Associations of Internet Website Use With Weight Change in a Long-term Weight Loss Maintenance Program
Open accessAbstract
BACKGROUND: The Weight Loss Maintenance Trial (WLM) compared two long-term weight-maintenance interventions, a personal contact arm and an Internet arm, with a no-treatment control after an initial six-month Phase I weight loss program. The Internet arm focused on use of an interactive website for support of long-term weight maintenance. There is limited information about patterns of website use and specific components of an interactive website that might help promote maintenance of weight loss. OBJECTIVE: This paper presents a secondary analysis of the subset of participants in the Internet arm and focuses on website use patterns and features associated with long-term weight maintenance. METHODS: Adults at risk for cardiovascular disease (CVD) who lost at least 4 kilograms in an initial 20-week group-based, behavioral weight-loss program were trained to use an interactive website for weight loss maintenance. Of the 348 participants, 37% were male and 38% were African American. Mean weight loss was 8.6 kilograms. Participants were encouraged to log in at least weekly and enter a current weight for the 30-month study period. The website contained features that encouraged setting short-term goals, creating action plans, and reinforcing self-management habits. The website also included motivational modules, daily tips, and tailored messages. Based on log-in and weight-entry frequency, we divided participants into three website use categories: consistent, some, and minimal. RESULTS: Participants in the consistent user group (n = 212) were more likely to be older (P = .002), other than African American (P = .02), and more educated (P = .01). While there was no significant difference between website use categories in the amount of Phase I change in body weight (P = .45) or income (P = .78), minimal website users (n = 75) were significantly more likely to have attended fewer Phase I sessions (P = .001) and had a higher initial body mass index (BMI) (P < .001). After adjusting for baseline characteristics including initial BMI, variables most associated with less weight regain included: number of log-ins (P = .001), minutes on the website (P < .001), number of weight entries (P = .002), number of exercise entries (P < .001), and sessions with additional use of website features after weight entry (P = .002). CONCLUSION: Participants defined as consistent website users of an interactive behavioral website designed to promote maintenance of weight loss were more successful at maintaining long-term weight loss. TRIAL REGISTRATION: NCT00054925; http://clinicaltrials.gov/ct2/show/NCT00054925 (Archived by WebCite at http://www.webcitation.org/5rC7523ue).
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In the Weight Loss Maintenance Randomized Controlled Trial, improvement in maintenance at 30 months was associated with monthly personal contact with the program staff and regular use of an internet-based intervention.
“In the Weight Loss Maintenance Randomized Controlled Trial, 157 improvement in maintenance at 30 months was associated with monthly personal contact with the program staff and regular use of an internet-based intervention.158”
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- Authors
- Funk, K. L., Stevens, V. J., Appel, L. J., Bauck, A., Brantley, P. J., Champagne, C. M., Coughlin, J., Dalcin, A. T., Harvey-Berino, J., Hollis, J. F., Jerome, G. J., Kennedy, B. M., Lien, L. F., Myers, V. H., Samuel-Hodge, C., Svetkey, L. P., & Vollmer, W. M.
- Affiliations
- Kaiser Permanente Center for Health Research (US)
- Johns Hopkins University (US)
- Pennington Biomedical Research Center (US)
- Duke Medical Center (US)
- Corresponding author
- Funk, Kristine L
- ORCID
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2010-07-27
- Volume
- 12
- Issue
- 3
- Pages
- e29
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC2956327
- OpenAlex
- W2100057047
- Cited by
- 94
- References
- 28
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 1 · 2022: 2 · 2021: 5 · 2020: 8 · 2019: 2 · 2018: 9 · 2017: 9 · 2016: 4 · 2015: 8 · 2014: 15 · 2013: 7 · 2012: 12
- FWCI
- 13.06
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Heart, Lung, and Blood Institute (U01HL068790, HL068920, U01HL068920, HL068955, HL068676, U01HL068955, U01 HL68790, HL068734, U01HL068734, U01HL068676)
- 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 › Applied Psychology › Digital Mental Health Interventions
- Keywords
- weight loss maintenance, weight regain, behavioral weight loss, cardiovascular risk, self-management, message tailoring, exercise adherence, African American participants, body mass index
- MeSH terms
- Adult, Body Weight, Female, Health Promotion, Humans, Interpersonal Relations, Male, Middle Aged, Obesity, Physical Fitness, Self Care, Weight Gain, Weight Loss, Exercise, Body Mass Index, Patient Selection, Internet
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