Emily Lewis1,2, Hsin-Chia Carol Huang3,4, Peter Hassmén5,6, Marijke Welvaert5,7, Kate L Pumpa5,8. 1. University of Canberra Research Institute for Sport and Exercise, Canberra, Australia. Emily.Burgess@canberra.edu.au. 2. Canberra Health Services, Division of Medicine, Chronic Disease Management Unit, Obesity Management Service, Canberra, Australia. Emily.Burgess@canberra.edu.au. 3. Canberra Health Services, Division of Medicine, Chronic Disease Management Unit, Obesity Management Service, Canberra, Australia. 4. Medical School, College of Health and Medicine, Australian National University, Canberra, Australia. 5. University of Canberra Research Institute for Sport and Exercise, Canberra, Australia. 6. School of Health and Human Sciences, Southern Cross University, Lismore, Australia. 7. Innovation, Research and Development, Australian Institute of Sport, Canberra, Australia. 8. Discipline of Sport and Exercise Science, Faculty of Health, University of Canberra, Canberra, Australia.
Abstract
BACKGROUND: Behavioral treatment strategies improve adherence to lifestyle intervention for adults with obesity, but can be time and resource intensive when delivered via traditional face-to-face care. This study aimed to investigate the efficacy and optimal timing of using telephone calls and text message as adjunctive tools to support a community-based obesity management program. METHOD: This 8-month randomized controlled crossover trial recruited 61 adults with class III obesity (BMI > 40 kg/m2) enrolled in a publicly funded obesity management service (OMS). Participants were randomly assigned to receive telephone and text message support in addition to standard OMS care, or standard OMS care alone. After 4 months, participants crossed over to the alternative sequence. The technological support was based on self-determination theory. Outcome measures included diet, physical activity, anthropometry, self-efficacy, and treatment self-regulation. RESULTS:Telephone and text message support improved lifestyle intervention adherence and clinical outcomes when compared with standard care. Participants who received the intervention in the first 4-month period lost 4.87 kg, compared with no weight loss (+ 0.38 kg) in the standard care only group. There was no evidence to indicate an optimal timing of the intervention, with both groups achieving significant results by the end of the intervention. CONCLUSION: These results suggest a high degree of promise for the incorporation of telephone and text message support into community-based obesity management services. The findings have the potential to improve existing practices and reduce the burden on the health care system by demonstrating a resource-effective improvement to obesity management service delivery.
RCT Entities:
BACKGROUND: Behavioral treatment strategies improve adherence to lifestyle intervention for adults with obesity, but can be time and resource intensive when delivered via traditional face-to-face care. This study aimed to investigate the efficacy and optimal timing of using telephone calls and text message as adjunctive tools to support a community-based obesity management program. METHOD: This 8-month randomized controlled crossover trial recruited 61 adults with class III obesity (BMI > 40 kg/m2) enrolled in a publicly funded obesity management service (OMS). Participants were randomly assigned to receive telephone and text message support in addition to standard OMS care, or standard OMS care alone. After 4 months, participants crossed over to the alternative sequence. The technological support was based on self-determination theory. Outcome measures included diet, physical activity, anthropometry, self-efficacy, and treatment self-regulation. RESULTS: Telephone and text message support improved lifestyle intervention adherence and clinical outcomes when compared with standard care. Participants who received the intervention in the first 4-month period lost 4.87 kg, compared with no weight loss (+ 0.38 kg) in the standard care only group. There was no evidence to indicate an optimal timing of the intervention, with both groups achieving significant results by the end of the intervention. CONCLUSION: These results suggest a high degree of promise for the incorporation of telephone and text message support into community-based obesity management services. The findings have the potential to improve existing practices and reduce the burden on the health care system by demonstrating a resource-effective improvement to obesity management service delivery.
Authors: Qiuchen Yang; Ellen Siobhan Mitchell; Annabell S Ho; Laura DeLuca; Heather Behr; Andreas Michaelides Journal: Front Public Health Date: 2021-06-10