Efficacy of Web-Based Weight Loss Maintenance Programs: A Randomized Controlled Trial Comparing Standard Features Versus the Addition of Enhanced Personalized Feedback over 12 Months
Few randomized controlled trials (RCT) have evaluated the efficacy of web-based programs targeting maintenance of lost weight. The aims of this study were to evaluate two versions of a commercially available web-based weight loss maintenance (WLM) program and examine whether the provision of enhance...
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| Format: | Article |
| Language: | English |
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MDPI AG
2017-11-01
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| Series: | Behavioral Sciences |
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| Online Access: | https://www.mdpi.com/2076-328X/7/4/76 |
| _version_ | 1818291892222164992 |
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| author | Clare E. Collins Philip J. Morgan Melinda J. Hutchesson Christopher Oldmeadow Daniel Barker Robin Callister |
| author_facet | Clare E. Collins Philip J. Morgan Melinda J. Hutchesson Christopher Oldmeadow Daniel Barker Robin Callister |
| author_sort | Clare E. Collins |
| collection | DOAJ |
| description | Few randomized controlled trials (RCT) have evaluated the efficacy of web-based programs targeting maintenance of lost weight. The aims of this study were to evaluate two versions of a commercially available web-based weight loss maintenance (WLM) program and examine whether the provision of enhanced feedback was associated with better WLM. The study was an assessor-blinded RCT of change in body mass index (BMI) over 12 months WLM. Participants were 227 adults (44% male, 42.3 ± 10.1 years, BMI 30.4 ± 4.1 kg/m2) randomized to either a basic (Basic WLM) or enhanced program with additional support (Enhanced WLM). Analysis was intention-to-treat with imputation using last observation carried forward. There was no significant weight rebound from the start of weight loss maintenance to 12 months for either group (mean: basic 1.3%, enhanced 1.5%) and limited change in secondary outcomes for either program. There were no significant between-group differences in the primary outcome of change in BMI (basic −0.5 (1.9) kg/m2, enhanced −0.5 (1.6) kg/m2, p = 0.93). In conclusion, a web-based WLM program was effective in preventing weight regain over one year following weight loss. However, the addition of personalized e-feedback provided limited additional benefits compared to a standard program. Given the potential reach of web-based approaches, further research examining which web-based program components optimize weight outcomes long-term is required. |
| first_indexed | 2024-12-13T02:51:17Z |
| format | Article |
| id | doaj.art-3982f1b12b814b52b5f61777fff13e60 |
| institution | Directory Open Access Journal |
| issn | 2076-328X |
| language | English |
| last_indexed | 2024-12-13T02:51:17Z |
| publishDate | 2017-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Behavioral Sciences |
| spelling | doaj.art-3982f1b12b814b52b5f61777fff13e602022-12-22T00:02:04ZengMDPI AGBehavioral Sciences2076-328X2017-11-01747610.3390/bs7040076bs7040076Efficacy of Web-Based Weight Loss Maintenance Programs: A Randomized Controlled Trial Comparing Standard Features Versus the Addition of Enhanced Personalized Feedback over 12 MonthsClare E. Collins0Philip J. Morgan1Melinda J. Hutchesson2Christopher Oldmeadow3Daniel Barker4Robin Callister5Nutrition and Dietetics, School of Health Sciences, Faculty of Health and Medicine, The University of Newcastle, Callaghan, NSW 2308, AustraliaPriority Research Centre in Physical Activity and Nutrition, The University of Newcastle, Callaghan, NSW 2308, AustraliaNutrition and Dietetics, School of Health Sciences, Faculty of Health and Medicine, The University of Newcastle, Callaghan, NSW 2308, AustraliaClinical Research Design, IT and Statistical Support Unit, Hunter Medical Research Institute, Level 3 Pod, HMRI building Lot 1, Kookaburra Circuit, New Lambton Heights, NSW 2305, AustraliaClinical Research Design, IT and Statistical Support Unit, Hunter Medical Research Institute, Level 3 Pod, HMRI building Lot 1, Kookaburra Circuit, New Lambton Heights, NSW 2305, AustraliaPriority Research Centre in Physical Activity and Nutrition, The University of Newcastle, Callaghan, NSW 2308, AustraliaFew randomized controlled trials (RCT) have evaluated the efficacy of web-based programs targeting maintenance of lost weight. The aims of this study were to evaluate two versions of a commercially available web-based weight loss maintenance (WLM) program and examine whether the provision of enhanced feedback was associated with better WLM. The study was an assessor-blinded RCT of change in body mass index (BMI) over 12 months WLM. Participants were 227 adults (44% male, 42.3 ± 10.1 years, BMI 30.4 ± 4.1 kg/m2) randomized to either a basic (Basic WLM) or enhanced program with additional support (Enhanced WLM). Analysis was intention-to-treat with imputation using last observation carried forward. There was no significant weight rebound from the start of weight loss maintenance to 12 months for either group (mean: basic 1.3%, enhanced 1.5%) and limited change in secondary outcomes for either program. There were no significant between-group differences in the primary outcome of change in BMI (basic −0.5 (1.9) kg/m2, enhanced −0.5 (1.6) kg/m2, p = 0.93). In conclusion, a web-based WLM program was effective in preventing weight regain over one year following weight loss. However, the addition of personalized e-feedback provided limited additional benefits compared to a standard program. Given the potential reach of web-based approaches, further research examining which web-based program components optimize weight outcomes long-term is required.https://www.mdpi.com/2076-328X/7/4/76interventionweight lossweb-basedrandomized controlled trialcalorie restrictioneHealth |
| spellingShingle | Clare E. Collins Philip J. Morgan Melinda J. Hutchesson Christopher Oldmeadow Daniel Barker Robin Callister Efficacy of Web-Based Weight Loss Maintenance Programs: A Randomized Controlled Trial Comparing Standard Features Versus the Addition of Enhanced Personalized Feedback over 12 Months Behavioral Sciences intervention weight loss web-based randomized controlled trial calorie restriction eHealth |
| title | Efficacy of Web-Based Weight Loss Maintenance Programs: A Randomized Controlled Trial Comparing Standard Features Versus the Addition of Enhanced Personalized Feedback over 12 Months |
| title_full | Efficacy of Web-Based Weight Loss Maintenance Programs: A Randomized Controlled Trial Comparing Standard Features Versus the Addition of Enhanced Personalized Feedback over 12 Months |
| title_fullStr | Efficacy of Web-Based Weight Loss Maintenance Programs: A Randomized Controlled Trial Comparing Standard Features Versus the Addition of Enhanced Personalized Feedback over 12 Months |
| title_full_unstemmed | Efficacy of Web-Based Weight Loss Maintenance Programs: A Randomized Controlled Trial Comparing Standard Features Versus the Addition of Enhanced Personalized Feedback over 12 Months |
| title_short | Efficacy of Web-Based Weight Loss Maintenance Programs: A Randomized Controlled Trial Comparing Standard Features Versus the Addition of Enhanced Personalized Feedback over 12 Months |
| title_sort | efficacy of web based weight loss maintenance programs a randomized controlled trial comparing standard features versus the addition of enhanced personalized feedback over 12 months |
| topic | intervention weight loss web-based randomized controlled trial calorie restriction eHealth |
| url | https://www.mdpi.com/2076-328X/7/4/76 |
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