■与城市成年人相比,农村成年人的肥胖率更高,并且获得体重管理计划的机会更少。先前的研究表明,完成大学附属干预人员提供的体重管理计划的农村成年人的临床相关体重减轻。然而,这种方法限制了潜在的范围,收养,实施,和维持农村居民的体重管理计划。非医师诊所相关人员通过农村卫生诊所提供体重管理,例如,护士,注册营养师,专职医疗人员,等。有可能改善农村成年人的体重管理。这项试验比较了6个月的多组分体重管理干预措施对使用群电话(GP)交付的农村成年人的有效性,由我们的研究团队培训的农村诊所相关人员进行个人电话呼叫(IP)或增强的常规护理控制(EUC)。
■超重/肥胖的农村成年人(n=187,年龄50岁,82%为女性,体重指数~35kg/m2)随机(2:2:1)到3个干预组的1个:GP,其中包括每周45分钟的会议,有7-14名参与者(n=71),IP,其中包括每周15分钟的个人课程(n=80),或EUC,其中包括基线时1-45分钟的面对面会话。
■6个月时体重减轻与临床相关,也就是说,GP中≥5%(-11.4kg,11.7%)和IP臂(-9.1千克,9.2%),但不在EUC部门(-2.6%,-2.5%kg)。具体来说,与EUC组相比,IP组的6个月体重减轻明显更大(-6.5kg。p≤0.025),但GP和IP臂之间没有差异(-2.4kg,p>0.025)。每位参与者每公斤的成本。实施干预措施的体重减轻是93美元,知识产权和GP武器的体重减轻是60美元,分别。
■与农村卫生诊所相关的干预人员使用团体和IP电话进行体重管理,可在农村超重/肥胖的成年人中实现临床相关的6个月体重减轻,团体形式提供最具成本效益的策略。临床试验注册:ClinicalTrials.gov(NCT02932748)。
UNASSIGNED: Rural living adults have higher rates of obesity compared with their urban counterparts and less access to weight management programs. Previous research studies have demonstrated clinically relevant weight loss in rural living adults who complete weight management programs delivered by university affiliated interventionists. However, this approach limits the potential reach, adoption, implementation, and maintenance of weight management programs for rural residents. Weight management delivered through rural health clinics by non-physician clinic associated staff, for example, nurses, registered dieticians, allied health professionals, etc. has the potential to improve access to weight management for rural living adults. This trial compared the effectiveness of a 6-month multicomponent weight management intervention for rural living adults delivered using group phone calls (GP),
individual phone calls (IP) or an enhanced usual care control (EUC) by rural clinic associated staff trained by our research team.
UNASSIGNED: Rural living adults with overweight/obesity (n = 187, age ∼ 50 years 82% female, body mass index ∼35 kg/m2) were randomized (2:2:1) to 1 of 3 intervention arms: GP, which included weekly ∼ 45 min sessions with 7-14 participants (n = 71), IP, which included weekly ∼ 15 min
individual sessions (n = 80), or EUC, which included one-45 min in-person session at baseline.
UNASSIGNED: Weight loss at 6 months was clinically relevant, that is, ≥5% in the GP (-11.4 kg, 11.7%) and the IP arms (-9.1 kg, 9.2%) but not in the EUC arm (-2.6%, -2.5% kg). Specifically, 6 month weight loss was significantly greater in the IP versus EUC arms (-6.5 kg. p ≤ 0.025) but did not differ between the GP and IP arms (-2.4 kg, p > 0.025). The per participant cost per kg. weight loss for implementing the intervention was $93 and $60 for the IP and GP arms, respectively.
UNASSIGNED: Weight management delivered by interventionists associated with rural health clinics using both group and IP calls results in clinically relevant 6 months weight loss in rural dwelling adults with overweight/obesity with the group format offering the most cost-effective strategy. Clinical trial registration: ClinicalTrials.gov (NCT02932748).