於偏遠地區使用自我監測日誌於慢性病併有肥胖成人之減重方案成效

Background: Self-monitoring is part of many weight-loss programs and is widely accepted as effective. However, there is a lack of research related to the efficacy of various self-monitoring instruments in meeting the needs of individuals with limited mobility or access to healthcare providers, especially those with limited education living in rural settings. Purpose: This study examined the efficacy of using selfmonitoring diaries in a weight loss program targeting chronically ill and obese rural-dwelling adults. Methods: A community-based intervention program using a pretest and posttest design examined the effect of using selfmonitoring diaries on weight loss. Fifty participants were enrolled from the chronic disease clinic of a district health center with limited medical resources in a remote village in southwestern Taiwan. All participants were diagnosed with diabetes and/or hypertension, had body mass indices between 27 and 32 kg/m2, and had a minimum educational level of junior high school. Mean partici