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International Journal of Behavioral Medicine
Erschienen in: International Journal of Behavioral Medicine 6/2019

11.09.2019 | Full length manuscript

Adding Telephone and Text Support to an Obesity Management Program Improves Behavioral Adherence and Clinical Outcomes. A Randomized Controlled Crossover Trial

verfasst von: Emily Lewis, Hsin-Chia Carol Huang, Peter Hassmén, Marijke Welvaert, Kate L. Pumpa

Erschienen in: International Journal of Behavioral Medicine | Ausgabe 6/2019

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Abstract

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.

Method

This 8-month randomized controlled crossover trial recruited 61 adults with class III obesity (BMI > 40 kg/m2) 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.

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.

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.
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Metadaten
Titel
Adding Telephone and Text Support to an Obesity Management Program Improves Behavioral Adherence and Clinical Outcomes. A Randomized Controlled Crossover Trial
verfasst von
Emily Lewis
Hsin-Chia Carol Huang
Peter Hassmén
Marijke Welvaert
Kate L. Pumpa
Publikationsdatum
11.09.2019
Verlag
Springer US
Erschienen in
International Journal of Behavioral Medicine / Ausgabe 6/2019
Print ISSN: 1070-5503
Elektronische ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-019-09815-1

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