A systematic review with meta‐analyses of text message‐delivered behaviour change interventions for weight loss and weight loss maintenance

Skinner, Rebecca R.; Gonet, Veronica; Currie, Sinéad; Hoddinott, Pat; Dombrowski, Stephan U

doi:10.1111/obr.12999

Cited by 36 publications

(40 citation statements)

References 43 publications

(152 reference statements)

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“…Individuals from disadvantaged groups may be less likely to participate in programs where the intervention or research procedures are burdensome [49]. Whilst some interventions targeted at men use physical activity and the appeal of sports settings [22,50], remotely delivered individual interventions can be effective [51], less burdensome and may be more inclusive of men that do not wish to or are unable to attend groups, participate in physical activity or who are not sports fans.…”

Section: Discussionmentioning

confidence: 99%

Recruiting men from across the socioeconomic spectrum via GP registers and community outreach to a weight management feasibility randomised controlled trial

McDonald

Dombrowski

Skinner

et al. 2020

BMC Med Res Methodol

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Background Men, particularly those living in disadvantaged areas, are less likely to participate in weight management programmes than women despite similar levels of excess weight. Little is known about how best to recruit men to weight management interventions. This paper describes patient and public involvement in pre-trial decisions relevant to recruitment and aims to report on recruitment to the subsequent men-only weight management feasibility trial, including the: i) acceptability and feasibility of recruitment; and ii) baseline sample characteristics by recruitment strategy. Methods Men with BMI ≥30 kg/m2 and/or waist circumference ≥ 40 in. were recruited to the feasibility trial via two strategies; community outreach (venue information stands and word of mouth) and GP letters, targeting disadvantaged areas. Recruitment activities (e.g. letters sent, researcher venue hours) were recorded systematically, and baseline characteristics questionnaire data collated. Qualitative interviews (n = 50) were conducted three months post-recruitment. Analyses and reporting followed a complementary mixed methods approach. Results 105 men were recruited within four months (community n = 60, GP letter n = 45). Community outreach took 2.3 recruiter hours per participant and GP letters had an opt-in rate of 10.2% (n = 90/879). More men were interested than could be accommodated. Most participants (60%) lived in more disadvantaged areas. Compared to community outreach, men recruited via GP letters were older (mean = 57 vs 48 years); more likely to report an obesity-related co-morbidity (87% vs 44%); and less educated (no formal qualifications, 32% vs 10%, degree educated 11% vs 41%). Recruitment strategies were acceptable, a sensitive approach and trusting relationships with recruiters valued, and the ‘catchy’ study name drew attention. Conclusions Targeted community outreach and GP letters were acceptable strategies that successfully recruited participants to a men-only weight management feasibility trial. Both strategies engaged men from disadvantaged areas, a typically underserved population. Using two recruitment strategies produced samples with different health risk profiles, which could add value to research where either primary or secondary prevention is of interest. Further work is required to examine how these strategies could be implemented and sustained in practice. Trial registration ClinicalTrials.gov: NCT03040518, 2nd February 2017.

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Section: Discussionmentioning

confidence: 99%

Recruiting men from across the socioeconomic spectrum via GP registers and community outreach to a weight management feasibility randomised controlled trial

McDonald

Dombrowski

Skinner

et al. 2020

BMC Med Res Methodol

Self Cite

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“…However, individual patient data meta-analyses of five of these trials with 1976 participants did not confirm the results. Another recent 2020 meta-analysis confirmed the benefits of text-messaging programmes on weight loss in overweight participants [ 18 •].…”

Section: Digital Health Interventions To Improve Cvd Carementioning

confidence: 99%

Digital Health Innovations to Improve Cardiovascular Disease Care

Santo

Redfern

2020

Curr Atheroscler Rep

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Purpose of Review To review the current evidence supporting the use of digital health technologies in cardiovascular disease (CVD) care. Recent Findings Studies have evaluated the impact of the use of digital health technologies to improve CVD outcomes through several modalities: text-messaging programmes, smartphone applications (apps) and wearable devices. Text-messaging programmes are to date the most studied type of digital health interventions, and studies have demonstrated reduced CVD risk and improved medication adherence. Literature supporting the use of smartphone apps is also growing but remains limited, with some studies favouring the use of health apps but others showing negative results. Wearable devices are the latest type of technology investigated, and studies have shown positive outcomes in terms of physical activity and detection of arrhythmias. Summary Digital health is a growing and evolving area of investigation. To date, the scientific evidence overall supports the use of such technologies in CVD care and management. Future research using new models are needed to continue to evaluate these new technologies.

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“…A recently published meta-analysis of text message-delivered interventions targeting weight loss maintenance found a similar significant intervention effect of -0.68 kg (95% CI -1.31, -0.05kg) (Skinner et al, 2020). This meta-analysis included the same three studies included in the published meta-analysis from this chapter (Job et al, 2017a) however the slight variation in results is likely due to the two intervention arms of the study by Shaw's group (Shaw et al, 2013b) being treated as separate studies rather than averaged.…”

Section: Summary Of the Findings In The Context Of New Research And Tmentioning

confidence: 87%

“…These interventions included other components such as mobile phone apps in addition to the text messages. Skinner's group found a similar significant intervention effect of -2.28 kg (95% CI -3.17, -1.36, p<.00001) for 12 weight loss interventions delivered primarily by text message in adults with overweight and obesity (Skinner et al, 2020). Intervention duration of studies in these reviews ranged from eight weeks to 12 months.…”

Section: Text Message Interventions For Initial Weight Loss and Adopmentioning

confidence: 94%

“…The effective components of text message delivered interventions may be more clearly elucidated with behaviour-specific investigations. A recently published metaanalysis of text message-delivered interventions targeting weight loss in adults with overweight and obesity found no significant subgroup differences relating to the length of intervention, use of theory, text message frequency or tailoring (Skinner et al, 2020).…”

Section: Effective Intervention Componentsmentioning

confidence: 98%

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Evaluating text message-delivered, extended contact interventions targeting healthy weight, diet and physical activity behaviour

Job¹

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Maintaining diet and physical activity behaviour changes, and preventing weight regain following weight loss programs remains a challenge. Cost-effective, broadreach interventions are required to extend contact with participants to provide support for continued weight management. Extended contact, text messagedelivered interventions have shown potential, however the literature supporting these interventions has yet to be consolidated. Beyond the effectiveness, there is much to be learnt from detailed process evaluation of these interventions. This data will inform the effective components of these interventions, the development of these programs in collaboration with community agencies, and facilitate the integration of this form of extended contact into practice.

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A systematic review with meta‐analyses of text message‐delivered behaviour change interventions for weight loss and weight loss maintenance

Cited by 36 publications

References 43 publications

Recruiting men from across the socioeconomic spectrum via GP registers and community outreach to a weight management feasibility randomised controlled trial

Recruiting men from across the socioeconomic spectrum via GP registers and community outreach to a weight management feasibility randomised controlled trial

Digital Health Innovations to Improve Cardiovascular Disease Care

Evaluating text message-delivered, extended contact interventions targeting healthy weight, diet and physical activity behaviour

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