Cited by 105Mobile Health and mHealth ApplicationsObesity, Physical Activity, DietObesity and Health Practices

Group versus individual phone-based obesity treatment for rural women

Open access
Befort, Christie A., Donnelly, Joseph E., Sullivan, Debra K., Ellerbeck, Edward F., Perri, Michael G.·2010·Eating Behaviors

Abstract

Rural women have among the highest rates of obesity and sedentary lifestyle, yet few studies have examined strategies for delivering state-of-the-art obesity treatment to hard-to-reach rural areas. The purpose of this pilot trial was to examine the impact and cost-effectiveness of a 6-month behavioral weight loss program delivered to rural women by phone either one-on-one with a counselor or to a group via conference call. Thirty-four rural women (mean BMI=34.4, SD=4.6) were randomized to group phone-based treatment or individual phone-based treatment. Completers analysis showed that weight loss was greater in the group condition (mean=14.9 kg=, SD=4.4) compared to the individual condition (mean=9.5 kg, SD=5.2; p=.03). Among the total sample, 62% of participants in the group condition achieved the 10% weight loss goal compared to 50% in the individual condition, and group treatment was found to be more cost-effective. Future research is warranted to examine the benefits of group phone-based treatment for long-term management of obesity among rural populations.

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Crossref · 10.1016/j.eatbeh.2009.08.002

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  1. Bandura A 1986 Social foundation of thought and action: A social cognitive theory Englewood Cliffs, NJ Prentice Hall

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Authors
Befort, C. A., Donnelly, J. E., Sullivan, D. K., Ellerbeck, E. F., & Perri, M. G.
Affiliations
  • University of Kansas Medical Center (US)
  • University of Kansas (US)
  • University of Florida Health (US)
Corresponding author
Befort, Christie A.
Venue
Eating Behaviors
Publisher
Elsevier BV
Published
2010-01
Volume
11
Issue
1
Pages
11-17
ISSN
1471-0153 (ISSN-L)
OpenAlex
W2092317085
Cited by
105
References
49
Citations by year
2026: 1 · 2025: 4 · 2024: 5 · 2023: 11 · 2022: 1 · 2021: 7 · 2020: 4 · 2019: 6 · 2018: 10 · 2017: 7 · 2016: 7 · 2015: 6 · 2014: 8 · 2013: 9 · 2012: 7
FWCI
11.50
Type
journal article
Language
en
Open access
Locations
  • Eating Behaviors (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute on Aging (P30AG028740)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD052027)
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 › Health Professions › Pharmacy › Obesity and Health Practices
Keywords
obesity treatment, rural women, telephone-delivered intervention, group counseling, individual counseling, conference calls, behavioral weight loss program, weight loss, cost-effectiveness, sedentary lifestyle, hard-to-reach populations
MeSH terms
Adult, Analysis of Variance, Behavior Therapy, Counseling, Female, Humans, Middle Aged, Obesity, Patient Education as Topic, Pilot Projects, Psychotherapy, Group, Rural Population, Telephone, Weight Loss, Exercise, Body Mass Index, Treatment Outcome, Sedentary Behavior

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