Weight Loss on the Web: A Pilot Study Comparing a Structured Behavioral Intervention to a Commercial Program
Open accessAbstract
Objective: Internet weight loss programs have become widely available as alternatives to standard treatment, but few data are available on their efficacy. This study aimed to investigate the effectiveness of a structured behavioral weight loss website (VTrim) vs. a commercial weight loss website (eDiets.com). Research Methods and Procedures: A randomized, controlled trial was conducted from February 2003 to March 2005, in 124 overweight and obese subjects ages 18 years and older with a BMI of 25 to 39.9 kg/m 2 (mean age, 47 ± 9 years; BMI, 32 ± 3 kg/m 2; 20% men). Analyses were performed for the 88 subjects who had complete follow‐up data. Participants were randomly assigned to 12‐month VTrim (n = 62) or eDiets.com (n = 62) intervention. VTrim participants had access to a therapist‐led structured behavioral weight loss program delivered on‐line. eDiets.com subjects had access to a self‐help commercial on‐line weight loss program. Body weight, social support, and use of website components were measured at 0, 6, and 12 months. Results: Repeated‐measures analyses showed that the VTrim group lost significantly more weight than the eDiets.com group at 6 months (8.3 ± 7.9 kg vs. 4.1 ± 6.2 kg; p = 0.004) and maintained a greater loss at 12 months (7.8 ± 7.5 kg vs. 3.4 ± 5.8 kg; p = 0.002). More participants in the VTrim group maintained a 5% weight loss goal (65% vs. 37.5%; p = 0.01) at 12 months. Discussion: An on‐line, therapist‐led structured behavioral weight loss website produced greater weight loss than a self‐help commercial website. Because commercial sites have great potential public health impact, future research should investigate the feasibility of incorporating a more structured behavioral program into a commercial application.
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Adding friends/social support, home exercise equipment, aerobic or strength training, Internet counselor access, stepped care, or motivational interviewing to group-based weight-loss programs produced improvements in all groups, with only small between-group differences in energy and fat intake or physical activity.
“The studies found improvements in all groups, with small between-group differences in energy and fat consumption or PA changes”
Three studies showed that combining an Internet program with E-counseling produced greater weight loss than the Internet program alone.
“Three studies demonstrated that the combination of an Internet program (eg, weekly reporting and graphs of weight, recipes, and weight loss tips) plus E-counseling (eg, automated praise or feedback) resulted in greater weight loss than use of the Internet program alone.36,57,122”
Long-term (12-month) reductions in weight and waist circumference in the experimental group were equal to or greater than those previously reported from minimal-contact or minimal-advice programmes and from more labour-intensive Internet-based programmes.
“Long-term (12-month) reductions in weight and waist circumference in the experimental group were equal to or greater than those previously reported from minimalcontact or minimal-advice programmes (15-19) and from more labour-intensive Internet-based programmes (1,3-7) .”
From Weight loss by mobile phone: a 1-year effectiveness study (2009) · cites this paper as [3]
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- Authors
- Gold, B. C., Burke, S., Pintauro, S., Buzzell, P., & Harvey‐Berino, J.
- Affiliations
- University of Vermont (US)
- Corresponding author
- Harvey‐Berino, Jean
- ORCID
- Pintauro, Stephen
- Venue
- Obesity
- Publisher
- Wiley
- Published
- 2007-01
- Volume
- 15
- Issue
- 1
- Pages
- 155-155
- ISSN
- 1930-7381 (ISSN-L)
- 1930-739X
- OpenAlex
- W2039297699
- Cited by
- 212
- References
- 28
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 4 · 2021: 4 · 2020: 4 · 2019: 12 · 2018: 13 · 2017: 14 · 2016: 6 · 2015: 16 · 2014: 19 · 2013: 21 · 2012: 21
- FWCI
- 15.48
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Obesity (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Agriculture
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Pharmacology › Pharmacology and Obesity Treatment
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- behavioral weight loss, overweight and obesity, weight loss maintenance, social support, internet use
- MeSH terms
- Analysis of Variance, Behavior Therapy, Diet, Reducing, Female, Humans, Male, Middle Aged, Obesity, Patient Education as Topic, Pilot Projects, Social Support, Weight Loss, Treatment Outcome, Self Efficacy, Internet
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