Behavior, Female |
| الوصف: |
BackgroundThe notion of obesity as an addictive process is controversial. However, studies show that between 5.9 and 30.7% of adolescents with obesity report food or eating addiction. Few weight management interventions have tested techniques based on addiction medicine principles.MethodsThis multi-center randomized control trial (RCT) is designed to test the effectiveness of a mobile health (mHealth) weight-loss intervention based on addiction principles, such as withdrawal and tolerance, in a sample of 180 adolescents (ages 14-18) recruited from four pediatric weight management clinics in Southern California. Akin to a Multiphase Optimization Strategy (MOST) design evaluating multicomponent behavioral interventions, we will compare the combination of an app + phone coaching (App+Coach) to app alone (App) and in-clinic multi-disciplinary (Clinic) intervention arms. The primary outcome is mean change in zBMI and %BMIp95 over 18 months. We hypothesize that youth who receive App+Coach will have a greater reduction in body weight over the 18-month study period at a lower cost than standard of care models. Secondary outcomes include adherence to treatment regimen, intervention satisfaction, effect of the intervention on metabolic factors and activity level. We will also explore potential moderators of intervention effectiveness such as addictive eating habits, self-regulation and executive functioning.ConclusionsNew and creative approaches are needed to address pediatric obesity. If successful, this RCT may provide an innovative and cost-effective mHealth approach, based on addiction methods, for weight loss among adolescents with overweight and obesity. |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
unknown |
| العلاقة: |
qt96g2k4kn; https://escholarship.org/uc/item/96g2k4knTest |
| الإتاحة: |
https://escholarship.org/uc/item/96g2k4knTest |
| حقوق: |
public |
| رقم الانضمام: |
edsbas.5E91A9A4 |
| قاعدة البيانات: |
BASE |
