@Article{信息:doi 10.2196 / / jmir。2996，作者=“Steinberg, Dori M和Levine, Erica L和Lane, Ilana和Askew, Sandy和Foley, Perry B和Puleo, Elaine和Bennett, Gary G”，标题=“在针对黑人女性体重增加的电子健康干预中，通过交互式语音响应技术进行自我监测:随机对照试验”，期刊=“J Med Internet Res”，年=“2014”，月=“Apr”，日=“29”，卷=“16”，数=“4”，页=“e114”，关键词=“eHealth;肥胖;交互式语音应答;背景:电子健康干预措施对体重控制有效，并具有广泛应用的潜力。在体重控制干预中使用交互式语音应答(IVR)技术进行自我监测的情况尚不清楚，特别是在受肥胖影响不成比例的人群中。目的:本分析旨在研究IVR自我监测依从性的模式和预测因素，以及参加体重增加预防干预的低收入黑人女性的依从性与体重变化之间的关系。方法:Shape计划是一项随机对照试验，比较了在初级保健环境中超重和肥胖黑人妇女中12个月的eHealth行为体重增加预防干预和常规护理。干预参与者(n=91)使用IVR技术通过每周IVR通话自我监测行为改变目标(例如，不含糖饮料，每天10,000步)。在临床中收集基线、6个月和12个月的体重数据。 Self-monitoring data was stored in a study database and adherence was operationalized as the percent of weeks with a successful IVR call. Results: Over 12 months, the average IVR completion rate was 71.6{\%} (SD 28.1) and 52{\%} (47/91) had an IVR completion rate ≥80{\%}. At 12 months, IVR call completion was significantly correlated with weight loss (r =−.22; P=.04) and participants with an IVR completion rate ≥80{\%} had significantly greater weight loss compared to those with an IVR completion rate <80{\%} (−1.97 kg, SE 0.67 vs 0.48 kg, SE 0.69; P=.01). Similar outcomes were found for change in body mass index (BMI; mean difference −0.94 kg, 95{\%} CI −1.64 to −0.24; P=.009). Older, more educated participants were more likely to achieve high IVR call completion. Participants reported positive attitudes toward IVR self-monitoring. Conclusions: Adherence to IVR self-monitoring was high among socioeconomically disadvantaged black women enrolled in a weight gain prevention intervention. Higher adherence to IVR self-monitoring was also associated with greater weight change. IVR is an effective and useful tool to promote self-monitoring and has the potential for widespread use and long-term sustainability. Trial Registration: Clinicaltrials.gov NCT00938535; http://www.clinicaltrials.gov/ct2/show/NCT00938535 (Archived by WebCite at http://www.webcitation.org/6P1FFNJRs). ", issn="14388871", doi="10.2196/jmir.2996", url="//www.mybigtv.com/2014/4/e114/", url="https://doi.org/10.2196/jmir.2996", url="http://www.ncbi.nlm.nih.gov/pubmed/24780934" }