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Internet delivered behavioral obesity treatment
Open accessAbstract
Objectives To evaluate the efficacy of an Internet behavioral weight loss program; and determine if adding periodic in-person sessions to an Internet intervention improves outcomes.Methods 481 healthy overweight adults (28% minority) were randomized to one of 3 delivery methods of a behavioral weight loss program with weekly meetings: Internet (n=161), InPerson (n=158), or Hybrid (Internet+InPerson, n=162). Outcome variables were weight at baseline and 6 months and percent of subjects achieving a 5 and 7% weight loss. The study took place in two centers in Vermont and Arkansas from 2003 to 2008.Results Conditions differed significantly in mean weight loss [8.0 (6.1) kg vs. 5.5 (5.6) kg vs. 6.0 (5.5) kg], for InPerson, Internet, and Hybrid respectively, p<0.01, n=462). Weight loss for InPerson was significantly greater than the Internet and Hybrid conditions (p<0.05). Although the proportion reaching a 5% weight loss did not differ, the proportion losing 7% did differ significantly (56.3% vs. 37.3% vs. 44.4% for InPerson, Internet, and Hybrid respectively, p<0.01).Conclusions These results demonstrate that the Internet is a viable alternative to in-person treatment for the delivery and dissemination of a behavioral weight-control intervention. The addition of periodic in-person sessions did not improve outcomes.
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“One weight loss study (Harvey-Berino 2010) compared an interactive computer-based intervention with an in-person intervention.”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Harvey-Berino 2010
In the citing paper
“Results were similar when percent weight change rather than kilograms change was the outcome (MD 2.2% (95% CI 0.9 to 3.5); P = 0.0007; 319 participants; Analysis 2.2; analysis 2.2.1)”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Harvey-Berino 2010
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“There was not a statistically significant difference between intervention groups in attendance or journal submission, and the authors did not test for associations between attendance or compliance and weight loss within intervention groups.”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Harvey-Berino 2010
In the citing paper
“When the interactive computer-based intervention group was compared to the hybrid intervention group, there was no statistically significant difference in weight loss (MD 0.2 kg (95% CI −1.0 to 1.4) P = 0.75; 323 participants; Analysis 2.1; analysis 2.1.2).”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Harvey-Berino 2010
In the citing paper
“At the completion of the six-month intervention, participants in the interactive computer-based intervention group lost less weight than the participants in the in-person intervention group (MD 2.1 kg (95% CI 95% CI 0.8 to 3.4) P = 0.002; 319 participants, one trial, Analysis 2.1; analysis 2.1.1).”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Harvey-Berino 2010
In the citing paper
“The Internet intervention cost EUR 288 per participant and led to a loss of 5.6% of body weight, while the in-person intervention in the same trial cost EUR 549 to deliver and led to an average weight loss of 8.2% (Harvey-Berino 2010; Krukowski 2010).”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Harvey-Berino 2010
In the citing paper
“and (MD 0.3% (95% CI −0.9 to 1.5); P = 0.63; 323 participants; Analysis 2.2; analysis 2.2.2)).”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Harvey-Berino 2010
In the citing paper
“The Internet intervention cost EUR 288 per participant and led to a loss of 5.6% of body weight, while the in-person intervention in the same trial cost EUR 549 to deliver and led to an average weight loss of 8.2% (Harvey-Berino 2010; Krukowski 2010).”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Harvey-Berino 2010
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2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults
Jensen, M. D., Ryan, D. H., Apovian, C. M., Ard, J. D., Comuzzie, A. G., Donato, K. A., Hu, F. B., Hubbard, V. S., Jakicic, J. M., Kushner, R. F., et al. (2014) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2013.11.004 · Cited by 4,058
Jensen, M. D., Ryan, D. H., Apovian, C. M., Ard, J. D., Comuzzie, A. G., Donato, K. A., Hu, F. B., Hubbard, V. S., Jakicic, J. M., Kushner, R. F., et al. (2014) · Circulation · doi:10.1161/01.cir.0000437739.71477.ee · Cited by 2,735
Mechanisms, Pathophysiology, and Management of Obesity
Heymsfield, S. B., & Wadden, T. A. (2017) · New England Journal of Medicine · doi:10.1056/nejmra1514009 · Cited by 1,867
Overweight and obesity: prevalence, consequences, and causes of a growing public health problem
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The science of obesity management: an endocrine society scientific statement
Bray, G. A., Heisel, W. E., Afshin, A., Jensen, M. D., Dietz, W. H., Long, M., Kushner, R. F., Daniels, S. R., Wadden, T. A., Tsai, A. G., et al. (2018) · Endocrine Reviews · doi:10.1210/er.2017-00253 · Cited by 812
Metadata
- Authors
- Harvey-Berino, J., West, D., Krukowski, R., Prewitt, E., VanBiervliet, A., Ashikaga, T., & Skelly, J.
- Affiliations
- University of Arkansas for Medical Sciences (US)
- University of Vermont (US)
- Venue
- Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2010-08
- Volume
- 51
- Issue
- 2
- Pages
- 123-128
- ISSN
- 0091-7435 (ISSN-L)
- PMC
- PMC3101104
- OpenAlex
- W2079266355
- Cited by
- 187
- References
- 37
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 4 · 2023: 3 · 2022: 9 · 2021: 13 · 2020: 12 · 2019: 10 · 2018: 14 · 2017: 10 · 2016: 14 · 2015: 17 · 2014: 22 · 2013: 20 · 2012: 17
- FWCI
- 16.47
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK056746)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- online intervention, behavioral weight loss, obesity treatment, overweight adults, hybrid intervention, weight loss outcomes
- MeSH terms
- Adult, Arkansas, Behavior Therapy, Diet, Reducing, Female, Humans, Male, Middle Aged, Motor Activity, Obesity, Psychotherapy, Group, Vermont, Weight Loss, Body Mass Index, Treatment Outcome, Internet
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