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Cited by 55Mobile Health and mHealth ApplicationsObesity, Physical Activity, DietDigital Mental Health Interventions

Short message service reduces dropout in childhood obesity treatment: A randomized controlled trial

de Niet, Judith, Timman, Reinier, Bauer, Stephanie, van den Akker, Erica, de Klerk, Cora, Kordy, Hans, Passchier, Jan·2012·Health Psychology
DOI 10.1037/a0027498
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Abstract

OBJECTIVE: Lifestyle programs can reduce the level of overweight in children; however, maintenance results and adherence to treatment are difficult to achieve. New technologies, such as the Short Message Service (SMS), might be a promising tool for enhancing interventions. The effect of an SMS approach aimed at improving treatment results and reducing dropout rates in a pediatric lifestyle intervention, is explored. METHOD: Overweight and obese children (N = 141; age 7-12 years) participating in a lifestyle program were randomly assigned to an intervention group receiving an SMS Maintenance Treatment (SMSMT) for 38 weeks (n = 73) or to a control group receiving no SMSMT (n = 68). Children were asked to send weekly self-monitoring data on exercise, eating behavior, and emotional well-being. In return, they received tailored feedback messages. A differential decrease in BMI was analyzed with repeated measures ANOVA and dropout with logistic regression analysis. RESULTS: We found no significant difference in BMI decrease between the two groups after 12 months; however, we showed that the SMSMT group had 3.25 times less probability of dropping out after 1 year (p = .01) than controls. In the first 3 months of SMSMT, the SMSMT completers sent 0.80 SMSs per week, which reduced to 0.50 SMSs in the final 3 months. Younger children sent more SMSs (p = .03). CONCLUSIONS: These results indicate that SMSMT is effective in reducing dropout rates from a pediatric lifestyle intervention. Future research should examine the effectiveness of SMSMT on weight management and related psychosocial variables.

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Crossref · 10.1037/a0027498

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  • The addition of SMS may aid in the effectiveness of lifestyle interventions, as has been shown in the general population, although results are inconclusive.

    “Furthermore, the addition of Short Message Service (SMS) may aid in the effectiveness of lifestyle interventions, as has been shown in the general population, although results are inconclusive (de Niet et al., 2012;Shaw and Bosworth, 2012;Okorodudu et al., 2015;Zwickert et al., 2016).”

    From Improvements in PCOS characteristics and phenotype severity during a randomized controlled lifestyle intervention (2021) · cites this paper as de Niet et al., 2012

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Related

Authors
de Niet, J., Timman, R., Bauer, S., van den Akker, E., de Klerk, C., Kordy, H., & Passchier, J.
Affiliations
  • Erasmus MC (NL)
  • University Hospital Heidelberg (DE)
ORCID
Venue
Health Psychology
Publisher
American Psychological Association (APA)
Published
2012-11
Volume
31
Issue
6
Pages
797-805
ISSN
  • 0278-6133 (ISSN-L)
  • 1930-7810
DOI
10.1037/a0027498
OpenAlex
W2088085398
Cited by
55
References
40
Citations by year
2024: 2 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 8 · 2019: 3 · 2018: 5 · 2017: 7 · 2016: 3 · 2015: 10 · 2014: 6 · 2013: 4 · 2012: 1
FWCI
11.93
Type
journal article
Language
en
Open access
closed
Locations
  • Health Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • VU Research Portal (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
  • VU Research Portal (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Funders
  • Erasmus MC, Rotterdam (2006–26)
  • Innovation Fund Insurances (06–334)
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
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Keywords
short message service, childhood obesity, overweight children, treatment discontinuation, lifestyle intervention, maintenance therapy, self-monitoring, personalized feedback, mobile health, BMI reduction, medication adherence
MeSH terms
Child, Female, Follow-Up Studies, Humans, Male, Obesity, Patient Dropouts, Body Mass Index, Treatment Outcome, Text Messaging

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