A combined planning and telephone aftercare intervention for obese patients: Effects on physical activity and body weight after one year

Ströbl, Veronika; Knisel, Werner; Landgraf, Ulrike; Faller, Hermann

doi:10.2340/16501977-1095

Cited by 30 publications

(33 citation statements)

References 38 publications

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“…Most studies provided therapy, two of them only provided aftercare [21,37] and only one study provided both [22] (see Table 1). Therapies were usually constructed modularly and addressed topics like dietary behavior, physical activity, behavior change strategies and overcoming barriers.…”

Section: Resultsmentioning

confidence: 99%

“…In addition, two studies performed only media-assisted aftercare. One provided online support via email, platform, chatroom and a website [21] and the other provided face-to-face consultations via video calls [37].…”

Section: Resultsmentioning

confidence: 99%

“…Only two studies recorded their effect size. Morgan et al [33] report a moderate effect (Cohen's d) and Ströbl et al [37] report a small effect (ƞ 2 ) [49].…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, digital intervention concepts were well received by patients and seen as very helpful and supportive (see also [31,37,51]). This could be attributed, among other reasons, to the time saving aspect because of reduced travelling distances.…”

Section: Discussionmentioning

confidence: 99%

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Effects of media-assisted therapeutic approaches on physical activity of obese adults: a systematic review

2020

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Background: The number of patients with obesity continues to increase in our society. At the same time, digitalization defines our everyday life. Therefore, the question arises whether to use digital media for effective treatments against obesity. Aim of this review is a concise presentation of effects of media-assisted therapeutic approaches. Methods: A systematic literature research in multiple scientific databases, PubMed, Web of Science and Cochrane Library, was performed for literature published in the last 10 years (cut-off date 12.07.2017). Only randomized controlled trials using digital support for treatment and/or aftercare of obese adults aged between 18 to 70 years were included into the analysis. Results: Overall, 14 trials with data on a total of 4979 participants were included in this review. Generally, there are positive trends for increased moderate to vigorous physical activity by the use of digital media. A simultaneous usage of various digital media, which focus on important aspects of activity behavior, has proven to be effective. A combination of various digital media shows the greatest positive effect and could significantly increase physical activity. However, the biggest potential was found in mixed approaches combining digital devices and personal face-to-face support. Conclusions: Therapeutic approaches using digital media for supporting obesity treatment did not show superior benefit over traditional personal therapeutic methods. Nevertheless, using both methods together offered the greatest potential for successful obesity therapy. However, there is a backlog of transparency concerning information about the content of treatment. Furthermore, there is a lack of valid data about aftercare and followup.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Only two studies recorded their effect size. Morgan et al [33] report a moderate effect (Cohen's d) and Ströbl et al [37] report a small effect (ƞ 2 ) [49].…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Effects of media-assisted therapeutic approaches on physical activity of obese adults: a systematic review

2020

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“…Also, interventions of 10 to 12 weeks of weight-management program have significant reduction of BMI of obese adolescents [45]. In contrast, after 12 months of standard obesity rehabilitation plus planned individual PA, an improvement was observed in the PA of obese patients but no reduction of body weight compared with standard care [46]. In a Malaysian study there was no BMI reduction but no weight gain after obesity treatment program [47].…”

Section: Bmi Before and After Treatmentmentioning

confidence: 99%

Physical Activity Performance among Obese Adolescents Who Are Enrolled in the Obesity Treatment Program: A Comparative Study

Qahtani¹,

Eisa²

2016

OJTR

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Existing literature indicates that a weight-management program that includes diet modification, Physical Activity (PA) instructions and behavioral modification in weight reduction increases obese adolescents' participation in PA. However, the effect of such a program on obese Saudi adolescents is unknown. Objective: To examine the effects of a weight-management program in terms of decreasing Body Mass Index (BMI) and improving participation in PA in obese Saudi adolescents, and to establish whether differences exist between genders in response to a weight-management program. PA was measured by Arab Teens Life Style (ATLS) questionnaire for both groups. Results: A wide range of differences in PA and sedentary time are evident between new and weightmanaged patients and two genders. PA performance was significantly higher among the weightmanaged patients compared with new patients. Also, for boys there were no differences between both groups in PA performance. While, girls' PA was significantly higher among the girls in weightmanaged group compared with girls in new patients group. Weight-managed patients spend significantly less time on the computer and/or the Internet per day compared with new patients. After treatment, the mean BMI among the weight-managed patients slightly decreased. Conclusion: The study findings suggest that the weight-management program could be effective in treating Saudi obese adolescents due to its effect in BMI reduction and greater improvement in PA performance. The surprising result from this study, PA differences between the groups were because of the total PA of girls only, meaning that obesity treatment program can lower the percentage of obesity among women and increase their levels of physical activity.

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Physical Activity Interventions Framed by the Health Action Process Approach for Adults with Long-Term Conditions: A Scoping Review

Silva-Smith,

Hanson,

Neubeck

et al. 2024

Int.J. Behav. Med.

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Background Interventions that use the Health Action Process Approach (HAPA) model show promise for increasing PA frequency, duration, and intensity. However, there is limited understanding of how HAPA model variables have been operationalized for PA interventions in chronic disease to promote behavior change and sustained PA or whether the phase or continuous form of the HAPA model was used. The aim of this scoping review is to describe how the HAPA model variables for PA interventions were operationalized and provide details of implementation. Method We searched five databases to identify studies published between January 1992 and March 2024. We aimed to describe (1) the characteristics of interventions including setting, delivery mode, duration, and content; (2) which HAPA variables were operationalized and the strategies used; and (3) the physical activity measures and outcome effects. Results The search identified 23 interventions in 30 papers (12 protocols, 3 quasi-experimental studies, and 15 randomized controlled trials (RCTs)). Seven of the 15 RCTs reported significant positive effects of the HAPA model on PA behavior outcomes. Interventions operationalized between three and nine HAPA constructs showed significant variability in how the HAPA model is used in intervention research. PA measures varied from self-report to validated objective instruments. Conclusion We found a lack of clarity in decisions about which HAPA constructs were included in interventions. The wide variability in operationalized HAPA constructs made it challenging to compare interventions. Researchers should provide more detail about intervention design and implementation procedures to enhance transparency.

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A combined planning and telephone aftercare intervention for obese patients: Effects on physical activity and body weight after one year

Abstract: The intervention increased physical activity, but did not reduce body weight, compared with standard care. However, even without weight reduction, an increase in physical activity may reduce health risks in obese patients.

Cited by 30 publications

References 38 publications

Effects of media-assisted therapeutic approaches on physical activity of obese adults: a systematic review

Effects of media-assisted therapeutic approaches on physical activity of obese adults: a systematic review

Physical Activity Performance among Obese Adolescents Who Are Enrolled in the Obesity Treatment Program: A Comparative Study

Physical Activity Interventions Framed by the Health Action Process Approach for Adults with Long-Term Conditions: A Scoping Review

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