PDF(Pubmed)
Abstract：
BACKGROUND: Obesity is a major risk factor of many chronic diseases. However, current obesity control policies and actions are not sufficient to halt the pandemic. It has been documented that more than half of all adults are not able to interpret their own weight status, not to mention to practice healthy lifestyles. Social media and interactive websites can reach people on a long-term basis, which may be used as intervention vehicles to build up cognition for weight control and to promote healthy behavior practices.
OBJECTIVE: WAKE.TAIWAN is an ongoing web-based multifaceted healthy lifestyle promotion program with social media and interactive websites as the intervention vehicle. This study aimed to examine whether adults reached by our program would have increased awareness to their own anthropometric measures, correctly judge their body weight status, and practice healthy behaviors over time.
METHODS: This study adopted a quasi-experimental design with web-based questionnaire surveys. The experimental group consisted of WAKE.TAIWAN Facebook group members aged 20-65 years who have used the interactive website health education resources (n=177). The group was further stratified into 2 subgroups based on their duration of participation (E1 group: duration <1 year; E2 group: duration ≥1 year). The control group consisted of other Facebook users (n=545) in the same age range who had not been exposed to the health education materials of this project. A total of 722 people (male: n=267, 37%; and female: n=455, 63%) participated in our survey in 2019. Data were analyzed to evaluate program effectiveness using a generalized linear model.
RESULTS: The proportion of people correctly interpreting their own weight status in the experimental group was greater than that of the control group (control group: 320/545, 58.7%; group E1: 53/88, 60%; and group E2: 64/89, 72%). The E2 experimental group was significantly better than the control group in paying attention to weight-related measures and in correctly interpreting their own weight status (odds ratio 1.73, 95% CI 1.04-2.89; P=.04). With respect to the behavioral stages of practicing healthy eating and active living, both experimental groups, E1 and E2, performed significantly better than the control group (group E1: P=.003 and P=.02; and group E2: P=.004 and P<.001, respectively).
CONCLUSIONS: This study demonstrates that the longer the participants were exposed to our social media-based programs, the higher the proportion of them that would have the correct judgement on their weight status and fall in the higher stages of healthy lifestyle behaviors. A longitudinal follow-up survey is in place to verify these findings.
OBJECTIVE: WAKE.TAIWAN is an ongoing web-based multifaceted healthy lifestyle promotion program with social media and interactive websites as the intervention vehicle. This study aimed to examine whether adults reached by our program would have increased awareness to their own anthropometric measures, correctly judge their body weight status, and practice healthy behaviors over time.
METHODS: This study adopted a quasi-experimental design with web-based questionnaire surveys. The experimental group consisted of WAKE.TAIWAN Facebook group members aged 20-65 years who have used the interactive website health education resources (n=177). The group was further stratified into 2 subgroups based on their duration of participation (E1 group: duration <1 year; E2 group: duration ≥1 year). The control group consisted of other Facebook users (n=545) in the same age range who had not been exposed to the health education materials of this project. A total of 722 people (male: n=267, 37%; and female: n=455, 63%) participated in our survey in 2019. Data were analyzed to evaluate program effectiveness using a generalized linear model.
RESULTS: The proportion of people correctly interpreting their own weight status in the experimental group was greater than that of the control group (control group: 320/545, 58.7%; group E1: 53/88, 60%; and group E2: 64/89, 72%). The E2 experimental group was significantly better than the control group in paying attention to weight-related measures and in correctly interpreting their own weight status (odds ratio 1.73, 95% CI 1.04-2.89; P=.04). With respect to the behavioral stages of practicing healthy eating and active living, both experimental groups, E1 and E2, performed significantly better than the control group (group E1: P=.003 and P=.02; and group E2: P=.004 and P<.001, respectively).
CONCLUSIONS: This study demonstrates that the longer the participants were exposed to our social media-based programs, the higher the proportion of them that would have the correct judgement on their weight status and fall in the higher stages of healthy lifestyle behaviors. A longitudinal follow-up survey is in place to verify these findings.
摘要：
背景：肥胖是许多慢性疾病的主要危险因素。然而,目前的肥胖控制政策和行动不足以阻止大流行。据记载，超过一半的成年人无法解释自己的体重状况，更不用说实践健康的生活方式了。社交媒体和互动网站可以长期接触到人们，可以用作干预工具，以建立体重控制的认知并促进健康的行为习惯。
目的：唤醒。台湾是一个正在进行的基于网络的多方面健康生活方式促进计划，以社交媒体和互动网站为干预工具。这项研究旨在检查我们的计划所接触的成年人是否会增加对自己的人体测量的认识，正确判断自己的体重状况,随着时间的推移实践健康的行为。
方法：本研究采用基于网络的问卷调查的准实验设计。实验组由WAKE组成。台湾Facebook小组成员年龄在20-65岁之间，使用过交互式网站健康教育资源（n=177）。根据参与时间将该组进一步分为2个亚组（E1组：持续时间<1年；E2组：持续时间≥1年）。对照组由相同年龄段的其他Facebook用户（n=545）组成，他们没有接触过该项目的健康教育材料。2019年共有722人（男性：n=267，37％；女性：n=455，63％）参加了我们的调查。使用广义线性模型分析数据以评估程序有效性。
结果：实验组中正确解释自身体重状态的人数比例高于对照组（对照组：320/545，58.7％；E1组：53/88，60％；E2组：64/89，72％）。E2实验组在关注体重相关指标和正确解释自身体重状态方面明显优于对照组(比值比1.73,95%CI1.04-2.89;P=.04)。关于实践健康饮食和积极生活的行为阶段，两个实验组,E1和E2的表现明显优于对照组（E1组：P=.003和P=.02；E2组：分别为P=.004和P<.001）。
结论：这项研究表明，参与者接触我们基于社交媒体的项目的时间越长，他们中对自己的体重状况有正确判断并处于健康生活方式行为的较高阶段的比例越高。正在进行纵向跟踪调查以验证这些发现。
目的：唤醒。台湾是一个正在进行的基于网络的多方面健康生活方式促进计划，以社交媒体和互动网站为干预工具。这项研究旨在检查我们的计划所接触的成年人是否会增加对自己的人体测量的认识，正确判断自己的体重状况,随着时间的推移实践健康的行为。
方法：本研究采用基于网络的问卷调查的准实验设计。实验组由WAKE组成。台湾Facebook小组成员年龄在20-65岁之间，使用过交互式网站健康教育资源（n=177）。根据参与时间将该组进一步分为2个亚组（E1组：持续时间<1年；E2组：持续时间≥1年）。对照组由相同年龄段的其他Facebook用户（n=545）组成，他们没有接触过该项目的健康教育材料。2019年共有722人（男性：n=267，37％；女性：n=455，63％）参加了我们的调查。使用广义线性模型分析数据以评估程序有效性。
结果：实验组中正确解释自身体重状态的人数比例高于对照组（对照组：320/545，58.7％；E1组：53/88，60％；E2组：64/89，72％）。E2实验组在关注体重相关指标和正确解释自身体重状态方面明显优于对照组(比值比1.73,95%CI1.04-2.89;P=.04)。关于实践健康饮食和积极生活的行为阶段，两个实验组,E1和E2的表现明显优于对照组（E1组：P=.003和P=.02；E2组：分别为P=.004和P<.001）。
结论：这项研究表明，参与者接触我们基于社交媒体的项目的时间越长，他们中对自己的体重状况有正确判断并处于健康生活方式行为的较高阶段的比例越高。正在进行纵向跟踪调查以验证这些发现。
