Research

Adherence

Adjunctive telephone and text message support improves behavioral adherence and clinical outcomes (weight loss, self-efficacy) in adults with class III obesity compared to standard community-based care alone.

Use simple, low-tech tools like SMS and phone calls instead of complex apps for obesity management, especially for those with low tech literacy. Personalize the content and timing of messages to fit the individual's lifestyle, and ensure the support feels genuine and non-judgmental. Consider a gradual tapering of support rather than stopping abruptly to prevent relapse.

ModerateSupportsMEDIUM confidence
The study revealed that the addition of telephone and text message support to a community-based obesity management program improved behavioural adherence and clinical outcomes when compared with standard care.
Emily Lewis et al. · BMC Health Services Research · 2021

Why this rating

Qualitative evaluation of a randomized controlled trial; strong for acceptability and adherence, but lacks quantitative effect size data in this specific text.

Source

Participant perspectives of a telehealth trial investigating the use of telephone and text message support in obesity management: a qualitative evaluation

Emily Lewis et al. · BMC Health Services Research · 2021

DOI 10.1186/s12913-021-06689-6

crossover · n=61Cited 17×
Read the paper
DOI resolved against Crossref · corpus check 2026-06-10

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