Menopause and weight loss (ME-WEL) randomised controlled trial: an e-health cognitive-behavioural group intervention for weight management in postmenopausal women.

IF 1.9 3区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology & Health Pub Date : 2025-08-22 DOI:10.1080/08870446.2025.2546592

Mafalda Leitão, Faustino Pérez-López, João Marôco, Filipa Pimenta

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引用次数: 0

Abstract

Background: Successful weight management is important for menopausal women, given the high prevalence of overweight and obesity. This study evaluated the efficacy of a cognitive-behavioural e-Health group intervention for weight management in postmenopausal women with overweight or obesity. The intervention incorporates the Health Action Process Approach, Health Belief Model, Oxford Food and Activity Behaviours, and Behaviour Change Techniques.

Methods: This randomised controlled trial involved 27 participants - 13 in the intervention group (IG), who received an 8-week intervention, and 14 in the control group (CG), who received an informative leaflet. Five longitudinal assessments were performed. All variables were measured using quantitative instruments, and Body Mass Index was calculated from self-reported weight and height. Latent growth models (LGM) were conducted according to the intention-to-treat principle.

Results: The LGM showed that some weight management strategies increase significantly over time in IG (energy compensation, regulation: rule setting) and regarding subjective well-being (positive affect and satisfaction with life). Additionally, the IG showed a decrease in emotional and uncontrolled eating, and an increase in self-esteem and health-related determinants.

Discussion: Long-term effects of this cognitive-behavioural intervention were found in some measures, while others only increased for a certain period. Increasing session frequency and incorporating monthly maintenance sessions are recommended to achieve more sustainable results over time.

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绝经和体重减轻（ME-WEL）随机对照试验：电子健康认知行为组干预绝经后妇女体重管理

背景：考虑到超重和肥胖的高发率，成功的体重管理对绝经期妇女很重要。本研究评估了认知行为电子健康组干预对绝经后超重或肥胖妇女体重管理的效果。该干预措施结合了健康行动过程方法、健康信念模型、牛津食品和活动行为以及行为改变技术。方法：这项随机对照试验涉及27名参与者，干预组（IG） 13人，接受8周的干预，对照组（CG） 14人，接受信息传单。进行了五项纵向评估。所有变量使用定量仪器测量，身体质量指数由自我报告的体重和身高计算。根据意向-治疗原则进行潜在生长模型（LGM）。结果：LGM显示，随着时间的推移，一些体重管理策略在IG（能量补偿、调节：规则制定）和主观幸福感（积极影响和生活满意度）方面显著增加。此外，IG显示情绪性和不受控制的饮食减少，自尊和健康相关决定因素增加。讨论：在一些措施中发现了这种认知行为干预的长期影响，而其他措施只在一定时期内增加。建议增加会议频率并纳入每月维护会议，以实现更可持续的结果。

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来源期刊

Psychology & Health Multiple-

CiteScore

7.30

自引率

3.00%

发文量

期刊介绍： Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.