Enhancing group‐based internet obesity treatment: A pilot RCT comparing video and text‐based chat

Summary Objective Internet delivery of behavioural weight control interventions offers potential for broad geographic reach and accessibility, but weight losses online fall short of those produced with the same programme delivered in‐person. This pilot study examined feasibility and preliminary effi...

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Main Authors: Delia S. West, M. Stansbury, R. A. Krukowski, J. Harvey
Format: Article
Language:English
Published: Wiley 2019-12-01
Series:Obesity Science & Practice
Subjects:
Online Access:https://doi.org/10.1002/osp4.371
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author Delia S. West
M. Stansbury
R. A. Krukowski
J. Harvey
author_facet Delia S. West
M. Stansbury
R. A. Krukowski
J. Harvey
author_sort Delia S. West
collection DOAJ
description Summary Objective Internet delivery of behavioural weight control interventions offers potential for broad geographic reach and accessibility, but weight losses online fall short of those produced with the same programme delivered in‐person. This pilot study examined feasibility and preliminary efficacy of a video‐based platform for delivering weekly chat as part of a 6‐month, 24‐session online group behavioural weight control programme compared with the established text‐based format, which has produced the best online weight losses to date. Method Women with obesity (N = 32) were randomized to either (a) weekly video group chat sessions and provided with a cellular‐enabled scale (Video) or (b) Text‐based weekly chat sessions and given a digital scale (Text) and followed for 6 months to determine weight loss and treatment engagement. Results Women randomized to the ideo condition lost more weight than those in the Text condition (−5.0 ± 6.0% vs. −3.0 ± 4.1%, respectively) at 6 months, although the difference was not statistically significant. However, women in the Video condition had significantly greater treatment engagement, with greater self‐monitoring and website utilization than those in the Text condition. Conclusions Videoconference delivery of group‐based online weight control accompanied by a cellular‐connected scale may promote greater treatment engagement and weight loss than text‐based chat. A larger, adequately powered study is warranted to determine which elements drive these enhanced treatment outcomes.
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spelling doaj.art-fca13c257a0c46fb91ba6fd17ad659222022-12-22T00:58:49ZengWileyObesity Science & Practice2055-22382019-12-015651352010.1002/osp4.371Enhancing group‐based internet obesity treatment: A pilot RCT comparing video and text‐based chatDelia S. West0M. Stansbury1R. A. Krukowski2J. Harvey3Arnold School of Public Health University of South Carolina Columbia South CarolinaArnold School of Public Health University of South Carolina Columbia South CarolinaHealth Sciences Center University of Tennessee Memphis TNDepartment of Nutrition and Food Sciences University of Vermont Burlington VTSummary Objective Internet delivery of behavioural weight control interventions offers potential for broad geographic reach and accessibility, but weight losses online fall short of those produced with the same programme delivered in‐person. This pilot study examined feasibility and preliminary efficacy of a video‐based platform for delivering weekly chat as part of a 6‐month, 24‐session online group behavioural weight control programme compared with the established text‐based format, which has produced the best online weight losses to date. Method Women with obesity (N = 32) were randomized to either (a) weekly video group chat sessions and provided with a cellular‐enabled scale (Video) or (b) Text‐based weekly chat sessions and given a digital scale (Text) and followed for 6 months to determine weight loss and treatment engagement. Results Women randomized to the ideo condition lost more weight than those in the Text condition (−5.0 ± 6.0% vs. −3.0 ± 4.1%, respectively) at 6 months, although the difference was not statistically significant. However, women in the Video condition had significantly greater treatment engagement, with greater self‐monitoring and website utilization than those in the Text condition. Conclusions Videoconference delivery of group‐based online weight control accompanied by a cellular‐connected scale may promote greater treatment engagement and weight loss than text‐based chat. A larger, adequately powered study is warranted to determine which elements drive these enhanced treatment outcomes.https://doi.org/10.1002/osp4.371behavioural weight controlonlinevideoconferencingweight loss
spellingShingle Delia S. West
M. Stansbury
R. A. Krukowski
J. Harvey
Enhancing group‐based internet obesity treatment: A pilot RCT comparing video and text‐based chat
Obesity Science & Practice
behavioural weight control
online
videoconferencing
weight loss
title Enhancing group‐based internet obesity treatment: A pilot RCT comparing video and text‐based chat
title_full Enhancing group‐based internet obesity treatment: A pilot RCT comparing video and text‐based chat
title_fullStr Enhancing group‐based internet obesity treatment: A pilot RCT comparing video and text‐based chat
title_full_unstemmed Enhancing group‐based internet obesity treatment: A pilot RCT comparing video and text‐based chat
title_short Enhancing group‐based internet obesity treatment: A pilot RCT comparing video and text‐based chat
title_sort enhancing group based internet obesity treatment a pilot rct comparing video and text based chat
topic behavioural weight control
online
videoconferencing
weight loss
url https://doi.org/10.1002/osp4.371
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AT mstansbury enhancinggroupbasedinternetobesitytreatmentapilotrctcomparingvideoandtextbasedchat
AT rakrukowski enhancinggroupbasedinternetobesitytreatmentapilotrctcomparingvideoandtextbasedchat
AT jharvey enhancinggroupbasedinternetobesitytreatmentapilotrctcomparingvideoandtextbasedchat