Integrating Technology Into Standard Weight Loss Treatment

Weconducteda2-arm,12-monthstudy(Oc-tober1,2007,throughSeptember31,2010).Seventyadults(body mass index 25 and 40 [calculated as weight inkilogramsdividedbyheightinmeterssquared])wereran-domly assigned either to standard-of-care group treat-ment alone (standard group) or to the standardand con-nective mobile technology system ( mobile group).ParticipantsattendedbiweeklyweightlossgroupsheldbytheVeteransAffairsoutpatientclinic.The mobilegroupwasprovidedpersonaldigitalassistantstoself-monitordietand physical activity; they also received biweekly coach-ing calls for 6 months. Weight was measured at baselineand at 3-, 6-, 9-, and 12-month follow-up.

[1]  W. Agras,et al.  Improving the effectiveness of computer-assisted weight loss , 1991 .

[2]  Megan E. Piper,et al.  The Multiphase Optimization Strategy for Engineering Effective Tobacco Use Interventions , 2011, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[3]  Arlen C. Moller,et al.  Multiple behavior changes in diet and activity: a randomized controlled trial using mobile technology. , 2012, Archives of internal medicine.

[4]  H. Okumura,et al.  Effect of a worksite-based intervention program on metabolic parameters in middle-aged male white-collar workers: a randomized controlled trial. , 2010, Preventive medicine.

[5]  J. Hardin,et al.  Generalized Estimating Equations , 2002 .

[6]  G. Blackburn,et al.  Effect of degree of weight loss on health benefits. , 1995, Obesity research.

[7]  Carrie D. Patnode,et al.  Effectiveness of Primary Care–Relevant Treatments for Obesity in Adults: A Systematic Evidence Review for the U.S. Preventive Services Task Force , 2011, Annals of Internal Medicine.

[8]  R. Callister,et al.  12‐Month Outcomes and Process Evaluation of the SHED‐IT RCT: An Internet‐Based Weight Loss Program Targeting Men , 2011, Obesity.

[9]  N. Barengo,et al.  Weight loss by mobile phone: a 1-year effectiveness study , 2009, Public Health Nutrition.

[10]  D. Kirschenbaum,et al.  Self-monitoring may be necessary for successful weight control , 1993 .

[11]  T. Wadden,et al.  Benefits of Modest Weight Loss in Improving Cardiovascular Risk Factors in Overweight and Obese Individuals With Type 2 Diabetes , 2011, Diabetes Care.

[12]  D. Tate,et al.  Perinatal mortality and congenital anomalies in babies of women with type 1 or type 2 diabetes in England, Wales, and Northern Ireland: population based study , 2006, BMJ : British Medical Journal.

[13]  C C Curioni,et al.  Long-term weight loss after diet and exercise: a systematic review , 2005, International Journal of Obesity.

[14]  D. Kirschenbaum,et al.  Weight Control During the Holidays: Highly Consistent Self-Monitoring as a Potentially Useful Coping Mechanism , 1998 .

[15]  R. Kushner,et al.  Barriers to providing nutrition counseling by physicians: a survey of primary care practitioners. , 1995, Preventive medicine.

[16]  B. Spring,et al.  PDA+: A Personal Digital Assistant for Obesity Treatment - An RCT testing the use of technology to enhance weight loss treatment for veterans , 2011, BMC public health.

[17]  B. Spring,et al.  New and Emerging Weight Management Strategies for Busy Ambulatory Settings: A Scientific Statement From the American Heart Association Endorsed by the Society of Behavioral Medicine , 2011, Circulation.

[18]  Jonathan Krakoff,et al.  Four‐Year Weight Losses in the Look AHEAD Study: Factors Associated With Long‐Term Success , 2011, Obesity.

[19]  M. Kiernan,et al.  Innovative techniques to address retention in a behavioral weight-loss trial. , 2005, Health education research.

[20]  W. Riley,et al.  Evaluation of a PDA-based Dietary Assessment and Intervention Program: A Randomized Controlled Trial , 2006, Journal of the American College of Nutrition.

[21]  Lynore D DeSilets,et al.  The Institute of Medicine's Redesigning Continuing Education in the Health Professions. , 2010, Journal of continuing education in nursing.

[22]  J. Day,et al.  Computer and Internet Use in the United States: 2003 , 2005 .

[23]  Ulla K. Bunz,et al.  The Computer-Email-Web (CEW) Fluency Scale--Development and Validation , 2001 .

[24]  M. Sevick,et al.  Self-monitoring in weight loss: a systematic review of the literature. , 2011, Journal of the American Dietetic Association.

[25]  Thomas A Louis,et al.  Comparative effectiveness of weight-loss interventions in clinical practice. , 2011, The New England journal of medicine.

[26]  Christine A Pellegrini,et al.  The Comparison of a Technology‐Based System and an In‐Person Behavioral Weight Loss Intervention , 2010, Obesity.

[27]  P. Cuijpers,et al.  Supportive Accountability: A Model for Providing Human Support to Enhance Adherence to eHealth Interventions , 2011, Journal of medical Internet research.

[28]  M. Sevick,et al.  The Effect of Electronic Self‐Monitoring on Weight Loss and Dietary Intake: A Randomized Behavioral Weight Loss Trial , 2011, Obesity.

[29]  Donald Hedeker,et al.  Longitudinal Data Analysis , 2006 .

[30]  N. Charness,et al.  Factors Predicting the Use of Technology: Findings From the Center for Research and Education on Aging and Technology Enhancement (CREATE) , 2006 .

[31]  William Caplan,et al.  Weight-loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up. , 2007, Journal of the American Dietetic Association.

[32]  R. Winett,et al.  Using Internet technology to deliver a behavioral weight loss program. , 2001, JAMA.

[33]  T. Wadden,et al.  One‐year Weight Losses in the Look AHEAD Study: Factors Associated With Success , 2009, Obesity.

[34]  Rachel K. Johnson,et al.  The use of a personal digital assistant for dietary self-monitoring does not improve the validity of self-reports of energy intake. , 2006, Journal of the American Dietetic Association.

[35]  Alan VanBiervliet,et al.  Internet delivered behavioral obesity treatment. , 2010, Preventive medicine.