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
DOI 10.1016/s2213-8587(16)30099-7
More from this paper
- Patients in the POWeR+F group achieved an additional weight reduction of 1.5 kg averaged over 12 months compared to the control group.Strong
- Patients in the POWeR+R group achieved an additional weight reduction of 1.3 kg averaged over 12 months compared to the control group.Strong
- 32% of patients in the POWeR+R group maintained a clinically important 5% weight reduction at month 12.Strong
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →