Addressing people and place microenvironments in weight loss disparities (APP-Me): Design of a randomized controlled trial testing timely messages for weight loss behavior in low income Black and White Women

Clark, Daniel O.; Srinivas, Preethi; Bodke, Kunal; Keith, Ni Cole R.; Hood, Sula; Tu, Wanzhu

doi:10.1016/j.cct.2018.01.006

Cited by 8 publications

(9 citation statements)

References 36 publications

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“…However, in the time since the trial began, Internet access via desktop computers has been largely supplanted by mobile devices, including in minority and low‐income populations . We are now testing a customized mobile application that is tailored to an individual's daily routine which sends timely supportive messages created by the participants, coaches, health providers or family . We are optimistic that mobile interventions such as this will be helpful to urban poor adults with obesity, but we also know that lifestyle health interventions in this population must include attention to basic needs such as emotional, housing and food support.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of an RCT of videoconference vs. in‐person or in‐clinic nutrition and exercise in midlife adults with obesity

Clark

Keith

Weiner

et al. 2019

Obesity Science & Practice

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Summary Objective New communication technologies have shown some promise in lifestyle weight loss interventions but may be most effective when leveraging face‐to‐face communications. The study reported here sought to test whether weight loss programme attendance and outcomes are greater when offered in‐person at community sites or remotely via videoconference vs. in Federally Qualified Health Centers (FQHCs). In a three‐arm randomized trial among 150 FQHC adults, intervention delivery in community‐sites or via videoconference was tested against a clinic‐based lifestyle intervention (enhanced usual care [EUC]). Methods Twice weekly, a nutrition topic was reviewed, and exercise sessions were held in a 20‐week programme delivered either in community settings or via videoconference. The primary outcome was the proportion of participants losing more than 2 kg at 6 (end of treatment) and 12 months in intent‐to‐treat analyses. Results Mean (SD) age was 53 years, 82% were women, 65% were African–American, 50% reported $18,000 or less household income and 49% tested low in health literacy, and mean (SD) body mass index was 39 kg m −2 . The proportion losing more than 2 kg of weight in the community site, videoconference and EUC groups was 33%, 34% and 24%, respectively, at 6 months and 29%, 34% and 29% at 12 months. No differences reached significance. Attendance was poor in all groups; 45% of community site, 58% of videoconference and 16% of EUC participants attended at least one session. Conclusion Videoconference and community‐based delivery were as effective as an FQHC‐based weight loss programme.

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Section: Discussionmentioning

confidence: 99%

Outcomes of an RCT of videoconference vs. in‐person or in‐clinic nutrition and exercise in midlife adults with obesity

Clark

Keith

Weiner

et al. 2019

Obesity Science & Practice

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“…Eight trials were ongoing at the time of the review (Berrouiguet et al, 2014; Chow et al, 2018; Clark et al, 2018; Hartnett et al, 2017; Husain, 2015; Jiskoot et al, 2017; McCarter et al, 2018; Tandon, 2018) and eight awaiting classification (Ben-Zeev, 2017; Boeschoten et al, 2012; Fletcher et al, 2018; Haas et al, 2017; Moore et al, 2015; Ohora, 2016; Schueller, 2018; Taleban et al, 2016). These study authors were contacted to clarify the recruitment methods.…”

Section: Resultsmentioning

confidence: 99%

Text messages to reduce depressive symptoms: Do they work and what makes them effective? A systematic review

Cox

Allida

Hackett

2020

Health Education Journal

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Objective: In this systematic review and meta-analysis, we aimed to quantify the effects of text messaging interventions to reduce depressive symptoms and identify variables that might influence the effectiveness of the intervention. Design: Electronic databases including EMBASE, CENTRAL, MEDLINE, CINAHL, PsycINFO and SCOPUS, as well as Clinicaltrials.gov and the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP) were searched for randomised controlled trials that sent one or more text messages with health-related content to adults who had been identified by a healthcare provider. Results: Seven trials (nine comparisons), with 1,918 participants, were included in the review, and the pooled analysis revealed a borderline statistically significant reduction in depressive symptom scores between the text messaging intervention and control groups (standardised mean difference [SMD], −0.27; 95% confidence interval [CI], −0.54 to 0.00; p = .00) favouring intervention at the end. Statistically significant reductions were shown in important subgroups, for example, where the primary aim of the messages was to reduce depressive symptoms; in those using the Beck Depression Inventory (BDI) or 9-item Patient Health Questionnaire (PHQ-9) questionnaires; where text message content was targeted at mental well-being, mood improvement and cognitive behavioural therapy information; and when the message frequency was ⩾2 times per week. Conclusion: Text messaging has potential to reduce depressive symptoms. The results of this review should be interpreted with caution, however, due to the methodological limitations of included trials. More research is required before recommendations can be made about the routine use of text messaging for the management of depressive symptoms.

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“…Participants for Phases 3 and 4 were recruited and enrolled following the human subjects’ protection approval and protocols of the larger trial under which this work occurred [13]. This included an incentive of 10 cents for each completed EMA question, up to a maximum value of $10 over 4 weeks.…”

Section: Methodsmentioning

confidence: 99%

“…This paper addresses these needs with a case study involving self-report measurement of location and social situations accompanying eating or sedentary behavior. This work was carried out in the context of a randomized trial among middle-aged, obese women cared for in a safety-net health system (NCT03083964) [13]. We report here the design and implementation of self-report measures of eating and movement behavior specific to users’ location and social contexts.…”

Section: Introductionmentioning

confidence: 99%

Context-Sensitive Ecological Momentary Assessment: Application of User-Centered Design for Improving User Satisfaction and Engagement During Self-Report

Srinivas¹,

Bodke²,

Ofner³

et al. 2019

JMIR Mhealth Uhealth

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Background Ecological momentary assessment (EMA) can be a useful tool for collecting real-time behavioral data in studies of health and health behavior. However, EMA administered through mobile technology can be burdensome, and it tends to suffer from suboptimal user engagement, particularly in low health-literacy populations. Objective This study aimed to report a case study involving the design and evaluation of a mobile EMA tool that supports context-sensitive EMA-reporting of location and social situations accompanying eating and sedentary behavior. Methods An iterative, user-centered design process with obese, middle-aged women seeking care in a safety-net health system was used to identify the preferred format of self-report measures and the look, feel, and interaction of the mobile EMA tool. A single-arm feasibility field trial with 21 participants receiving 12 prompts each day for momentary self-reports over a 4-week period (336 total prompts per participant) was used to determine user satisfaction with interface quality and user engagement, operationalized as response rate. A second trial among 38 different participants randomized to receive or not to receive a feature designed to improve engagement was conducted. Results The feasibility trial results showed high interface satisfaction and engagement, with an average response rate of 50% over 4 weeks. Qualitative feedback pointed to the need for auditory alerts. We settled on 3 alerts at 10-min intervals to accompany each EMA-reporting prompt. The second trial testing this feature showed a statistically significant increase in the response rate between participants randomized to receive repeat auditory alerts versus those who were not (60% vs 40%). Conclusions This paper reviews the design research and a set of design constraints that may be considered in the creation of mobile EMA interfaces personalized to users’ preferences. Novel aspects of the study include the involvement of low health-literacy adults in design research, the capture of data on time, place, and social context of eating and sedentary behavior, and reporting prompts tailored to an individual’s location and schedule. Trial Registration ClinicalTrials.gov NCT03083964; https://clinicaltrials.gov/ct2/show/NCT03083964

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Addressing people and place microenvironments in weight loss disparities (APP-Me): Design of a randomized controlled trial testing timely messages for weight loss behavior in low income Black and White Women

Cited by 8 publications

References 36 publications

Outcomes of an RCT of videoconference vs. in‐person or in‐clinic nutrition and exercise in midlife adults with obesity

Outcomes of an RCT of videoconference vs. in‐person or in‐clinic nutrition and exercise in midlife adults with obesity

Text messages to reduce depressive symptoms: Do they work and what makes them effective? A systematic review

Context-Sensitive Ecological Momentary Assessment: Application of User-Centered Design for Improving User Satisfaction and Engagement During Self-Report

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