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首頁> 美國(guó)衛(wèi)生研究院文獻(xiàn)>Contemporary Clinical Trials Communications >Design of the GOT Doc study: A randomized controlled trial comparing a Guided Self-Help obesity treatment program for childhood obesity in the primary care setting to traditional family-based behavioral weight loss
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Design of the GOT Doc study: A randomized controlled trial comparing a Guided Self-Help obesity treatment program for childhood obesity in the primary care setting to traditional family-based behavioral weight loss

機(jī)譯：GOT DOC研究的設(shè)計(jì)：隨機(jī)對(duì)照試驗(yàn)比較初級(jí)護(hù)理環(huán)境中兒童肥胖的引導(dǎo)自助肥胖治療計(jì)劃以傳統(tǒng)的基于家庭的行為減肥

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Currently one-third of children in the United States have overweight or obesity (OW/OB). The goal of Healthy People 2020 is to reduce the proportion of children with OW/OB and increase the proportion of primary care visits that include nutrition and weight-related counseling. Unfortunately, many health care providers find it difficult to offer effective weight-related counseling and treatment in the primary care setting. Therefore, new models of care are needed that allow a greater proportion of children with OW/OB and their parents to access care and receive quality weight management treatment. The current paper describes the GOT Doc study which is designed to test the effectiveness of a Guided Self-Help (GSH) model of obesity treatment that can be delivered in the primary care setting compared to a traditional Family-Based Behavioral weight loss treatment (FBT) delivered at an academic center. We will assess the impact of this program on attendance (access to care) and changes in child BMI percentile/z-score. We will also examine the impact of this treatment model on change in child lifestyle behaviors, parent support behaviors, and parent self-efficacy and empowerment to make behavior change. Finally, we will assess the cost-effectiveness of this model on changes in child BMI percentile/z-score. We believe the GSH intervention will be a cost-effective model of obesity management that can be implemented in community practices around the country, thereby increasing access to treatment for a broader proportion of our population and decreasing rates of childhood obesity.
機(jī)譯：目前美國(guó)三分之一的兒童具有超重或肥胖（OW / OB）。健康人士2020的目標(biāo)是減少ow / ob的兒童比例，增加包括營(yíng)養(yǎng)和體重相關(guān)咨詢的初級(jí)保健訪問的比例。不幸的是，許多醫(yī)療保健提供者發(fā)現(xiàn)很難在初級(jí)保健環(huán)境中提供有效的體重相關(guān)咨詢和治療。因此，需要新的護(hù)理模型，允許更大比例的兒童和他們的父母進(jìn)行護(hù)理并獲得質(zhì)量體重管理治療。目前的論文描述了GOT DOC研究，旨在測(cè)試肥胖治療的引導(dǎo)自助（GSH）模型的有效性，與傳統(tǒng)的基于家庭的行為減肥治療相比，可以在初級(jí)保健環(huán)境中提供（FBT） ）在學(xué)術(shù)中心交付。我們將評(píng)估該計(jì)劃對(duì)出席人員的影響（獲取護(hù)理）和兒童BMI百分位數(shù)/ Z分?jǐn)?shù)的變化。我們還將審查這種治療模型對(duì)兒童生活方式行為的變化，父母支持行為以及父母自我效力和賦權(quán)進(jìn)行行為變革的影響。最后，我們將評(píng)估該模型對(duì)兒童BMI百分位數(shù)/ Z分?jǐn)?shù)的變化的成本效益。我們認(rèn)為GSH干預(yù)將是一個(gè)成本效益的肥胖管理模式，可以在全國(guó)各地的社區(qū)實(shí)踐中實(shí)施，從而增加對(duì)我們?nèi)丝诘母鼜V泛比例和童年肥胖的率降低的處理。

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