J Telemed Telecare - Video telehealth for weight maintenance of African-American women.

Tópicos

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Resumo

We evaluated the effect of home telehealth on weight maintenance after a group-based weight loss programme. The home telehealth intervention comprised telephone counselling and home Internet-enabled digital video recorders (DVRs) with three channels of video programmes. The video content provided reinforcement and support to promote problem solving, prevent relapse and sustain motivation. Eighty-eight obese or overweight African-American women were randomized to receive monthly telephone counselling (control) or the home telehealth intervention. The weight change during maintenance was not significant in either group (0.6 kg in the intervention group, 0.0 kg in the control group), and there was no significant difference between them. Changes in diet, physical activity, social support and self-efficacy during the maintenance period did not differ significantly between groups. DVR use was low: during the intervention, the number of valid DVR viewings ranged from zero to 42 per person. DVR use was positively associated with previous attendance at the weight loss classes. Home video-based telehealth is a new method of delivering a weight loss maintenance intervention to African-American women. It had no effect on weight maintenance in the present study.

Resumo Limpo

evalu effect home telehealth weight mainten groupbas weight loss programm home telehealth intervent compris telephon counsel home interneten digit video record dvrs three channel video programm video content provid reinforc support promot problem solv prevent relaps sustain motiv eightyeight obes overweight africanamerican women random receiv month telephon counsel control home telehealth intervent weight chang mainten signific either group kg intervent group kg control group signific differ chang diet physic activ social support selfefficaci mainten period differ signific group dvr use low intervent number valid dvr view rang zero per person dvr use posit associ previous attend weight loss class home videobas telehealth new method deliv weight loss mainten intervent africanamerican women effect weight mainten present studi

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