A Review of Technology-Based Interventions to Maintain Weight Loss

Lee, Sohye; Lindquist, Ruth

doi:10.1089/tmj.2014.0052

Cited by 16 publications

(12 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is even a well-known predictor for success. Stabilizing weight can be especially demanding due to diminishing positive external feedback [11, 20]. In the present evaluation, none of the intervention groups showed a decrease in their values of the subscale social pressure (mean WBI = +0.1, mean PMI = +0.2, p = 0.546) during the self-monitoring phase.…”

Section: Discussionmentioning

confidence: 48%

“…The gradual reduction of controlled treatment and the increase of autonomy are important in long-term follow-up support [11]. Studies of Statistics Austria call attention to new technological means with the potential to support tailored life style interventions.…”

Section: Introductionmentioning

confidence: 99%

“…Especially healthcare strategies in treatment of chronic conditions have to incorporate empowering and self-help approaches, which profit from convenient self-monitoring tools, such as automatic reminders for enhanced skill training. Social media and blogs are tested in peer to peer communication or maintenance of regular contact with a professional healthcare provider [11, 13, 14]. However promising some of these new technical solutions might be, treatment settings have to consider existing gaps in internet access, availability of mobile devices, individual preferences and concerns.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effects of a web-based follow-up intervention on self-efficacy in obesity treatment for women

Rader

Dörner

Schoberberger

et al. 2017

Wien Klin Wochenschr

View full text Add to dashboard Cite

SummaryObesity is a chronic disease requiring long-term care. The purpose of the current study was the evaluation of a web-based intervention (WBI), subsequent to an initial face to face life style treatment. In a randomized trial, 84 women received an introduction phase (4 months) and a training phase (2 months) where one group was trained in using WBI whereas the other arm received a printed manual (PMI). During the self-monitoring phase (6 months) participants either used the WBI or the PMI for follow-up support. Anthropometric parameters could be significantly reduced and self-efficacy was significantly increased in the first 6 months. At 12 months, values of self-efficacy of the WBI were not superior compared to results of the PMI; however, feedback on acceptability of the intervention did show higher ratings of the WBI and also facilitated contact with the program supervisor. No significant differences regarding the engagement in follow-up tools could be found between the intervention groups. Subgroup analysis indicated a positive effect of involvement in both forms of self-monitoring aftercare.

show abstract

Section: Discussionmentioning

confidence: 48%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of a web-based follow-up intervention on self-efficacy in obesity treatment for women

Rader

Dörner

Schoberberger

et al. 2017

Wien Klin Wochenschr

View full text Add to dashboard Cite

show abstract

“…Though little is known about maintenance effects and use of extended care strategies to support SSB behaviors, the weight loss literature provides some useful insight. The use of extended care is recommended to address the issue of maintenance [ 21 ]; however, a systematic review of the effectiveness of technology-based (internet, telephone and interactive television) weight-loss maintenance interventions found mixed results [ 23 ]. Overall, the review found technology based extended care was more effective than usual care, but not as effective as personal contact.…”

Section: Introductionmentioning

confidence: 99%

Supporting maintenance of sugar-sweetened beverage reduction using automated versus live telephone support: findings from a randomized control trial

Zoellner

You

Estabrooks

et al. 2018

Int J Behav Nutr Phys Act

View full text Add to dashboard Cite

BackgroundAlthough reducing sugar-sweetened beverage (SSB) intake is an important behavioral strategy to improve health, no known SSB-focused behavioral trial has examined maintenance of SSB behaviors after an initial reduction. Guided by the RE-AIM framework, this study examines 6–18 month and 0–18 month individual-level maintenance outcomes from an SSB reduction trial conducted in a medically-underserved, rural Appalachia region of Virginia. Reach and implementation indicators are also reported.MethodsFollowing completion of a 6-month, multi-component, behavioral RCT to reduce SSB intake (SIPsmartER condition vs. comparison condition), participants were further randomized to one of three 12-month maintenance conditions. Each condition included monthly telephone calls, but varied in mode and content: 1) interactive voice response (IVR) behavior support, 2) human-delivered behavior support, or 3) IVR control condition. Assessments included the Beverage Intake Questionnaire (BEVQ-15), weight, BMI, and quality of life. Call completion rates and costs were tracked. Analysis included descriptive statistics and multilevel mixed-effects linear regression models using intent-to-treat procedures.ResultsOf 301 subjects enrolled in the 6-month RCT, 242 (80%) were randomized into the maintenance phase and 235 (78%) included in the analyses. SIPsmartER participants maintained significant 0–18 month decreases in SSB. For SSB, weight, BMI and quality of life, there were no significant 6–18 month changes among SIPsmartER participants, indicating post-program maintenance. The IVR-behavior participants reported greater reductions in SSB kcals/day during the 6–18 month maintenance phase, compared to the IVR control participants (− 98 SSB kcals/day, 95% CI = − 196, − 0.55, p < 0.05); yet the human-delivered behavior condition was not significantly different from either the IVR-behavior condition (27 SSB kcals/day, 95% CI = − 69, 125) or IVR control condition (− 70 SSB kcals/day, 95% CI = − 209, 64). Call completion rates were similar across maintenance conditions (4.2–4.6 out of 11 calls); however, loss to follow-up was greatest in the IVR control condition. Approximated costs of IVR and human-delivered calls were remarkably similar (i.e., $3.15/participant/month or $38/participant total for the 12-month maintenance phase), yet implications for scalability and sustainability differ.ConclusionOverall, SIPsmartER participants maintained improvements in SSB behaviors. Using IVR to support SSB behaviors is effective and may offer advantages as a scalable maintenance strategy for real-world systems in rural regions to address excessive SSB consumption.Trial registryClinicaltrials.gov; NCT02193009; Registered 11 July 2014. Retrospectively registered.

show abstract

“…These computer- and web-based approaches make these educational tools accessible to a wide audience, disregarding geographical distances [13]. A recent review [14] of technology-based interventions to maintain weight loss concluded that such interventions are ‘most likely to be more effective than conventional care'. …”

Section: Introductionmentioning

confidence: 99%

Individual Health Management - A Comprehensive Lifestyle Counselling Programme for Health Promotion, Disease Prevention and Patient Education

et al. 2016

View full text Add to dashboard Cite

Background: Epidemiological data shows globally increasing numbers of obesity and stress-related diseases. In this article, a comprehensive medical lifestyle modification programme - called Individual Health Management (IHM) - is described in detail and discussed as a promising tool to individually manage and reverse such negative health trends in patients. Methods: The IHM programme is based on a blended learning concept. It comprises a 12-week basic training phase, followed by a 9-month maintenance phase, and includes the following key features: 1) web-based and physician-led health screenings; 2) a structured 12-week basic training with a core curriculum providing tuition in behavioural self-management strategies for weight loss and stress reduction; 3) weekly supervised group sessions during the core curriculum; 4) tailoring of materials, strategies and lifestyle goals; 5) continuous self-monitoring and feedback of the achieved progress; 6) regular contact with physicians or health professionals based on either face-to-face or distant lifestyle counselling; 7) recurrent one-day health seminars to ensure the sustainability of obtained results. Conclusions: IHM is a multi-component lifestyle intervention programme to increase physical activity, to reduce calorie intake and to practice both self and stress management. Individual care, group support and a tailored web-based programme blend to achieve the desired goals. A randomised control study to evaluate IHM's effects on weight control is currently being conducted.

show abstract

A Review of Technology-Based Interventions to Maintain Weight Loss

Cited by 16 publications

References 32 publications

Effects of a web-based follow-up intervention on self-efficacy in obesity treatment for women

Effects of a web-based follow-up intervention on self-efficacy in obesity treatment for women

Supporting maintenance of sugar-sweetened beverage reduction using automated versus live telephone support: findings from a randomized control trial

Individual Health Management - A Comprehensive Lifestyle Counselling Programme for Health Promotion, Disease Prevention and Patient Education

Contact Info

Product

Resources

About