Sharon J Herring1, Jane F Cruice2, Gary G Bennett3, Adam Davey4, Gary D Foster5. 1. Department of Medicine, Center for Obesity Research and Education, Temple University, Philadelphia, PA; Department of Public Health, Temple University, Philadelphia, PA; Department of Obstetrics, Gynecology, and Reproductive Sciences, Temple University, Philadelphia, PA. Electronic address: Sharon.Herring@temple.edu. 2. Department of Medicine, Center for Obesity Research and Education, Temple University, Philadelphia, PA. 3. Department of Psychology and Neuroscience, Duke University, Durham, NC; Duke Obesity Prevention Program, Duke University, Durham, NC. 4. Department of Public Health, Temple University, Philadelphia, PA. 5. Department of Medicine, Center for Obesity Research and Education, Temple University, Philadelphia, PA; Department of Public Health, Temple University, Philadelphia, PA.
Abstract
OBJECTIVE: To examine the feasibility, acceptability, and initial efficacy of a technology-based weight loss intervention for urban, low-income mothers. METHODS:Eighteen obese, ethnic minority, socioeconomically disadvantaged mothers in the first year after childbirth were randomly assigned to either: 1) technology-based intervention, which included empirically supported behavior-change strategies, daily skills, and self-monitoring text messages with personalized feedback, biweekly counseling calls from a health coach, and access to a Facebook support group, or 2) usual-care control. RESULTS: After 14 weeks of treatment, the technology-based intervention participants had significantly greater weight loss (-2.9 ± 3.6 kg) than usual care (0.5 ± 2.3 kg; adjusted mean difference: -3.2 kg, 95% confidence interval -6.2 to -0.1 kg, P = .04). One-third of intervention participants (3 of 9) and no control participants lost > 5% of their initial body weight at follow up. CONCLUSIONS AND IMPLICATIONS: Results suggest the potential for using technology to deliver a postpartum weight loss intervention among low-income racial/ethnic minorities.
RCT Entities:
OBJECTIVE: To examine the feasibility, acceptability, and initial efficacy of a technology-based weight loss intervention for urban, low-income mothers. METHODS: Eighteen obese, ethnic minority, socioeconomically disadvantaged mothers in the first year after childbirth were randomly assigned to either: 1) technology-based intervention, which included empirically supported behavior-change strategies, daily skills, and self-monitoring text messages with personalized feedback, biweekly counseling calls from a health coach, and access to a Facebook support group, or 2) usual-care control. RESULTS: After 14 weeks of treatment, the technology-based intervention participants had significantly greater weight loss (-2.9 ± 3.6 kg) than usual care (0.5 ± 2.3 kg; adjusted mean difference: -3.2 kg, 95% confidence interval -6.2 to -0.1 kg, P = .04). One-third of intervention participants (3 of 9) and no control participants lost > 5% of their initial body weight at follow up. CONCLUSIONS AND IMPLICATIONS: Results suggest the potential for using technology to deliver a postpartum weight loss intervention among low-income racial/ethnic minorities.
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