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Cited by 88Mobile Health and mHealth ApplicationsObesity, Physical Activity, DietPhysical Activity and Health

Outcomes of a 12-Month Technology-Based Intervention to Promote Weight Loss in Adolescents at Risk for Type 2 Diabetes

Open access
Patrick, Kevin, Norman, Gregory J., Davila, Evelyn P., Calfas, Karen J., Raab, Fred, Gottschalk, Michael, Sallis, James F., Godbole, Suni +1 more·2013·Journal of Diabetes Science and Technology
DOI 10.1177/193229681300700322PMC PMC3869145
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Abstract

Background: Obese adolescents are at risk for type 2 diabetes mellitus (T2DM). Obesity interventions delivered through media, such as the web and text messages [short message service (SMS)] may be beneficial when targeting obese adolescents. Methods: A randomized controlled trial, Pace-Internet for Diabetes Prevention Intervention (PACEi-DP), compared three forms of an obesity intervention to usual care (UC): (a) website only (W); (b) website, monthly group sessions, and follow-up calls (WG); and (c) website and SMS (WSMS). Participants were overweight or obese adolescents at risk for T2DM ( n = 101; age 12–16 years; mean body mass index (BMI) percentile = 97.6; 74.3% Hispanic). In addition to the website, WSMS participants received SMS supporting intervention goals and behavioral strategies and communicated via SMS with a case manager. WG participants had additional group activities related to weight loss and received follow-up calls from a health coach. UC participants were given printed materials and encouraged to attend three initial group sessions. Repeated measures mixed model regression analyses tested treatment effects for anthropometric, behavioral, and behavioral change strategy outcomes. Results: There were no treatment effects for BMI, adiposity, physical activity, or diet at 12 months. Treatment effects were observed for sedentary behavior, with the W arm having a greater decrease in sedentary behavior (4.9 to 2.8 h/day) than the UC arm ( p = .006). Conclusion: Although not sufficient to produce weight loss, the combination of web intervention and group sessions with telephone follow-up yielded improvements in sedentary behavior and in the use of behavior change strategies expected to lead to behavior change.

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Authors
Patrick, K., Norman, G. J., Davila, E. P., Calfas, K. J., Raab, F., Gottschalk, M., Sallis, J. F., Godbole, S., & Covin, J. R.
Affiliations
University of California San Diego (US)
Corresponding author
Patrick, Kevin
ORCID
Venue
Journal of Diabetes Science and Technology
Publisher
SAGE Publications
Published
2013-05
Volume
7
Issue
3
Pages
759-770
ISSN
1932-2968 (ISSN-L)
DOI
10.1177/193229681300700322
PMC
PMC3869145
OpenAlex
W2142387221
Cited by
88
References
8
Citations by year
2026: 6 · 2025: 10 · 2024: 5 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 9 · 2019: 3 · 2018: 9 · 2017: 11 · 2016: 11 · 2015: 13 · 2014: 3
FWCI
16.30
Type
journal article
Language
en
Open access
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Journal of Diabetes Science and Technology (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Research Bank (Australian Catholic University) (submittedVersion)
Funders
  • National Institutes of Health (5r18dk064321-04)
  • National Institute of Diabetes and Digestive and Kidney Diseases (5 R18 DK064321)
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 › Medicine › Physiology › Physical Activity and Health
Keywords
adolescent obesity, type 2 diabetes prevention, weight loss interventions, online intervention, text messaging, sedentary behavior, behavior change strategies, group sessions, telephone follow-up, Latino youth
MeSH terms
Adolescent, Body Weight, Child, Diabetes Mellitus, Type 2, Feeding Behavior, Female, Humans, Male, Motor Activity, Psychotherapy, Group, Risk Factors, Weight Loss, Internet, Cell Phone, Text Messaging

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