Outcomes of an RCT of videoconference vs. in-person or in-clinic nutrition and exercise in midlife adults with obesity.
Adults
obesity
weight loss
Journal
Obesity science & practice
ISSN: 2055-2238
Titre abrégé: Obes Sci Pract
Pays: United States
ID NLM: 101675151
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
20
09
2018
revised:
29
11
2018
accepted:
03
12
2018
entrez:
26
4
2019
pubmed:
26
4
2019
medline:
26
4
2019
Statut:
epublish
Résumé
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]). 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. 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 Videoconference and community-based delivery were as effective as an FQHC-based weight loss programme.
Identifiants
pubmed: 31019728
doi: 10.1002/osp4.318
pii: OSP4318
pmc: PMC6469332
doi:
Types de publication
Journal Article
Langues
eng
Pagination
111-119Déclaration de conflit d'intérêts
The authors have no conflicts of interest to declare.
Références
Telemed J E Health. 2019 Feb;25(2):85-92
pubmed: 29847222
Diabetes Care. 2010 Aug;33(8):1712-7
pubmed: 20484125
J Telemed Telecare. 2019 Apr;25(3):151-157
pubmed: 29199544
Diabetes Educ. 2009 Mar-Apr;35(2):233-6, 238-41, 244-5
pubmed: 19240246
J Gerontol B Psychol Sci Soc Sci. 2008 Sep;63(5):S312-9
pubmed: 18818452
JAMA. 2014 Nov 5;312(17):1779-91
pubmed: 25369490
NCHS Data Brief. 2015 Nov;(219):1-8
pubmed: 26633046
Obesity (Silver Spring). 2017 Jun;25(6):1033-1041
pubmed: 28452452
Fam Pract Manag. 2010 Sep-Oct;17(5):24-9
pubmed: 21121566
Diabetes Care. 2002 Dec;25(12):2165-71
pubmed: 12453955
Am J Prev Med. 2002 May;22(4):267-84
pubmed: 11988383
Obesity (Silver Spring). 2009 Apr;17(4):713-22
pubmed: 19180071
Contemp Clin Trials. 2018 Apr;67:74-80
pubmed: 29357313
J Telemed Telecare. 2006;12(7):370-3
pubmed: 17059655
J Telemed Telecare. 2000;6(6):311-9
pubmed: 11265099
Int J Circumpolar Health. 2010 Dec;69(5):500-11
pubmed: 21062570
J Rural Health. 2014 Winter;30(1):113-9
pubmed: 24112223
Diabetes Care. 2006 Sep;29(9):2102-7
pubmed: 16936160
Stroke. 2015 Jun;46(6):1435-6
pubmed: 25944321
Transl Behav Med. 2015 Mar;5(1):37-44
pubmed: 25729451
Obes Sci Pract. 2019 Feb 08;5(2):111-119
pubmed: 31019728
Ann Intern Med. 2001 Jan 2;134(1):1-11
pubmed: 11187414
Neurology. 2011 May 3;76(18):1568-74
pubmed: 21536637
Eur J Heart Fail. 2003 Oct;5(5):583-90
pubmed: 14607195
Telemed J E Health. 2008 Sep;14(7):720-5
pubmed: 18817503
BMC Public Health. 2009 Mar 25;9:88
pubmed: 19320986
Am J Health Behav. 2015 Jan;39(1):34-42
pubmed: 25290595
Fam Pract. 2014 Dec;31(6):643-53
pubmed: 25298510
Telemed J E Health. 2004 Summer;10(2):170-83
pubmed: 15319047
Ann Fam Med. 2005 Nov-Dec;3(6):514-22
pubmed: 16338915
JAMA. 2018 Sep 18;320(11):1163-1171
pubmed: 30326502
Am J Public Health. 2004 Oct;94(10):1736-42
pubmed: 15451743
Obes Rev. 2014 Oct;15 Suppl 4:46-61
pubmed: 25196406
Med Care. 2002 Sep;40(9):771-81
pubmed: 12218768
J Health Care Poor Underserved. 2010 May;21(2):617-28
pubmed: 20453361
NCHS Data Brief. 2010 Dec;(50):1-8
pubmed: 21211165
J Gen Intern Med. 2001 Sep;16(9):606-13
pubmed: 11556941
Ann Intern Med. 2012 Sep 4;157(5):373-8
pubmed: 22733087
Obesity (Silver Spring). 2009 Oct;17(10):1891-9
pubmed: 19407810