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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Transtheoretical model-based multiple behavior intervention for weight management: effectiveness on a population basis.
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Transtheoretical model-based multiple behavior intervention for weight management: effectiveness on a population basis.

机译：基于跨理论模型的体重管理多行为干预：基于人群的有效性。

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BACKGROUND: The increasing prevalence of overweight and obesity underscores the need for evidence-based, easily disseminable interventions for weight management that can be delivered on a population basis. The Transtheoretical Model (TTM) offers a promising theoretical framework for multiple behavior weight management interventions. METHODS: Overweight or obese adults (BMI 25-39.9; n=1277) were randomized to no-treatment control or home-based, stage-matched multiple behavior interventions for up to three behaviors related to weight management at 0, 3, 6, and 9 months. All participants were re-assessed at 6, 12, and 24 months. RESULTS: Significant treatment effects were found for healthy eating (47.5% versus 34.3%), exercise (44.90% versus 38.10%), managing emotional distress (49.7% versus 30.30%), and untreated fruit and vegetable intake (48.5% versus 39.0%) progressing to Action/Maintenance at 24 months. The groups differed on weight lost at 24 months. Co-variation of behavior change occurred and was much more pronounced in the treatment group, where individuals progressing to Action/Maintenance for a single behavior were 2.5-5 times more likely to make progress on another behavior. The impact of the multiple behavior intervention was more than three times that of single behavior interventions. CONCLUSIONS: This study demonstrates the ability of TTM-based tailored feedback to improve healthy eating, exercise, managing emotional distress, and weight on a population basis. The treatment produced a high level of population impact that future multiple behavior interventions can seek to surpass.
机译：背景：超重和肥胖症的患病率日益上升，这凸显了对基于证据，易于传播的体重管理干预措施的需求，这些干预措施可在人群基础上实施。跨理论模型（TTM）为多种行为权重管理干预措施提供了有希望的理论框架。方法：将超重或肥胖的成年人（BMI 25-39.9; n = 1277）随机分配至无治疗对照或家庭阶段匹配的多行为干预，以针对与体重管理相关的三种行为分别在0、3、6，和9个月。在6、12和24个月时对所有参与者进行了重新评估。结果：健康饮食（47.5％比34.3％），运动（44.90％比38.10％），控制情绪困扰（49.7％比30.30％）以及未经处理的水果和蔬菜摄入（48.5％比39.0％）有显着治疗效果。 ），在24个月时进行操作/维护。两组在24个月时体重减轻方面有所不同。行为变化发生了共变，在治疗组中更为明显，在治疗组中，针对一种行为进行行动/维持的个体在另一种行为上取得进展的可能性高2.5-5倍。多重行为干预的影响是单一行为干预的三倍以上。结论：这项研究证明了基于TTM的量身定制的反馈能够改善健康饮食，运动，控制情绪困扰和体重的人群。这种治疗产生了很高的人口影响，未来的多种行为干预措施可能会寻求超越。

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