| Autor: |
Rothert, Kendra, Strecher, Victor J., Doyle, Laurie A., Caplan, William M., Joyce, Jodi S., Jimison, Holly B., Karm, Lya M., Mims, Adrienne D., Roth, Mark A. |
| Zdroj: |
Obesity; February 2006, Vol. 14 Issue: 2 p266-272, 7p |
| Abstrakt: |
AbstractObjective: To assess the efficacy of a Web-based tailored behavioral weight management program compared with Web-based information-only weight management materials.Research Methods and Procedures: Participants, 2862 eligible overweight and obese (BMI = 27 to 40 kg/m2) members from four regions of Kaiser Permanente’s integrated health care delivery system, were randomized to receive either a tailored expert system or information-only Web-based weight management materials. Weight change and program satisfaction were assessed by self-report through an Internet-based survey at 3- and 6-month follow-up periods.Results: Significantly greater weight loss at follow-up was found among participants assigned to the tailored expert system than among those assigned to the information-only condition. Subjects in the tailored expert system lost a mean of 3 ± 0.3% of their baseline weight, whereas subjects in the information-only condition lost a mean of 1.2 ± 0.4% (p < 0.0004). Participants were also more likely to report that the tailored expert system was personally relevant, helpful, and easy to understand. Notably, 36% of enrollees were African-American, with enrollment rates higher than the general proportion of African Americans in any of the study regions.Discussion: The results of this large, randomized control trial show the potential benefit of the Web-based tailored expert system for weight management compared with a Web-based information-only weight management program. |
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