The DOI matches its Crossref record; 49 of the 49 references it cites were found in a registry or an index.
Integrating Technology Into Standard Weight Loss Treatment: A Randomized Controlled Trial
Open accessAbstract
BACKGROUND: A challenge in intensive obesity treatment is making care scalable. Little is known about whether the outcome of physician-directed weight loss treatment can be improved by adding mobile technology. METHODS: We conducted a 2-arm, 12-month study (October 1, 2007, through September 31, 2010). Seventy adults (body mass index >25 and ≤40 [calculated as weight in kilograms divided by height in meters squared]) were randomly assigned either to standard-of-care group treatment alone (standard group) or to the standard and connective mobile technology system (+mobile group). Participants attended biweekly weight loss groups held by the Veterans Affairs outpatient clinic. The +mobile group was provided personal digital assistants to self-monitor diet and physical activity; they also received biweekly coaching calls for 6 months. Weight was measured at baseline and at 3-, 6-, 9-, and 12-month follow-up. RESULTS: Sixty-nine adults received intervention (mean age, 57.7 years; 85.5% were men). A longitudinal intent-to-treat analysis indicated that the +mobile group lost a mean of 3.9 kg more (representing 3.1% more weight loss relative to the control group; 95% CI, 2.2-5.5 kg) than the standard group at each postbaseline time point. Compared with the standard group, the +mobile group had significantly greater odds of having lost 5% or more of their baseline weight at each postbaseline time point (odds ratio, 6.5; 95% CI, 2.5-18.6). CONCLUSIONS: The addition of a personal digital assistant and telephone coaching can enhance short-term weight loss in combination with an existing system of care. Mobile connective technology holds promise as a scalable mechanism for augmenting the effect of physician-directed weight loss treatment. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00371462.
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Electronic self-monitoring tools have led to better adherence to self-monitoring in BWL than paper-and-pencil tracking.
“Electronic self-monitoring tools, as compared to paper-and-pencil tracking, have produced increased adherence to self-monitoring within BWL”
From Associations Between Self-Monitoring and Weight Change in Behavioral Weight Loss Interventions (2019) · cites this paper as Spring et al., 2013
The Intervention (Weight Loss) Phase describes PDA self-monitoring and coaching, but does not compare self-monitoring adherence with paper-and-pencil tracking. The Results section reports weight loss and MOVE! session attendance, not that adherence comparison; searches for self-monitoring adherence and paper-and-pencil recording found no such result in our copy. (LLM, conf=0.76)
Experimental — accuracy not yet measuredRemote coaching by telephone, e-mail, or text to help users implement the intervention can be effective even without clinician referral or endorsement.
“However, remote (telephone, e-mail, or text) coaching to help the user implement the intervention can also be effective, 67 even without the referral or endorsement of a clinician.”
From Understanding and Promoting Effective Engagement With Digital Behavior Change Interventions (2016) · cites this paper as [67]
Only a tiny fraction of computer programs, applications, sensors, and online communities have undergone testing for efficacy or harms.
“Providers will want to become informed about these new technologies, particularly because only a tiny fraction of them have undergone testing for efficacy or harms.66–68”
From Better Population Health Through Behavior Change in Adults: A Call to Action (2013) · cites this paper as [67]
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Self-citation
Metadata
- Authors
- Spring, B., Duncan, J. M., Janke, E. A., Kozak, A. T., McFadden, H. G., DeMott, A., Pictor, A., Epstein, L. H., Siddique, J., Pellegrini, C. A., Buscemi, J., & Hedeker, D.
- Affiliations
- Northwestern University (US)
- University of the Sciences (US)
- Oakland University (US)
- University at Buffalo, State University of New York (US)
- University of Illinois Chicago (US)
- Corresponding author
- Spring, Bonnie
- ORCID
- Venue
- JAMA Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2013-01-28
- Volume
- 173
- Issue
- 2
- Pages
- 105
- ISSN
- 2168-6106 (ISSN-L)
- PMC
- PMC3684245
- OpenAlex
- W2024216767
- Cited by
- 234
- References
- 49
- Citations by year
- 2026: 9 · 2025: 10 · 2024: 12 · 2023: 13 · 2022: 10 · 2021: 15 · 2020: 18 · 2019: 21 · 2018: 15 · 2017: 19 · 2016: 27 · 2015: 18 · 2014: 30 · 2013: 13
- FWCI
- 35.79
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- JAMA Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (1k07ca154862-01, UL1TR000150)
- National Heart, Lung, and Blood Institute (R01HL075451, HL075451)
- National Cancer Institute (K07-CA154862)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK092949)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Keywords
- obesity treatment, weight loss, mobile health, personal digital assistants, telephone coaching, self-monitoring, veterans
- MeSH terms
- Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Obesity, Technology, Telephone, Weight Loss, Computers, Handheld, Weight Reduction Programs
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