Critical review and meta-analysis of multicomponent behavioral e-health interventions for weight loss.

Podină, Ioana R.; Fodor, Liviu A.

doi:10.1037/hea0000623

Cited by 27 publications

(16 citation statements)

References 89 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A total of 6 reviews that reported results for digital interventions for diet and physical activity to no intervention or minimal intervention controls all agreed that digital interventions were more effective [ 66 , 67 , 69 , 70 , 72 , 74 ]. Table 5 provides a summary of the results.…”

Section: Resultsmentioning

confidence: 99%

“…A narrative review of tailored internet interventions found that effect sizes ranged from very small to moderate [67]. This was supported by a meta-analysis that covered various digital interventions, which found small effect sizes favoring digital interventions for weight (g=0.34) and behavioral outcomes (g=0.17) [66].…”

Section: Effectiveness Of Digital Interventions On Diet and Physical Activity (Weight Loss) Compared With Nonactive Intervention Controlsmentioning

confidence: 93%

See 1 more Smart Citation

Effectiveness of Digital Interventions for Reducing Behavioral Risks of Cardiovascular Disease in Nonclinical Adult Populations: Systematic Review of Reviews

Gold¹,

Yau²,

Rigby³

et al. 2021

J Med Internet Res

View full text Add to dashboard Cite

Background Digital health interventions are increasingly being used as a supplement or replacement for face-to-face services as a part of predictive prevention. They may be offered to those who are at high risk of cardiovascular disease and need to improve their diet, increase physical activity, stop smoking, or reduce alcohol consumption. Despite the popularity of these interventions, there is no overall summary and comparison of the effectiveness of different modes of delivery of a digital intervention to inform policy. Objective This review aims to summarize the effectiveness of digital interventions in improving behavioral and health outcomes related to physical activity, smoking, alcohol consumption, or diet in nonclinical adult populations and to identify the effectiveness of different modes of delivery of digital interventions. Methods We reviewed articles published in the English language between January 1, 2009, and February 25, 2019, that presented a systematic review with a narrative synthesis or meta-analysis of any study design examining digital intervention effectiveness; data related to adults (≥18 years) in high-income countries; and data on behavioral or health outcomes related to diet, physical activity, smoking, or alcohol, alone or in any combination. Any time frame or comparator was considered eligible. We searched MEDLINE, Embase, PsycINFO, Cochrane Reviews, and gray literature. The AMSTAR-2 tool was used to assess review confidence ratings. Results We found 92 reviews from the academic literature (47 with meta-analyses) and 2 gray literature items (1 with a meta-analysis). Digital interventions were typically more effective than no intervention, but the effect sizes were small. Evidence on the effectiveness of digital interventions compared with face-to-face interventions was mixed. Most trials reported that intent-to-treat analysis and attrition rates were often high. Studies with long follow-up periods were scarce. However, we found that digital interventions may be effective for up to 6 months after the end of the intervention but that the effects dissipated by 12 months. There were small positive effects of digital interventions on smoking cessation and alcohol reduction; possible effectiveness in combined diet and physical activity interventions; no effectiveness for interventions targeting physical activity alone, except for when interventions were delivered by mobile phone, which had medium-sized effects; and no effectiveness observed for interventions targeting diet alone. Mobile interventions were particularly effective. Internet-based interventions were generally effective. Conclusions Digital interventions have small positive effects on smoking, alcohol consumption, and in interventions that target a combination of diet and physical activity. Small effects may have been due to the low efficacy of treatment or due to nonadherence. In addition, our ability to make inferences from the literature we reviewed was limited as those interventions were heterogeneous, many reviews had critically low AMSTAR-2 ratings, analysis was typically intent-to-treat, and follow-up times were relatively short. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42019126074; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=126074.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Effectiveness Of Digital Interventions On Diet and Physical Activity (Weight Loss) Compared With Nonactive Intervention Controlsmentioning

confidence: 93%

Effectiveness of Digital Interventions for Reducing Behavioral Risks of Cardiovascular Disease in Nonclinical Adult Populations: Systematic Review of Reviews

Gold¹,

Yau²,

Rigby³

et al. 2021

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…Digital health approaches have flourished in the past decade. As found in numerous reviews, interventions using technology-based modalities (17)(18)(19), including SMS (20), apps (21,22), wearables (23,24), and websites (25), often produce weight loss similar to or less than that of in-person interventions but better than that of control arms; however, these reviews did not focus on self-monitoring. The seminal review that examined self-monitoring by Burke et al included studies published up to 2009 and found that greater engagement in selfmonitoring is associated with greater weight loss (26).…”

Section: Clinical Trials and Investigationsmentioning

confidence: 99%

Self‐Monitoring via Digital Health in Weight Loss Interventions: A Systematic Review Among Adults with Overweight or Obesity

Patel

Wakayama

Bennett

2021

Obesity

View full text Add to dashboard Cite

Objective: Self-monitoring is a core component of behavioral obesity treatment, but it is unknown how digital health has been used for selfmonitoring, what engagement rates are achieved in these interventions, and how self-monitoring and weight loss are related. Methods: This systematic review examined digital self-monitoring in behavioral weight loss interventions among adults with overweight or obesity. Six databases (PubMed, Embase, Scopus, PsycInfo, CINAHL, and ProQuest Dissertations & Theses) were searched for randomized controlled trials with interventions ≥ 12 weeks, weight outcomes ≥ 6 months, and outcomes on self-monitoring engagement and their relationship to weight loss. Results: Thirty-nine studies from 2009 to 2019 met inclusion criteria. Among the 67 interventions with digital self-monitoring, weight was tracked in 72% of them, diet in 81%, and physical activity in 82%. Websites were the most common self-monitoring modality, followed by mobile applications, wearables, electronic scales, and, finally, text messaging. Few interventions had digital self-monitoring engagement rates ≥ 75% of days. Rates were higher in digital-than in paper-based arms in 21 out of 34 comparisons and lower in just 2. Interventions with counseling had similar rates to standalone interventions. Greater digital self-monitoring was linked to weight loss in 74% of occurrences. Conclusions: Self-monitoring via digital health is consistently associated with weight loss in behavioral obesity treatment.

show abstract

“…Výsledkem je aktivnější redukce tělesné hmotnosti. Telemedicína s možností uchováváním dat, analýzou a jejich sdílením je velmi vhodnou možností, jak razantně snížit náklady na diagnostiku a léčbu tohoto chronického onemocnění (17,18,19,20).…”

Section: Závěrunclassified

“…Při správném zavedení do praxe může telemedicína nabídnout mnoho výhod při poskytování zdravotní péče, omezit výdaje na zdravotní péči, poskytnout přístup ke zdravotnickým službám ve špatně dostupných či nedostupných oblastech, usnadnit spolupráci mezi zdravotníky a zajistit dostupnou kvalitní péči většímu počtu pacientů (18,20,21).…”

Section: Závěrunclassified

Telemedicine and Obesity Treatment

Urban¹,

Kádě²,

Pavlík³

et al. 2020

Mil. Med. Sci. Lett.

View full text Add to dashboard Cite

Telemedicína se rozvíjí v posledních dekádách 20. století a je založena na přenosu zvuku, obrazu a dat stále častěji za využití bezdrátových technologií. V obezitologii se objevuje v praxi od konce 20. století, kdy došlo nejen k rozvoji komunikačních technologií a objevily se první záznamy příjmu potravy přes počítačový software, ale především k velkému nárůstu počtu obézních pacientů. V České republice je v současné době více jak 60 % dospělé populace s diagnózou nadváhy nebo obezity. Telemedicína se uplatňuje především při sběru dat o energetickém příjmu, monitoringu pohybové aktivity, záznamu hladin glykémií a komunikaci mezi terapeutem a pacientem. Využití telemedicíny zvyšuje compliance i adherenci obézních pacientů k léčbě a zvyšuje také jejich motivaci. Telemedicína s možností uchovávání dat, sdílení dat a jejich analýzou je tak postupem, jak snížit náklady na diagnostiku a léčbu obezity.

show abstract

Critical review and meta-analysis of multicomponent behavioral e-health interventions for weight loss.

Abstract: Overall, the findings raise concerns regarding the current potential of multicomponent behavioral e-health interventions as first-line treatment for weight-loss. Other limitations and possible implications are discussed. (PsycINFO Database Record

Cited by 27 publications

References 89 publications

Effectiveness of Digital Interventions for Reducing Behavioral Risks of Cardiovascular Disease in Nonclinical Adult Populations: Systematic Review of Reviews

Effectiveness of Digital Interventions for Reducing Behavioral Risks of Cardiovascular Disease in Nonclinical Adult Populations: Systematic Review of Reviews

Self‐Monitoring via Digital Health in Weight Loss Interventions: A Systematic Review Among Adults with Overweight or Obesity

Telemedicine and Obesity Treatment

Contact Info

Product

Resources

About