Journal article
Adding telephone and text support to an obesity management program improves behavioral adherence and clinical outcomes: a randomized controlled crossover trial
International Journal of Behavioral Medicine
2019
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Source: InCites
Abstract
<p>BACKGROUND: Behavioral treatment strategies improve adherence to lifestyle intervention for adults with obesity, but can be time and resource intensive when delivered via traditional face-to-face care. This study aimed to investigate the efficacy and optimal timing of using telephone calls and text message as adjunctive tools to support a community-based obesity management program.<br />METHOD: This 8-month randomized controlled crossover trial recruited 61 adults with class III obesity (BMI > 40 kg/m<sup>2</sup>) enrolled in a publicly funded obesity management service (OMS). Participants were randomly assigned to receive telephone and text message support in addition to standard OMS care, or standard OMS care alone. After 4 months, participants crossed over to the alternative sequence. The technological support was based on self-determination theory. Outcome measures included diet, physical activity, anthropometry, self-efficacy, and treatment self-regulation.<br />RESULTS: Telephone and text message support improved lifestyle intervention adherence and clinical outcomes when compared with standard care. Participants who received the intervention in the first 4-month period lost 4.87 kg, compared with no weight loss (+ 0.38 kg) in the standard care only group. There was no evidence to indicate an optimal timing of the intervention, with both groups achieving significant results by the end of the intervention.<br />CONCLUSION: These results suggest a high degree of promise for the incorporation of telephone and text message support into community-based obesity management services. The findings have the potential to improve existing practices and reduce the burden on the health care system by demonstrating a resource-effective improvement to obesity management service delivery.</p>
Details
- Title
- Adding telephone and text support to an obesity management program improves behavioral adherence and clinical outcomes: a randomized controlled crossover trial
- Creators
- Emily Lewis - University of Canberra, AustraliaHsin-Chia C Huang - Canberra Health Services, AustraliaPeter Hassmén - Southern Cross University, AustraliaMarijke Welvaert - University of Canberra, AustraliaKate L Pumpa - University of Canberra, Australia
- Publication Details
- International Journal of Behavioral Medicine
- Identifiers
- 4099; 991012821491702368
- Academic Unit
- School of Health and Human Sciences; Human Sciences; Faculty of Health
- Resource Type
- Journal article