Adherence
A web-based behavioral weight management program (POWeR+) combined with brief remote nurse support (emails/phone calls) produces clinically significant weight loss and maintenance in primary care patients, achieving results comparable to intensive face-to-face interventions without increasing health service costs.
Use a structured web-based weight management program that teaches behavioral skills and allows you to choose your diet type. Supplement this with brief, remote check-ins (emails or short phone calls) from a nurse or health coach. This approach is effective for losing and maintaining weight, costs the same as standard care, and is less burdensome than frequent in-person visits.
Our results show that clinically important weight reduction is possible with a web-based behavioural program lasting 6 months combined with brief remote follow-up. Patients assigned to the web-based intervention and either face-to-face nurse support (POWeR+Face-to-face) or remote nurse support (POWeR+Remote) achieved roughly 1·5 kg more weight loss than those assigned to the control group... Furthermore, 30% of patients in the POWeR+ groups maintained 5% weight loss by 12 months, with less recourse to other weight loss activities and with no increase in health service costs.
Why this rating
Large, pragmatic, parallel-group, randomised controlled trial (n=818) with 12-month follow-up and intention-to-treat analysis.
Source
An internet-based intervention with brief nurse support to manage obesity in primary care (POWeR+): a pragmatic, parallel-group, randomised controlled trial
Paul Little et al. · The Lancet Diabetes & Endocrinology · 2016
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