Effects of Internet Behavioral Counseling on Weight Loss in Adults at Risk for Type 2 Diabetes

Tate, Deborah F.; Jackvony, Elizabeth H.; Wing, Rena R.

doi:10.1001/jama.289.14.1833

Cited by 617 publications

(632 citation statements)

References 20 publications

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“…All quality assessments can be found in Supplementary material Table S1. Selective reporting was the only criterion to receive high risk of bias scores for four of the studies 22, 30, 31, 32. Three studies provided monetary incentives for the completion of assessments that may have acted as a co‐intervention in respect of retention rates 22, 33, 34.…”

Section: Resultsmentioning

confidence: 99%

Systematic review and meta‐analysis of internet‐delivered interventions providing personalized feedback for weight loss in overweight and obese adults

et al. 2016

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SummaryBackgroundObesity levels continue to rise annually. Face‐to‐face weight loss consultations have previously identified mixed effectiveness and face high demand with limited resources. Therefore, alternative interventions, such as internet‐delivered interventions, warrant further investigation. The aim was to assess whether internet‐delivered weight loss interventions providing personalized feedback were more effective for weight loss in overweight and obese adults in comparison with control groups receiving no personalized feedback.MethodNine databases were searched, and 12 studies were identified that met all inclusion criteria.ResultsMeta‐analysis, identified participants receiving personalized feedback via internet‐delivered interventions, had 2.13 kg mean difference (SMD) greater weight loss (and BMI change, waist circumference change and 5% weight loss) in comparison with control groups providing no personalized feedback. This was also true for results at 3 and 6‐month time points but not for studies where interventions lasted ≥12 months.ConclusionThis suggests that personalized feedback may be an important behaviour change technique (BCT) to incorporate within internet‐delivered weight loss interventions. However, meta‐analysis results revealed no differences between internet‐delivered weight loss interventions with personalized feedback and control interventions ≥12 months. Further investigation into longer term internet‐delivered interventions is required to examine how weight loss could be maintained. Future research examining which BCTs are most effective for internet‐delivered weight loss interventions is suggested.

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Section: Resultsmentioning

confidence: 99%

Systematic review and meta‐analysis of internet‐delivered interventions providing personalized feedback for weight loss in overweight and obese adults

et al. 2016

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“…A limitation of this study, as well as other weight-loss trials, 32 is the small representation of male participants. This limitation may be the result of this being a study testing a vegetarian diet, or as previously reported data suggest, it may be due to the fact that a lower percentage of men than women are trying to lose weight.…”

Section: Discussionmentioning

confidence: 95%

A randomized clinical trial of a standard versus vegetarian diet for weight loss: the impact of treatment preference

et al. 2007

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Background: With obesity rampant, methods to achieve sustained weight loss remain elusive. Objective: To compare the long-term weight-loss efficacy of 2 cal and fat-restricted diets, standard (omnivorous) versus lactoovo-vegetarian, and to determine the effect of a chosen diet versus an assigned diet. Design, subjects: A randomized clinical trial was conducted with 176 adults who were sedentary and overweight (mean body mass index, 34.0 kg/m 2 ). Participants were first randomly assigned to either receive their preferred diet or be assigned to a diet group and second, were given their diet of preference or randomly assigned to a standard weight-loss diet or a lacto-ovovegetarian diet. Participants underwent a university-based weight-control program consisting of daily dietary and exercise goals plus 12 months of behavioral counseling followed by a 6-month maintenance phase. Measurements: Percentage change in body weight, body mass index, waist circumference, low-and high-density lipoprotein, glucose, insulin and macronutrient intake. Results: The program was completed by 132 (75%) of the participants. At 18 months, mean percentage weight loss was greater (P ¼ 0.01) in the two groups that were assigned a diet (standard, 8.0% (s.d., 7.8%); vegetarian, 7.9% (s.d., 8.1%)) than in those provided the diet of their choice (standard, 3.9% (s.d., 6.1%); vegetarian, 5.3% (s.d., 6.2%)). No difference was observed in weight loss between the two types of diet. Over the 18-month program, all groups showed significant weight loss. Conclusions: Participants assigned to their dietary preference did not have enhanced treatment outcomes. However, all groups lost weight with losses ranging from 4 to 8% at 18 months.

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“…We found that a greater proportion of women were interested in reading about other women's progress via their tweets (83 %) than were interested in tweeting about their own progress (71 %). Despite evidence that engagement is strongly related to outcomes [35][36][37][38][39][40], waning use is common in web-based behavioral interventions [41]. More frequent engagement in an online social network for weight loss is associated with better outcomes [22].…”

Section: Original Researchmentioning

confidence: 99%

Interest in a Twitter-delivered weight loss program among women of childbearing age

Waring

Schneider

Appelhans

et al. 2015

Behav. Med. Pract. Policy Res.

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Weight management through the childbearing years is important, yet few women have access to efficacious weight loss programs. Online social network-delivered programs may increase reach and thus impact. The aim of this study was to gauge interest in a Twitter-based weight loss intervention among women of childbearing age and the feasibility of recruitment via Twitter. We recruited English-speaking women aged 18-45 years (N = 63) from Twitter to complete an anonymous online survey including open-ended questions about program advantages and concerns. Forty percent of participants were obese and 83 % were trying to lose weight. Eighty-one percent were interested in a Twitter-delivered weight loss program. Interest was high in all subgroups (62-100 %). Participants (59 %) cited program advantages, including convenience, support/accountability, and privacy. Concerns (59 %) included questions about privacy, support/accountability, engagement, efficacy, and technology barriers. Research is needed to develop and evaluate social media-delivered interventions, and to develop methods for recruiting participants directly from Twitter.

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Effects of Internet Behavioral Counseling on Weight Loss in Adults at Risk for Type 2 Diabetes

Cited by 617 publications

References 20 publications

Systematic review and meta‐analysis of internet‐delivered interventions providing personalized feedback for weight loss in overweight and obese adults

Systematic review and meta‐analysis of internet‐delivered interventions providing personalized feedback for weight loss in overweight and obese adults

A randomized clinical trial of a standard versus vegetarian diet for weight loss: the impact of treatment preference

Interest in a Twitter-delivered weight loss program among women of childbearing age

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