A randomized comparison of two motivationally enhanced Internet behavioral weight loss programs
Abstract
Purpose Sixty-six women participated in this study, which compared two 16-week motivationally enhanced weight loss interventions. Both intervention groups, which are entitled "Minimal" and "Enhanced" throughout the description that follows, received a motivationally enhanced initial face-to-face weight loss session. The initial session was followed by a 16-week Internet behavioral weight loss program, which included a study website with weekly lessons, an online self-monitoring diary form, web links to related sites, and separate message boards. The Enhanced group also received weekly moderated online chat group sessions led using motivational techniques.Results Both groups lost weight over time (p<0.001), however the group by time interaction was non-significant (p=0.19). The Minimal group lost 5.22+/-4.72 kg and the Enhanced group lost 3.71+/-4.46 kg. In the Enhanced group, online chat session attendance averaged 8.0 of the 16 chats offered. Greater program utilization was associated with greater weight loss in both groups.Conclusions The addition of weekly motivationally enhanced online chats did not increase weight loss in this study. Further research is needed on the type and frequency of group support that is most desirable and beneficial in Internet weight loss interventions and could also explore building motivation for program utilization.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Logins were found to be positively associated with outcome in studies targeting food and vegetable consumption, physical activity, and weight management.
“Using the previously described rating system, logins were found to be positively associated with outcome in studies targeting food and vegetable consumption [32], physical activity [33-37], and weight management [38-40].”
From A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies (2011) · cites this paper as [40]
The number of self-reported activities completed was found to correlate with outcomes in interventions that targeted cigarette smoking, weight management, and body dissatisfaction.
“The number of self-reported activities completed (eg, completing a diary, engaging in online tests, or making forum posts) was found to correlate with outcomes in interventions that targeted cigarette smoking [42], weight management [39,40], and body dissatisfaction [43,44].”
From A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies (2011) · cites this paper as [40]
For participants involved in trials targeting weight changes as an outcome, all measures of adherence were correlated with outcomes.
“For participants involved in trials targeting weight changes as an outcome [38-40], all measures of adherence were correlated with outcomes.”
From A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies (2011) · cites this paper as [40]
Greater usage of weight-loss study components has been shown to lead to improved weight losses.
“Greater usage of weight-loss study components has been shown to lead to improved weight losses [37].”
From Tweets, Apps, and Pods: Results of the 6-Month Mobile Pounds Off Digitally (Mobile POD) Randomized Weight-Loss Intervention Among Adults (2011) · cites this paper as [37]
Cites
Motivational interviewing: preparing people for change.
Miller, W. R., & Rollnick, S. (2002) · Cited by 7,002 · see citing works
Trumbo, P., Schlicker, S., Yates, A. A., & Poos, M. (2002) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(02)90346-9 · Cited by 5,993 · see citing works
Motivational Interviewing: Preparing People for Change, 2nd ed.
Miller, W., & Rollnick, S. (2003) · Journal For Healthcare Quality · doi:10.1097/01445442-200305000-00013 · Cited by 2,634 · see citing works
A DATA-BASED APPROACH TO DIET QUESTIONNAIRE DESIGN AND TESTING
Block, G., Hartman, A. M., DRESSER, C. M., Carroll, M. D., Gannon, J. G., & Gardner, L. B. (1986) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a114416 · Cited by 2,150 · see citing works
PHYSICAL ACTIVITY AS AN INDEX OF HEART ATTACK RISK IN COLLEGE ALUMNI1
PAFFENBARGER, R. S., WING, A. L., & HYDE, R. T. (1978) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a112608 · Cited by 1,980 · see citing works
The Diabetes Prevention Program (DPP)
The Diabetes Prevention Program (DPP) Research Group (2002) · Diabetes Care · doi:10.2337/diacare.25.12.2165 · Cited by 1,938 · see citing works
Self-Efficacy and the Stages of Exercise Behavior Change
Marcus, B. H., Selby, V. C., NIAURA, R. S., & Rossi, J. S. (1992) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.1992.10607557 · Cited by 1,861 · see citing works
Motivational predictors of weight loss and weight-loss maintenance.
Williams, G. C., Grow, V. M., Freedman, Z. R., Ryan, R. M., & Deci, E. L. (1996) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.70.1.115 · Cited by 1,610 · see citing works
The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials
Burke, B. L., Arkowitz, H., & Menchola, M. (2003) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.71.5.843 · Cited by 1,575 · see citing works
Motivational predictors of weight loss and weight-loss maintenance.
Williams, G. C., Grow, V. M., Freedman, Z. R., et al. (1996) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.70.1.115 · Cited by 1,171 · see citing works
Using Internet technology to deliver a behavioral weight loss program
Tate, D. F. (2001) · JAMA · doi:10.1001/jama.285.9.1172 · Cited by 925 · see citing works
Self-citationA self-regulation program for maintenance of weight loss
Wing, R. R., Tate, D. F., Gorin, A. A., Raynor, H. A., & Fava, J. L. (2006) · New England Journal of Medicine · doi:10.1056/nejmoa061883 · Cited by 830 · see citing works
Self-citationRyan, R. M., Plant, R., & O'Malley, S. (1995) · Addictive Behaviours · doi:10.1016/0306-4603(94)00072-7 · Cited by 709 · see citing works
Self-efficacy in weight management.
Clark, M. M., Abrams, D. B., NIAURA, R. S., Eaton, C. A., & al, E. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.59.5.739 · Cited by 693 · see citing works
Tate, D. F., Jackvony, E. H., & Wing, R. R. (2003) · JAMA · doi:10.1001/jama.289.14.1833 · Cited by 666 · see citing works
Self-citationWeight Gain Continues in the 1990s: 10-year Trends in Weight and Overweight from the CARDIA Study
Lewis, C. E., Jacobs, D. R., McCreath, H., Kiefe, C. I., Schreiner, P. J., Smith, D. E., & Williams, O. D. (2000) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a010167 · Cited by 468 · see citing works
PAR-Q, Canadian Home Fitness Test and Exercise Screening Alternatives
Shephard, R. J. (1988) · Sports Medicine · doi:10.2165/00007256-198805030-00005 · Cited by 455 · see citing works
Tate, D. F., Jackvony, E. H., & Wing, R. R. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.15.1620 · Cited by 427 · see citing works
Self-citationMotivational Interviewing Improves Weight Loss in Women With Type 2 Diabetes
West, D. S., DiLillo, V. G., Bursac, Z., Gore, S. A., & Greene, P. G. (2007) · Diabetes Care · doi:10.2337/dc06-1966 · Cited by 398 · see citing works
Smith, D. E., Heckemeyer, C. M., Kratt, P. P., & Mason, D. A. (1997) · Diabetes Care · doi:10.2337/diacare.20.1.52 · Cited by 359 · see citing works
Behavioral Treatment of Obesity
Wadden, T. A., & Foster, G. D. (2000) · Medical Clinics of North America · doi:10.1016/s0025-7125(05)70230-3 · Cited by 309 · see citing works
Effect of internet support on the long-term maintenance of weight loss
Harvey‐Berino, J., Pintauro, S., Buzzell, P., & Gold, E. C. (2004) · Obesity Research · doi:10.1038/oby.2004.40 · Cited by 283 · see citing works
Identifying the Energy Gap: Magnitude and Determinants of 5‐Year Weight Gain in Midage Women
Brown, W. J., Williams, L. T., Ford, J. H., Ball, K., & Dobson, A. J. (2005) · Obesity Research · doi:10.1038/oby.2005.173 · Cited by 252 · see citing works
A Randomized Controlled Trial of a Commercial Internet Weight Loss Program
Womble, L. G., Wadden, T. A., McGuckin, B. G., Sargent, S. L., Rothman, R. A., & Krauthamer‐Ewing, E. S. (2004) · Obesity Research · doi:10.1038/oby.2004.124 · Cited by 247 · see citing works
Gold, B. C., Burke, S., Pintauro, S., Buzzell, P., & Harvey‐Berino, J. (2007) · Obesity · doi:10.1038/oby.2007.520 · Cited by 212 · see citing works
Presenting the Facts About Smoking to Adolescents
Williams, G. C., Cox, E., Kouides, R. W., & Deci, E. L. (1999) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.153.9.959 · Cited by 207 · see citing works
Exercise Motivation, Eating, and Body Image Variables as Predictors of Weight Control
TEIXEIRA, P. J., GOING, S. B., HOUTKOOPER, L. B., CUSSLER, E. C., METCALFE, L. L., BLEW, R. M., SARDINHA, L. B., & LOHMAN, T. G. (2006) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000180906.10445.8d · Cited by 200 · see citing works
Using motivational interviewing as a supplement to obesity treatment: A stepped-care approach.
Carels, R. A., Darby, L., Cacciapaglia, H. M., Konrad, K., Coit, C., Harper, J., Kaplar, M. E., Young, K., Baylen, C. A., & Versland, A. (2007) · Health Psychology · doi:10.1037/0278-6133.26.3.369 · Cited by 199 · see citing works
Does using the Internet facilitate the maintenance of weight loss?
Harvey-Berino, J., Pintauro, S., Buzzell, P., DiGiulio, M., Casey Gold, B., Moldovan, C., & Ramirez, E. (2002) · International Journal of Obesity · doi:10.1038/sj.ijo.0802051 · Cited by 197 · see citing works
Rothert, K., Strecher, V. J., Doyle, L. A., Caplan, W. M., Joyce, J. S., Jimison, H. B., Karm, L. M., Mims, A. D., & Roth, M. A. (2006) · Obesity · doi:10.1038/oby.2006.34 · Cited by 181 · see citing works
Predicting short-term weight loss using four leading health behavior change theories
Palmeira, A. L., Teixeira, P. J., Branco, T. L., Martins, S. S., Minderico, C. S., Barata, J. T., Serpa, S. O., & Sardinha, L. B. (2007) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-4-14 · Cited by 167 · see citing works
Pretreatment motivational enhancement therapy for eating disorders: A pilot study
Feld, R., Woodside, D. B., Kaplan, A. S., Olmsted, M. P., & Carter, J. C. (2001) · International Journal of Eating Disorders · doi:10.1002/eat.1035 · Cited by 158 · see citing works
Innovative techniques to address retention in a behavioral weight-loss trial
Goldberg, J. H., & Kiernan, M. (2004) · Health Education Research · doi:10.1093/her/cyg139 · Cited by 151 · see citing works
The impact of Internet use for weight loss
Saperstein, S. L., Atkinson, N. L., & Gold, R. S. (2007) · Obesity Reviews · doi:10.1111/j.1467-789x.2007.00374.x · Cited by 143 · see citing works
The Feasibility of Using Internet Support for the Maintenance of Weight Loss
Harvey-Berino, J., Pintauro, S. J., & Gold, E. C. (2002) · Behavior Modification · doi:10.1177/0145445502026001006 · Cited by 135 · see citing works
Motivational Interviewing and Diet Modification: A Review of the Evidence
Vanwormer, J. J., & Boucher, J. (2004) · The diabetes educator · doi:10.1177/014572170403000309 · Cited by 132 · see citing works
Motivational interviewing: a review
Britt, E., Blampied, N. M., & Hudson, S. M. (2003) · Australian Psychologist · doi:10.1080/00050060310001707207 · Cited by 121 · see citing works
Who will lose weight? A reexamination of predictors of weight loss in women
Teixeira, P. J., Palmeira, A. L., Branco, T. L., Martins, S. S., Minderico, C. S., Themudo-Barata, J. L., Silva, A. M., & Sardinha, L. B. (2004) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-1-12 · Cited by 116 · see citing works
Results of an Adjunct Dietary Intervention Program in the Women's Health Initiative
Bowen, D. J., Ehret, C. C., Pedersen, M., Snetselaar, L., JOHNSON, M., Tinker, L. F., Hollinger, D., LICHTY, I., Bland, K., SIVERTSEN, D., et al. (2002) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(02)90347-0 · Cited by 111 · see citing works
Noonan, W. C., & Moyers, T. B. (1997) · Journal of Substance Misuse · doi:10.3109/14659899709084610 · Cited by 106 · see citing works
An analysis of "Par-Q" responses in an office population.
Shephard, R. J., Cox, M. H., & Simper, K. (1981) · PubMed · Cited by 61 · see citing works
Motivational Interviewing in Internet Groups: A Pilot Study for Weight Loss
Webber, K., Tate, D. F., & Quintiliani, L. M. (2008) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2008.03.005 · Cited by 55 · see citing works
Self-citationBEHAVIORAL THERAPY FOR OBESITY
Williamson, D. A., & Perrin, L. A. (1996) · Endocrinology and Metabolism Clinics of North America · doi:10.1016/s0889-8529(05)70363-7 · Cited by 47 · see citing works
A Low-Intensity Intervention to Prevent Annual Weight Gain in Active Duty Air Force Members
Robbins, A. S., Chao, S. Y., Baumgartner, N., Runyan, C. N., Oordt, M. S., & Fonseca, V. P. (2006) · Military Medicine · doi:10.7205/milmed.171.6.556 · Cited by 23 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies
Donkin, L., Christensen, H., Naismith, S. L., Neal, B., Hickie, I. B., & Glozier, N. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1772 · Cited by 876 · see citing works
Brouwer, W., Kroeze, W., Crutzen, R., de Nooijer, J., de Vries, N. K., Brug, J., & Oenema, A. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1639 · Cited by 455 · see citing works
Turner-McGrievy, G., & Tate, D. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1841 · Cited by 263 · see citing works
Self-citationA Review of Efficacious Technology-Based Weight-Loss Interventions: Five Key Components
Khaylis, A., Yiaslas, T., Bergstrom, J., & Gore-Felton, C. (2010) · Telemedicine and e-Health · doi:10.1089/tmj.2010.0065 · Cited by 218 · see citing works
Wieland, L. S., Falzon, L., Sciamanna, C. N., Trudeau, K. J., Brodney Folse, S., Schwartz, J. E., & Davidson, K. W. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007675.pub2 · Cited by 195 · see citing works
Christie, D., & Channon, S. (2014) · Diabetes, Obesity and Metabolism · doi:10.1111/dom.12195 · Cited by 180 · see citing works
Neve, M. J., Collins, C. E., & Morgan, P. J. (2010) · Journal of Medical Internet Research · doi:10.2196/jmir.1640 · Cited by 137 · see citing works
Beishuizen, C. R., Stephan, B. C., van Gool, W. A., Brayne, C., Peters, R. J., Andrieu, S., Kivipelto, M., Soininen, H., Busschers, W. B., Moll van Charante, E. P., et al. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5218 · Cited by 128 · see citing works
Hu, C., Kung, S., Rummans, T. A., Clark, M. M., & Lapid, M. I. (2015) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2014-002817 · Cited by 113 · see citing works
Rao, G., Burke, L. E., Spring, B. J., Ewing, L. J., Turk, M., Lichtenstein, A. H., Cornier, M.-A., Spence, J. D., Coons, M., & on behalf of the American Heart Association Obesity Committee of the Council on Nutrition, P. A. A. M. (2011) · Circulation · doi:10.1161/cir.0b013e31822b9543 · Cited by 90 · see citing works
Directive and nondirective e-coach support for weight loss in overweight adults
Gabriele, J. M., Carpenter, B. D., Tate, D. F., & Fisher, E. B. (2011) · Annals of Behavioral Medicine · doi:10.1007/s12160-010-9240-2 · Cited by 77 · see citing works
Self-citationMattila, E., Lappalainen, R., Välkkynen, P., Sairanen, E., Lappalainen, P., Karhunen, L., Peuhkuri, K., Korpela, R., Kolehmainen, M., & Ermes, M. (2016) · JMIR mhealth and uhealth · doi:10.2196/mhealth.5241 · Cited by 67 · see citing works
Short message service reduces dropout in childhood obesity treatment: A randomized controlled trial
de Niet, J., Timman, R., Bauer, S., van den Akker, E., de Klerk, C., Kordy, H., & Passchier, J. (2012) · Health Psychology · doi:10.1037/a0027498 · Cited by 55 · see citing works
Strategies to reduce attrition in weight loss interventions: A systematic review and meta‐analysis
Pirotta, S., Joham, A., Hochberg, L., Moran, L., Lim, S., Hindle, A., & Brennan, L. (2019) · Obesity Reviews · doi:10.1111/obr.12914 · Cited by 45 · see citing works
Webber, K. H., Gabriele, J. M., Tate, D. F., & Dignan, M. B. (2010) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-7-4 · Cited by 50 · see citing works
Self-citationForman, E. M., Berry, M. P., Butryn, M. L., Hagerman, C. J., Huang, Z., Juarascio, A. S., LaFata, E. M., Ontañón, S., Tilford, J. M., & Zhang, F. (2023) · Contemporary Clinical Trials · doi:10.1016/j.cct.2022.107029 · Cited by 24 · see citing works
- Authors
- Webber, K. H., Tate, D. F., & Michael Bowling, J.
- Affiliations
- University of Kentucky (US)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Webber, Kelly H.
- ORCID
- Tate, Deborah F.
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2008-09
- Volume
- 46
- Issue
- 9
- Pages
- 1090-1095
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2012461951
- Cited by
- 82
- References
- 44
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 1 · 2020: 1 · 2019: 4 · 2018: 10 · 2017: 4 · 2016: 5 · 2015: 4 · 2014: 10 · 2013: 6 · 2012: 6
- FWCI
- 16.06
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- weight loss, behavioral weight loss, motivation, self-monitoring, program utilization, women
- MeSH terms
- Adult, Aged, Behavior Therapy, Diet, Reducing, Female, Humans, Middle Aged, Motivation, Professional-Patient Relations, Self-Help Groups, Internet
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
