基于远程医疗的健康指导在常规护理环境中产生12个月的显著减肥效果

IF 1.6 Q2 EDUCATION, SCIENTIFIC DISCIPLINES International Journal of Medical Education Pub Date : 2022-11-17 DOI:10.3390/ime1020010
Kelly V. Johnson, Elizabeth Gutierrez, Patricia Dionicio, Jeremy A Mcconnell, Rachel M Sauls, Michelle K Alencar
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引用次数: 0

摘要

背景:基于远程保健的健康指导在常规护理环境中尚未得到检验。本研究的目的是将inHealth Lifestyle Therapeutics, Inc.的远程医疗多学科护理方法(TEAM)纳入现实世界的常规临床护理环境中,以减轻肥胖参与者的体重。材料与方法:本次干预共招募70名参与者(年龄:58.1±14.6岁,BMI: 35.5±7.8 kg/m2,男性32名,女性38名)。所有参与者自行选择参加虚拟健康指导(VHC)组或常规护理(UC)组。在研究的前12周,VHC参与者每月见一次医生,每周见一次持证健康教练,接下来的12周每两周见一次,剩下的6个月每月见一次。使用双样本学生t检验分析数据,以评估VHC组和UC组从基线的任何变化。结果:VHC组和UC组体重减轻量分别为8.24±9.8 kg和0.16±10.6 kg,差异有统计学意义(p < 0.05)。各组平均减重率差异有统计学意义(分别为6.5±0.1%和0.53±1.45%,p < 0.05)。结论:结合可扩展的创新交付,如基于远程医疗的干预,可能有助于遏制患者肥胖相关护理的浪潮。此外,在常规护理环境中使用TEAM方法可能有效地诱导12个月时的持续体重减轻。
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Telehealth-Based Health Coaching Produces Significant Weight Loss over 12 Months in a Usual Care Setting
Background: Telehealth-based health coaching in a usual care setting has yet to be examined. The purpose of this study was to incorporate the inHealth Lifestyle Therapeutics, Inc.’s Telehealth Enabled Approach to Multidisciplinary Care (TEAM) method within a real-world routine clinical care setting to reduce body weight in obese participants. Materials and Methods: n = 70 participants were recruited for this intervention (Age: 58.1 ± 14.6yrs, BMI: 35.5 ± 7.8 kg/m2, 32 males and 38 females). All participants self-selected participation in either the virtual health coaching (VHC) group or usual care (UC) group. VHC participants met with a medical doctor monthly and a certified health coach weekly for the first 12 weeks of the study, bi-weekly for the following 12 weeks, and monthly for the remaining 6 months. Data were analyzed using a two-sample student’s t-test to assess any changes from baseline for both VHC and UC groups. Results: A significant difference for weight-loss between VHC and UC groups (8.24 ± 9.8 vs. 0.16 ± 10.6 kg, respectively, p < 0.05) was observed. In addition, there was a significant change in the mean percentage of body weight loss (6.5 ± 0.1% vs. 0.53 ± 1.45%, respectively, p < 0.05) between groups. Conclusions: Incorporating innovative deliveries that are scalable, such as telehealth-based interventions, may help stem the tide of patient obesity related care. Furthermore, using a TEAM method in a usual care setting may be effective for inducing sustained weight loss at 12 months.
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来源期刊
International Journal of Medical Education
International Journal of Medical Education EDUCATION, SCIENTIFIC DISCIPLINES-
CiteScore
3.90
自引率
3.20%
发文量
38
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