Telemedicine-Based Health Coaching Is Effective for Inducing Weight Loss and Improving Metabolic Markers

Johnson, Kelly E.; Alencar, Michelle; Coakley, Kathryn E.; Swift, Damon L.; Cole, Nathan; Mermier, Christine M.; Kravitz, Len; Amorim, Fabiano T.; Gibson, Ann L.

doi:10.1089/tmj.2018.0002

Cited by 64 publications

(92 citation statements)

References 35 publications

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“…In observational analyses of commercial weight loss participants, a 2017 study reported that videoconference participants were more likely to complete the 11‐week programme but not more likely to lose weight . Most recently, a study team reported from two randomized trials (one of 25 and one of 30 adults with obesity) that those randomized to videoconference arms had significantly greater 12‐week weight loss than those randomized to either in‐person or usual care arms . These two trials provided individual health coaching, and the 2018 trial also provided participants with a wireless watch and weight scale.…”

Section: Introductionmentioning

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: Introductionmentioning

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

View full text Add to dashboard Cite

show abstract

“…Four studies focused on individual video counseling for smoking cessation [ 31 , 70 - 72 ], 3 studies focused on alcohol consumption [ 73 - 75 ], 3 studies focused on physical activity [ 76 - 78 ], and 3 studies focused on obesity [ 79 - 81 ]. No trial examined the effectiveness of real-time video counseling on nutrition.…”

Section: Resultsmentioning

confidence: 99%

“…No trial examined the effectiveness of real-time video counseling on nutrition. Most trials were funded by grants from the government [ 76 , 77 , 79 - 81 ] or university [ 71 , 73 ]. One study reported receiving no funding [ 75 ], 1 study was funded by the Craig H. Neilsen Foundation [ 78 ], and 1 study was funded by CureApp Inc [ 72 ].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Multimedia Appendix 4 [ 79 - 81 ] provides a description of the study characteristics examining the effectiveness of video counseling on obesity. Three trials [ 79 - 81 ] used individually delivered real-time video counseling to target obesity. The trials targeted clinical populations with lifestyle conditions such as diabetes [ 79 , 80 ], hypertension [ 80 ], and overweight or obesity (BMI>25 kg/m 2 ) [ 79 - 81 ].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness of Individual Real-Time Video Counseling on Smoking, Nutrition, Alcohol, Physical Activity, and Obesity Health Risks: Systematic Review

Byaruhanga¹,

Atorkey²,

Mclaughlin³

et al. 2020

J Med Internet Res

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Background Real-time video communication technology allows virtual face-to-face interactions between the provider and the user, and can be used to modify risk factors for smoking, nutrition, alcohol consumption, physical activity, and obesity. No systematic reviews have examined the effectiveness of individual real-time video counseling for addressing each of the risk factors for smoking, nutrition, alcohol consumption, physical activity, and obesity. Objective This systematic review aims to examine the effectiveness of individually delivered real-time video counseling on risk factors for smoking, nutrition, alcohol consumption, physical activity, and obesity. Methods The MEDLINE (Medical Literature Analysis and Retrieval System Online), EMBASE (Excerpta Medica Database), PsycINFO, Cochrane Register of Controlled Trials, and Scopus databases were searched for eligible studies published up to November 21, 2019. Eligible studies were randomized or cluster randomized trials that tested the effectiveness of individual real-time video communication interventions on smoking, nutrition, alcohol, physical activity, and obesity in any population or setting; the comparator was a no-intervention control group or any other mode of support (eg, telephone); and an English-language publication. Results A total of 13 studies were eligible. Four studies targeted smoking, 3 alcohol, 3 physical activity, and 3 obesity. In 2 of the physical activity studies, real-time video counseling was found to significantly increase physical activity when compared with usual care at week 9 and after 5 years. Two obesity studies found a significant change in BMI between a video counseling and a documents group, with significantly greater weight loss in the video counseling group than the in-person as well as the control groups. One study found that those in the video counseling group were significantly more likely than those in the telephone counseling group to achieve smoking cessation. The remaining studies found no significant differences between video counseling and telephone counseling or face-to-face counseling for smoking cessation, video counseling and face-to-face treatment on alcohol consumption, video counseling and no counseling for physical activity, and video counseling and face-to-face treatment on BMI. The global methodological quality rating was moderate in 1 physical activity study, whereas 12 studies had a weak global rating. Conclusions Video counseling is potentially more effective than a control group or other modes of support in addressing physical inactivity and obesity and is not less effective in modifying smoking and alcohol consumption. Further research is required to determine the relative benefits of video counseling in terms of other policy and practice decision-making factors such as costs and feasibility.

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Developing an 8‐Week, Tele‐Education Weight Control and Exercise Programme, and Evaluating Its Effects on Weight and Pain Reduction in Patients With Obesity and Knee Osteoarthritis: A Double‐Blinded Randomised Clinical Trial

Khazaei,

Maleklou,

Bodaghabadi

et al. 2024

Musculoskeletal Care

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BackgroundKnee osteoarthritis (OA) is a leading cause of disability among the elderly and is often exacerbated by obesity. Research supports weight loss and exercise therapy as key strategies for managing knee OA‐related disability. Concurrently, telemedicine is becoming a popular healthcare approach. This study aimed to develop and evaluate an 8‐week tele‐education programme's impact on weight control and knee OA outcomes.Methods/DesignParticipants with knee OA and obesity were included. Baseline data on pain (VAS index), physical activity (GPAQ questionnaire), and quality of life (EQ5D and KOOS questionnaires) were collected. Performance tests, including the 30‐second Chair Stand test (30CST) and the Timed Up‐and‐Go test (TUG), were recorded. Participants were randomly divided into two groups: a control group receiving oral advice on diet and exercise, and an intervention group receiving educational videos on nutrition, lifestyle changes, physical activity, individualised exercises, and psychosocial support. Evaluations were repeated after 8 weeks.ResultsData from 25 of 30 participants were analysed. In the intervention group, body composition, waist, and abdominal circumference decreased significantly (p < 0.05). The KOOS questionnaire showed significant improvements in pain, activity, and daily tasks (p = 0.00). The EQ5D questionnaire and health satisfaction also showed positive results within the intervention group (p = 0.00) and between groups (p = 0.008). The pain index improved significantly within (p = 0.00) and between groups (p = 0.02). Functional test results were significant within the intervention group (p = 0.00) and between groups (p = 0.017 for 30CST and p = 0.004 for TUG).ConclusionAn 8‐week tele‐education programme for weight control and exercise therapy in knee OA patients significantly improved body composition, quality of life, and functional performance. Given the costs of obesity and knee OA on both people and the health system, tele‐education can be a cost‐effective treatment strategy.

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Telemedicine-Based Health Coaching Is Effective for Inducing Weight Loss and Improving Metabolic Markers

Abstract: ClinicalTrials.gov identifier NCT03278951.

Cited by 64 publications

References 35 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

Effectiveness of Individual Real-Time Video Counseling on Smoking, Nutrition, Alcohol, Physical Activity, and Obesity Health Risks: Systematic Review

Developing an 8‐Week, Tele‐Education Weight Control and Exercise Programme, and Evaluating Its Effects on Weight and Pain Reduction in Patients With Obesity and Knee Osteoarthritis: A Double‐Blinded Randomised Clinical Trial

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