TY - JOUR AU - Waring, Molly E AU - Pagoto, Sherry L AU - Moore Simas, Tiffany A AU - Blackman Carr, Loneke T AU - Eamiello, Madison L AU - Libby, Brooke A AU - Rudin, Lauren R AU - Heersping, Grace E PY - 2023 DA - 2023/4/27 TI -通过Facebook或当面小组提供产后减肥干预:随机试点可行性试验JO - JMIR Mhealth Uhealth SP - e41545 VL - 11kw -产后减肥KW - Facebook KW -社交媒体KW -试点研究KW -可行性KW -手机AB -背景:产后体重保持有助于体重增加和肥胖。远程提供的生活方式干预可能能够克服在这一生命阶段参加面对面项目的障碍。目的:本研究旨在通过Facebook或面对面小组进行6个月产后减肥干预的随机可行性试点试验。可行性结果包括招募、持续参与、污染、保留和研究程序的可行性。6个月和12个月的体重下降百分比是探索性结果。方法:产后8周到12个月的超重或肥胖妇女随机接受基于糖尿病预防计划生活方式干预的6个月行为减肥干预，通过Facebook或面对面的小组。参与者在基线、6个月和12个月时完成评估。持续参与被定义为参加干预会议或在Facebook小组中可见的参与。我们计算了每次随访中提供体重的参与者的体重变化百分比。 Results: Among individuals not interested in the study, 68.6% (72/105) were not interested in or could not attend in-person meetings and 2.9% (3/105) were not interested in the Facebook condition. Among individuals excluded at screening, 18.5% (36/195) were ineligible owing to reasons related to the in-person condition, 12.3% (24/195) related to the Facebook condition, and 2.6% (5/195) were unwilling to be randomized. Randomized participants (n=62) were a median of 6.1 (IQR 3.1-8.3) months post partum, with a median BMI of 31.7 (IQR 28.2-37.4) kg/m2. Retention was 92% (57/62) at 6 months and 94% (58/62) at 12 months. The majority (21/30, 70%) of Facebook and 31% (10/32) of in-person participants participated in the last intervention module. Half (13/26, 50%) of Facebook and 58% (15/26) of in-person participants would be likely or very likely to participate again if they had another baby, and 54% (14/26) and 70% (19/27), respectively, would be likely or very likely to recommend the program to a friend. In total, 96% (25/26) of Facebook participants reported that it was convenient or very convenient to log into the Facebook group daily compared with 7% (2/27) of in-person participants who said it was convenient or very convenient to attend group meetings each week. Average weight loss was 3.0% (SD 7.2%) in the Facebook condition and 5.4% (SD 6.8%) in the in-person condition at 6 months, and 2.8% (SD 7.4%) in the Facebook condition and 4.8% (SD 7.6%) in the in-person condition at 12 months. Conclusions: Barriers to attending in-person meetings hampered recruitment efforts and intervention participation. Although women found the Facebook group convenient and stayed engaged in the group, weight loss appeared lower. Research is needed to further develop care models for postpartum weight loss that balance accessibility with efficacy. Trial Registration: ClinicalTrials.gov, NCT03700736; https://clinicaltrials.gov/ct2/show/NCT03700736 SN - 2291-5222 UR - https://mhealth.www.mybigtv.com/2023/1/e41545 UR - https://doi.org/10.2196/41545 UR - http://www.ncbi.nlm.nih.gov/pubmed/37103991 DO - 10.2196/41545 ID - info:doi/10.2196/41545 ER -