Long-term Weight Loss in a Primary Care-Anchored eHealth Lifestyle Coaching Program: Randomized Controlled Trial
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Long-term Weight Loss in a Primary Care-Anchored eHealth Lifestyle Coaching Program : Randomized Controlled Trial. / Hesseldal, Laura; Christensen, Jeanette Reffstrup; Olesen, Thomas Bastholm; Olsen, Michael Hecht; Jakobsen, Pernille Ravn; Laursen, Ditte Hjorth; Lauridsen, Jørgen Trankjær; Nielsen, Jesper Bo; Søndergaard, Jens; Brandt, Carl Joakim.
In: Journal of Medical Internet Research, Vol. 24, No. 9, e39741, 2022.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Long-term Weight Loss in a Primary Care-Anchored eHealth Lifestyle Coaching Program
T2 - Randomized Controlled Trial
AU - Hesseldal, Laura
AU - Christensen, Jeanette Reffstrup
AU - Olesen, Thomas Bastholm
AU - Olsen, Michael Hecht
AU - Jakobsen, Pernille Ravn
AU - Laursen, Ditte Hjorth
AU - Lauridsen, Jørgen Trankjær
AU - Nielsen, Jesper Bo
AU - Søndergaard, Jens
AU - Brandt, Carl Joakim
N1 - Publisher Copyright: © 2022 Journal of Medical Internet Research. All rights reserved.
PY - 2022
Y1 - 2022
N2 - Background: Long-term weight loss in people living with obesity can reduce the risk and progression of noncommunicable diseases. Observational studies suggest that digital coaching can lead to long-term weight loss. Objective: We investigated whether an eHealth lifestyle coaching program for people living with obesity with or without type 2 diabetes led to significant, long-term (12-month) weight loss compared to usual care. Methods: In a randomized controlled trial that took place in 50 municipalities in Denmark, 340 people living with obesity with or without type 2 diabetes were enrolled from April 16, 2018, to April 1, 2019, and randomized via an automated computer algorithm to an intervention (n=200) or a control (n=140) group. Patients were recruited via their general practitioners, the Danish diabetes organization, and social media. The digital coaching intervention consisted of an initial 1-hour face-to-face motivational interview followed by digital coaching using behavioral change techniques enabled by individual live monitoring. The primary outcome was change in body weight from baseline to 12 months. Results: Data were assessed for 200 participants, including 127 from the intervention group and 73 from the control group, who completed 12 months of follow-up. After 12 months, mean body weight and BMI were significantly reduced in both groups but significantly more so in the intervention group than the control group (-4.5 kg, 95% CI -5.6 to -3.4 vs -1.5 kg, 95% CI -2.7 to -0.2, respectively; P<.001; and -1.5 kg/m2, 95% CI -1.9 to -1.2 vs -0.5 kg/m2, 95% CI -0.9 to -0.1, respectively; P<.001). Hemoglobin A1c was significantly reduced in both the intervention (-6.0 mmol/mol, 95% CI -7.7 to -4.3) and control (-4.9 mmol/mol, 95% CI -7.4 to -2.4) groups, without a significant group difference (all P>.46). Conclusions: Compared to usual care, digital lifestyle coaching can induce significant weight loss for people living with obesity, both with and without type 2 diabetes, after 12 months.
AB - Background: Long-term weight loss in people living with obesity can reduce the risk and progression of noncommunicable diseases. Observational studies suggest that digital coaching can lead to long-term weight loss. Objective: We investigated whether an eHealth lifestyle coaching program for people living with obesity with or without type 2 diabetes led to significant, long-term (12-month) weight loss compared to usual care. Methods: In a randomized controlled trial that took place in 50 municipalities in Denmark, 340 people living with obesity with or without type 2 diabetes were enrolled from April 16, 2018, to April 1, 2019, and randomized via an automated computer algorithm to an intervention (n=200) or a control (n=140) group. Patients were recruited via their general practitioners, the Danish diabetes organization, and social media. The digital coaching intervention consisted of an initial 1-hour face-to-face motivational interview followed by digital coaching using behavioral change techniques enabled by individual live monitoring. The primary outcome was change in body weight from baseline to 12 months. Results: Data were assessed for 200 participants, including 127 from the intervention group and 73 from the control group, who completed 12 months of follow-up. After 12 months, mean body weight and BMI were significantly reduced in both groups but significantly more so in the intervention group than the control group (-4.5 kg, 95% CI -5.6 to -3.4 vs -1.5 kg, 95% CI -2.7 to -0.2, respectively; P<.001; and -1.5 kg/m2, 95% CI -1.9 to -1.2 vs -0.5 kg/m2, 95% CI -0.9 to -0.1, respectively; P<.001). Hemoglobin A1c was significantly reduced in both the intervention (-6.0 mmol/mol, 95% CI -7.7 to -4.3) and control (-4.9 mmol/mol, 95% CI -7.4 to -2.4) groups, without a significant group difference (all P>.46). Conclusions: Compared to usual care, digital lifestyle coaching can induce significant weight loss for people living with obesity, both with and without type 2 diabetes, after 12 months.
KW - behavior changes
KW - coaching
KW - diabetes
KW - digital behavioral coaching
KW - digital coach
KW - digital health
KW - eHealth
KW - engagement
KW - health behavior change
KW - interactive advice
KW - lifestyle change
KW - mobile intervention
KW - obesity
KW - patient engagement
KW - T2D
KW - telemedicine
KW - training
KW - type 2 diabetes
KW - weight loss
U2 - 10.2196/39741
DO - 10.2196/39741
M3 - Journal article
C2 - 36149735
AN - SCOPUS:85138489166
VL - 24
JO - Journal of Medical Internet Research
JF - Journal of Medical Internet Research
SN - 1439-4456
IS - 9
M1 - e39741
ER -
ID: 345239535