Computer-assisted dieting: effects of a randomised controlled intervention
Abstract
In this pilot study, the effects of two computer-assisted dieting (CAD) interventions on weight loss and blood chemistry were examined among overweight and obese adults. Participants (91 community members, average age 42.6 years) were randomly assigned to CAD-only (a single-session introduction and provision of a dieting software, n = 30), CAD plus an additional four-session self-management group training (CAD+G, n = 31) and a waitlist control group whose members were randomised into the two interventions at the 3-month follow-up (n = 30). A three (group)-by-two (time) repeated measures ANOVA revealed no significant group by time interaction during the initial 3-month period. However, the two intervention groups combined showed a significant, though moderate weight loss relative to the control group. Further, although a general improvement was found with regard to the lipid panel results during the first 3 months of the trial, the treatment by time interaction was not significant. A comparison of the developments in the two intervention groups during the 3- to 6-month follow-up time period revealed a tendency towards greater weight regain in the CAD-only condition. The evidence suggests that CAD supports initial weight loss; however, additional self-management training might be necessary to support maintenance.
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Two of the studies comparing an interactive computer-based intervention with a minimal or no treatment control condition were three-arm trials, and both reported no significant difference between the two computer intervention arms.
“Two of the studies comparing an interactive computer-based intervention with a minimal or no treatment control condition (Schroder 2010; Wylie-Rosett 2001) were three-arm trials, in which a third treatment arm supplemented the computer-based intervention with an in-person treatment component. Both studies reported that there was not a significant difference between the two computer intervention ar”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Schroder 2010
When the sole quasi-randomized trial (Schroder 2010) was omitted, results were similar to the initial analysis (MD -2.8 kg, 95% CI -3.7 to -1.9, P < 0.00001; 339 participants; four trials), although heterogeneity remained moderate (I2 = 31%).
“When we omitted the sole quasi-randomized trial (Schroder 2010), which was also the only trial that included an ongoing in-support arm as one component of the computer intervention, results were again similar to the initial analysis (MD −2.8 kg (95% CI −3.7 to −1.9), P < 0.00001; 339 participants; four trials; Analysis 1.1: sensitivity analysis 1.1.2), although heterogeneity remained moderate (I2”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Schroder 2010
One trial (Schroder 2010) was a quasi-randomized controlled trial which assigned every third participant, hence investigators and participants could potentially have foreseen assignments and the review judged that allocation was not adequately concealed.
“One trial (Schroder 2010) was a quasi-randomized controlled trial which assigned every third participant, hence investigators and participants could potentially have foreseen assignments and we judged that allocation was not adequately concealed.”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Schroder 2010
Schroder 2010 replaced missing data points with pre-intervention scores.
“Schroder 2010 replaced missing data points with pre-intervention scores.”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Schroder 2010
Research team members were blind to the type of intervention assignments in the Schroder 2010 study.
“Research team members were blind to the type of intervention assignments in the Schroder 2010 study.”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Schroder 2010
When sensitivity analyses omitting the sole quasi-randomized trial (Schroder 2010) or the oldest randomized and the sole non-published trial (Threlfall 1984), or both, heterogeneity decreased but the results were consistent with the original analyses.
“When we conducted sensitivity analyses omitting the sole quasi-randomized trial (Schroder 2010) or the oldest randomized and the sole non-published trial (Threlfall 1984), or both, heterogeneity decreased but the results were consistent with the original analyses.”
From Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people (2012) · cites this paper as Schroder 2010
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- Authors
- Schroder, K. E. E.
- Venue
- Psychology & Health
- Publisher
- Informa UK Limited
- Published
- 2010-06
- Volume
- 25
- Issue
- 5
- Pages
- 519-534
- ISSN
- 0887-0446 (ISSN-L)
- 1476-8321
- OpenAlex
- W1972736141
- Cited by
- 17
- References
- 32
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 1 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 1 · 2013: 2 · 2012: 1
- FWCI
- 1.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychology and Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Utah State University
- 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 › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- weight loss, obesity, overweight adults, self-management education, weight regain, serum lipids, lipid profile, weight maintenance, community-based intervention
- MeSH terms
- Adult, Aged, Energy Intake, Computers, Diet, Reducing, Female, Follow-Up Studies, Humans, Male, Middle Aged, Obesity, Pilot Projects, Self Care, Socioeconomic Factors, Software, Therapy, Computer-Assisted, User-Computer Interface, Weight Loss, Single-Blind Method, Young Adult
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