An addiction model-based mobile health weight loss intervention in adolescents with obesity
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Summary Background Clinical approaches to treating childhood obesity can be expensive and poorly reimbursed, and often produce suboptimal results. It has been theorized that overeating may have addictive qualities, and a sizable number of adolescents with obesity endorse addictive habits. Interestingly, few weight management interventions have tested techniques founded in addiction medicine principles. We therefore performed a pilot study of an addiction model based mHealth weight loss intervention in adolescents. Methods Adolescents with obesity were recruited from an multidisciplinary weight management clinic (EMPOWER). Adolescents without significant obesity comorbidities, who exhibited signs of addictive eating, based on the Yale Food Addiction Scale, were enrolled in a pilot study of an interactive, addiction‐based, weight loss smartphone app with coaching ( http://clinicaltrials.gov : NCT02689154). The app was designed to help subjects omit problem foods, avoid snacking and reduce meal size. A contemporary cohort of adolescents who completed the EMPOWER program were evaluated. Feasibility of recruitment, adherence, retention rates, BMI change and cost of intervention were examined. Results Eighteen participants were recruited to app intervention. App participants had higher retention (100% vs. 37%) and lower total cost per patient ($855.15 vs. $1428.00) than the EMPOWER clinic participants. App participants exhibited a significant decrease in zBMI and %BMIp95 over the 6 months (p < 0.001 and p = 0.001), which was comparable to the age‐matched EMPOWER program completers (p = 0.31 and p = 0.06). Conclusions An addiction medicine‐based mHealth intervention targeted for adolescents was feasible to implement, resulted in high retention and adherence rates, and reduced zBMI and %BMIp95 in a more cost‐effective manner than an in‐clinic intervention.
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Among adolescents with obesity (n = 18), an FA-informed mobile health (app) intervention reduced zBMI in a more cost-effective manner than the in-clinic intervention.
“Among adolescents with obesity (n = 18), an FA-informed mobile health (app) intervention reduced zBMI in a more cost-effective manner than the in-clinic intervention, and there is currently an RCT underway in a larger sample using this approach [229,230].”
From Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint (2020) · cites this paper as [230]
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Stasinaki, A., Büchter, D., Shih, C.-H. I., Heldt, K., Güsewell, S., Brogle, B., Farpour-Lambert, N., Kowatsch, T., & l’Allemand, D. (2021) · Figshare · doi:10.6084/m9.figshare.14945024
Stasinaki, A., Büchter, D., Shih, C.-H. I., Heldt, K., Güsewell, S., Brogle, B., Farpour-Lambert, N., Kowatsch, T., & l’Allemand, D. (2021) · Figshare · doi:10.6084/m9.figshare.14945021
Stasinaki, A., Büchter, D., Shih, C.-H. I., Heldt, K., Güsewell, S., Brogle, B., Farpour-Lambert, N., Kowatsch, T., & l’Allemand, D. (2021) · Figshare · doi:10.6084/m9.figshare.14945039
Stasinaki, A., Büchter, D., Shih, C.-H. I., Heldt, K., Güsewell, S., Brogle, B., Farpour-Lambert, N., Kowatsch, T., & l’Allemand, D. (2021) · Figshare · doi:10.6084/m9.figshare.14945042
Stasinaki, A., Büchter, D., Shih, C.-H. I., Heldt, K., Güsewell, S., Brogle, B., Farpour-Lambert, N., Kowatsch, T., & l’Allemand, D. (2021) · Figshare · doi:10.6084/m9.figshare.14945015
Amato, A., Baldassano, S., & Musumeci, G. (2026) · Obesities · doi:10.3390/obesities6020019
- Authors
- Vidmar, A. P., Pretlow, R., Borzutzky, C., Wee, C. P., Fox, D. S., Fink, C., & Mittelman, S. D.
- Affiliations
- University of Southern California (US)
- eHealth International, Inc. Seattle WA USA
- Saban Research Institute (US)
- Corresponding author
- Vidmar, A. P.
- Venue
- Pediatric Obesity
- Publisher
- Wiley
- Published
- 2018-08-16
- Volume
- 14
- Issue
- 2
- Pages
- e12464-e12464
- ISSN
- 2047-6302 (ISSN-L)
- 2047-6310
- PMC
- PMC6338524
- OpenAlex
- W2885201868
- Cited by
- 76
- References
- 27
- Citations by year
- 2026: 1 · 2025: 10 · 2024: 10 · 2023: 7 · 2022: 9 · 2021: 26 · 2020: 10 · 2019: 3
- FWCI
- 14.76
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Pediatric Obesity (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by-nc-nd)
- Funders
- NIH/NCRR SC-CTSI (UL1 TR000130)
- Children's Hospital of Los Angeles Biostatistics Core
- eHealth International, Inc.
- 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 › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- adolescent obesity, addiction models, food addiction, mobile health intervention, mobile application, weight loss, Yale Food Addiction Scale, intervention feasibility, cost-effectiveness, BMI reduction
- MeSH terms
- Food Addiction, Treatment Adherence and Compliance, Adolescent, Child, Costs and Cost Analysis, Feasibility Studies, Female, Food, Humans, Pilot Projects, Retrospective Studies, Weight Loss, Body Mass Index, Telemedicine, Weight Reduction Programs, Mobile Applications, Pediatric Obesity
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