Web-based weight management programs in an integrated health care setting: A randomized, controlled trial
Open accessAbstract
Objective: To assess the efficacy of a Web‐based tailored behavioral weight management program compared with Web‐based information‐only weight management materials. Research Methods and Procedures: Participants, 2862 eligible overweight and obese (BMI = 27 to 40 kg/m 2) members from four regions of Kaiser Permanente's integrated health care delivery system, were randomized to receive either a tailored expert system or information‐only Web‐based weight management materials. Weight change and program satisfaction were assessed by self‐report through an Internet‐based survey at 3‐ and 6‐month follow‐up periods. Results: Significantly greater weight loss at follow‐up was found among participants assigned to the tailored expert system than among those assigned to the information‐only condition. Subjects in the tailored expert system lost a mean of 3 ± 0.3% of their baseline weight, whereas subjects in the information‐only condition lost a mean of 1.2 ± 0.4% (p < 0.0004). Participants were also more likely to report that the tailored expert system was personally relevant, helpful, and easy to understand. Notably, 36% of enrollees were African‐American, with enrollment rates higher than the general proportion of African Americans in any of the study regions. Discussion: The results of this large, randomized control trial show the potential benefit of the Web‐based tailored expert system for weight management compared with a Web‐based information‐only weight management program.
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Web-based programs may be effective and cost-effective for promoting health and preventing disease in workers.
“To address this issue, there is now accumulating evidence that web-based programs can be effective (and cost-effective) approaches to workforce health promotion and disease prevention (Webb et al., 2010; Wantland et al., 2004; Rothert et al., 2006).”
From Reducing nurses' stress: A randomized controlled trial of a web-based stress management program for nurses (2016) · cites this paper as Rothert et al., 2006
Most Web-based interventions reach a limited group only, while aiming for a broad audience.
“On top of this, most interventions reach a limited group only, while aiming for a broad audience.”
From How to increase reach and adherence of web-based interventions: a design research viewpoint (2015) · cites this paper as [13]
Current Web-based interventions often reach higher-educated women.
“However, several researchers have shown that current Web-based interventions often reach higher-educated women, as seen in several studies [13-17]”
From How to increase reach and adherence of web-based interventions: a design research viewpoint (2015) · cites this paper as [13]
Recent evaluations of other Web-based weight management programs have produced positive findings, indicating that the positive results on dietary measures found in this study are congruent with other, perhaps similar, Web-based programs.
“recent evaluations of other Web-based weight management programs [26-28] have produced positive findings, indicating that the positive results on dietary measures found in this study are congruent with other, perhaps similar Web-based programs.”
Web-based programs containing questionable information or lacking accepted theoretical foundations are unlikely to be effective.
“Web-based programs containing questionable information or lacking accepted theoretical foundations are unlikely to be effective [28,29].”
The Balance program showed substantial effects in the dietary area: participants in the Balance program lost significantly more weight than participants in an information-only condition, and more Balance participants than information-only participants reported that the program was relevant, helpful, and easy to understand.
“Their program showed substantial effects in the dietary area, as participants in the Balance program lost significantly more weight than participants in an information-only condition, and more Balance participants than information-only participants reported that the program was relevant, helpful, and easy to understand.”
The Balance program studied by Rothert and associates appears to be quite similar to the Health Connection program, although more structured and focused specifically on weight loss among those with a body mass index above 27.
“the Balance program studied by Rothert and associates [28] appears to be quite similar to the Health Connection program, although more structured and focused specifically on weight loss among those with a body mass index above 27.”
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- Authors
- 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.
- Affiliations
- Kaiser Permanente (US)
- University of Michigan (US)
- Kaiser Permanente Center for Health Research (US)
- Corresponding author
- Roth, Mark A.
- Venue
- Obesity
- Publisher
- Wiley
- Published
- 2006-02
- Volume
- 14
- Issue
- 2
- Pages
- 266-272
- ISSN
- 1930-7381 (ISSN-L)
- 1930-739X
- OpenAlex
- W2030338482
- Cited by
- 181
- References
- 15
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 1 · 2023: 1 · 2022: 5 · 2021: 4 · 2020: 3 · 2019: 5 · 2018: 8 · 2017: 6 · 2016: 10 · 2015: 6 · 2014: 18 · 2013: 14 · 2012: 16
- FWCI
- 24.45
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Obesity (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Funders
- Kaiser Permanente
- Healthwise
- 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
- behavioral weight loss, overweight and obesity, Kaiser Permanente, integrated care delivery, program satisfaction, online intervention
- MeSH terms
- Adult, Age Factors, Analysis of Variance, Diet, Reducing, Female, Follow-Up Studies, Health Education, Health Promotion, Humans, Male, Middle Aged, Obesity, Time Factors, Weight Loss, Exercise, Treatment Outcome, Internet
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