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首页> 外文期刊>Journal of human nutrition and dietetics >Treating obesity: a follow-up study. Can the stages of change model be used as a postal screening tool?
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Treating obesity: a follow-up study. Can the stages of change model be used as a postal screening tool?

机译：治疗肥胖症：一项后续研究。变更阶段模型可以用作邮政筛选工具吗？

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AIMS: We have previously shown that although a postal questionnaire based on the stages of change model (SCQ) failed to distinguish outpatients most likely to lose weight, it appeared to influence attendance rates. We therefore audited attendance upon receiving a pre-appointment SCQ in the post and compared this to previous standard practice in 1996.METHODOLOGY AND RESULTS: Seventy-eight obese outpatients (BMI 36.7 +/- 6.7 kg m-2, age 43 +/- 15 years) (mean +/- SD) were included. Twenty-nine per cent of patients failed to return an SCQ and were not sent an appointment and therefore did not block dietetic time. Eleven per cent returned an SCQ but did not attend (DNA) visit 1, whilst 21% attended visit 1 but DNA visit 2. Thirty-nine per cent attended both appointments and lost a significant amount of weight (105 +/- 23 vs. 103.2 +/- 23 kg, P < 0.0001) in 4 weeks. There was no difference in SCQ results between groups. Overall attendance rate at initial and follow-up appointments increased by 11%, while DNA rates fell by 20% compared with the 1996 audit.CONCLUSION: The SCQ has sifted out one in four patients who previously DNA an initial dietetic outpatient appointment. This has reduced waiting-list time as appointments are only book on return on the SCQ form, increased effective use of dietetic time through increased attendance rates, and lowered the DNA rate of follow-up appointments.
机译：目的：我们以前已经表明，尽管基于变更模型阶段（SCQ）的邮政调查表无法区分最有可能减轻体重的门诊病人，但它似乎会影响出勤率。因此，我们对在岗后接受预约SCQ的人员进行了审核，并将其与1996年以前的标准做法进行了比较。方法和结果：78名肥胖门诊患者（BMI 36.7 +/- 6.7 kg m-2，43 +/- 15年）（平均+/- SD）。 29％的患者未返回SCQ，也未接受预约，因此没有阻碍饮食时间。 11％的人返回了SCQ但未参加（DNA）访问1，而21％的人参加了访问1但DNA访问2。39％的人参加了两次约会并且体重显着减轻（105 +/- 23 vs. 10周+/- 23公斤，P <0.0001）在4周内。两组之间的SCQ结果没有差异。与1996年的审计相比，初诊和随访的总出勤率提高了11％，而DNA的下降了20％。这减少了等待名单的时间，因为约会仅是在SCQ表格上返回时预定的，通过增加出勤率来增加饮食时间的有效利用，并降低了后续约会的DNA率。

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