The Effect of Electronic Self-Monitoring on Weight Loss and Dietary Intake: A Randomized Behavioral Weight Loss Trial

By L. Burke, M. Conroy, S. Sereika, O. Elci, Mindi A Styn, Sushama D Acharya, M. Sevick, L. Ewing, K. Glanz. Obesity, 2010

343 citations recorded by the source corpus.

Technology may improve self‐monitoring adherence and dietary changes in weight loss treatment. Our study aimed to investigate whether using a personal digital assistant (PDA) with dietary and exercise software, with and without a feedback message, compared to using a paper diary/record (PR), results in greater weight loss and improved self‐monitoring adherence. Healthy adults (N = 210) with a mean BMI of 34.01 kg/m2 were randomized to one of three self‐monitoring approaches: PR (n = 72), PDA with self‐monitoring software (n = 68), or PDA with self‐monitoring software and daily feedback messages (PDA+FB, n = 70). All participants received standard behavioral treatment. Self‐monitoring adherence and change in body weight, waist circumference, and diet were assessed at 6 months; retention was 91%. All participants had a significant weight loss (P < 0.01) but weight loss did not differ among groups. A higher proportion of PDA+FB participants (63%) achieved ≥5% weight loss in comparison to the PR group (46%) (P < 0.05) and PDA group (49%) (P = 0.09). Median percent self‐monitoring adherence over the 6 months was higher in the PDA groups (PDA 80%; PDA+FB 90%) than in the PR group (55%) (P < 0.01). Waist circumference decreased more in the PDA groups than the PR group (P = 0.02). Similarly, the PDA groups reduced energy and saturated fat intake more than the PR group (P < 0.05). Self‐monitoring adherence was greater in the PDA groups with the greatest weight change observed in the PDA+FB group.

Subfields: Applied Psychology, Clinical Psychology, General Health Professions

View Paper: https://www.semanticscholar.org/paper/ca654dd820946109b761a9593aa0753e76dd90df

How researchers see this paper

The researchers whose trusted networks rank it highest, strongest advocate first. Every researcher gets a different order.

In Applied Psychology

1. Lora E. Burke
2. Michelle Carter
3. M. Sevick
4. C. Nykjaer
5. J. Cade
6. V. Burley

In Clinical Psychology

1. L. Ewing

In General Health Professions

1. Lora E. Burke
2. Michelle Carter
3. M. Sevick
4. C. Nykjaer
5. K. Glanz
6. J. Cade
7. V. Burley

Citations in the corpus

• Adherence to a Smartphone Application for Weight Loss Compared to Website and Paper Diary: Pilot Randomized Controlled Trial (2013, background): “Although researchers have investigated dietary self-monitoring as an adjunct or follow-up to a behavioral weight loss intervention [44] or used a smartphone app to enhance adherence to another intervention [45], this pilot trial has taken a minimal contact approach with no dietary advice at baseline”
• Using mHealth Technology to Enhance Self-Monitoring for Weight Loss A Randomized Trial (2012, methodology): “The study design and methods for this 24-month RCT have been detailed elsewhere 17, 18 and thus are briefly reviewed here.”
• The Effectiveness of Mobile-Health Technology-Based Health Behaviour Change or Disease Management Interventions for Health Care Consumers: A Systematic Review (2013, neutral): “46 Burke 2010 [40] PDA plus feedback Body weight - change (.”