Abstract
Objective
To compare the effectiveness of online delivery of a weight management program using
synchronous (real-time), distance-education technology to in-person delivery.
Methods
Synchronous, distance-education technology was used to conduct weekly sessions for
participants with a live instructor. Program effectiveness was indicated by changes
in weight, body mass index (BMI), waist circumference, and confidence in ability to
eat healthy and be physically active.
Results
Online class participants (n = 398) had significantly greater reductions in BMI, weight,
and waist circumference than in-person class participants (n = 1,313). Physical activity
confidence increased more for in-person than online class participants. There was
no difference for healthy eating confidence.
Conclusions and Implications
This project demonstrates the feasibility of using synchronous distance-education
technology to deliver a weight management program. Synchronous online delivery could
be employed with no loss to improvements in BMI, weight, and waist circumference.
Key Words
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References
- Prevalence and trends in obesity among US adults, 1999–2008.JAMA. 2010; 303: 235-241
- Excess deaths associated with underweight, overweight and obesity.JAMA. 2005; 293: 1861-1867
- Eat Smart, Move More, Weigh Less, a weight management program for adults – revision of curriculum based on first-year pilot.J Extension. 2011; 49: 6TOT9
- Effects of a behavior-based weight management program delivered through a state cooperative extension and local public health department network, North Carolina, 2008–2009.Prev Chronic Dis. 2011; 8: A81
- Delivering a behavior-change weight management program to teachers and state employees in North Carolina.Am J Health Promot. 2013; 27: 378-383
- Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people.Cochrane Database Syst Rev. 2012; 8: CD007675
- Web-based weight loss in primary care: a randomized controlled trial.Obesity (Silver Spring). 2010; 18: 308-313
- Effectiveness of web based interventions in achieving weight loss and weight loss maintenance in overweight and obese adults.Obes Rev. 2010; 11: 306-321
- A review of web based weight loss interventions in adults.Obes Rev. 2011; 12: e236-e243
- The effects of computers for weight loss: a systematic review and meta analysis of randomized trials.J Gen Intern Med. 2011; 27: 99-108
- Using Internet technology to deliver a behavioral weight loss program.JAMA. 2001; 285: 1172-1177
- The effectiveness of web based vs non-web based interventions: a meta analysis of behavioral change outcomes.J Med Internet Res. 2004; 6: e40
- Internet delivered behavioral obesity treatment.Prev Med. 2010; 51: 123-128
- Weight loss on the Web: a pilot study comparing a structured behavioral intervention to a commercial program.Obesity (Silver Spring). 2007; 15: 155-164
- Effect of web-based lifestyle modification on weight control: a meta-analysis.Int J Obes (Lond). 2012; 36: 675-685
- Effects of Internet behavioral counseling on weight loss in adults at risk for type 2 diabetes: a randomized trial.JAMA. 2003; 289: 1833-1836
- Technologically-assisted behaviour change: a systematic review of studies of novel technologies for the management of chronic disease.J Telemed Telecare. 2009; 15: 327-338
- American Heart Association Obesity Committee of the Council on Nutrition, Physical Activity and Metabolism, Council on Clinical Cardiology, Council on Cardiovascular Nursing, Council on the Kidney in Cardiovascular Disease, and Stroke Council. New and emerging weight management strategies for busy ambulatory settings. A scientific statement from the American Heart Association.Circulation. 2011; 124: 1182-1203
North Carolina State Health Plan for Teachers and State Employees. Welcome to the North Carolina State Health Plan. http://www.shpnc.org. Accessed December 19, 2013.
- Towards best practices in online learning and teaching in higher education.J Online Learn Teach. 2010; 6 (Accessed June 26, 2014)
US Department of Health and Human Services, Public Health Service, National Institutes of Health, National Heart, Lung, and Blood Institute. The Practical Guide – Identification, Evaluation, and Treatment of Overweight and Obesity in Adults (NIH Publication No. 00–4084; October 2000). http://www.nhlbi.nih.gov/guidelines/obesity/prctgd_c.pdf. Accessed June 26, 2014.
- Post-then-pre evaluation.J Extension. 1989; 27 (Accessed May 8, 2014)
- Comparison of a web-based vs in-person nutrition education program for low-income adults.J Acad Nutr Diet. 2013; 113: 120-126
- Undergrad and overweight: an online behavioral weight management program for college students.J Nutr Educ Behav. 2012; 44: 604-608
- Comparative effectiveness of a mindful eating intervention to a diabetes self-management intervention among adults with type 2 diabetes: a pilot study.J Acad Nutr Diet. 2012; 112: 1835-1842
- Which intervention characteristics are related to more exposure to Internet-delivered healthy lifestyle promotion interventions? A systematic review.J Med Internet Res. 2011; 13: e2
Article info
Publication history
Published online: July 19, 2014
Accepted:
June 2,
2014
Identification
Copyright
© 2014 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.
