J. Med. Internet Res. - Adherence to self-monitoring via interactive voice response technology in an eHealth intervention targeting weight gain prevention among Black women: randomized controlled trial.

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Resumo

CKGROUND: eHealth interventions are effective for weight control and have the potential for broad reach. Little is known about the use of interactive voice response (IVR) technology for self-monitoring in weight control interventions, particularly among populations disproportionately affected by obesity.OBJECTIVE: This analysis sought to examine patterns and predictors of IVR self-monitoring adherence and the association between adherence and weight change among low-income black women enrolled in a weight gain prevention intervention.METHODS: The Shape Program was a randomized controlled trial comparing a 12-month eHealth behavioral weight gain prevention intervention to usual care among overweight and obese black women in the primary care setting. Intervention participants (n=91) used IVR technology to self-monitor behavior change goals (eg, no sugary drinks, 10,000 steps per day) via weekly IVR calls. Weight data were collected in clinic at baseline, 6, and 12 months. Self-monitoring data was stored in a study database and adherence was operationalized as the percent of weeks with a successful IVR call.RESULTS: Over 12 months, the average IVR completion rate was 71.6% (SD 28.1) and 52% (47/91) had an IVR completion rate =80%. At 12 months, IVR call completion was significantly correlated with weight loss (r =-.22; P=.04) and participants with an IVR completion rate =80% had significantly greater weight loss compared to those with an IVR completion rate <80% (-1.97 kg, SE 0.67 vs 0.48 kg, SE 0.69; P=.01). Similar outcomes were found for change in body mass index (BMI; mean difference -0.94 kg, 95% CI -1.64 to -0.24; P=.009). Older, more educated participants were more likely to achieve high IVR call completion. Participants reported positive attitudes toward IVR self-monitoring.CONCLUSIONS: Adherence to IVR self-monitoring was high among socioeconomically disadvantaged black women enrolled in a weight gain prevention intervention. Higher adherence to IVR self-monitoring was also associated with greater weight change. IVR is an effective and useful tool to promote self-monitoring and has the potential for widespread use and long-term sustainability.TRIAL REGISTRATION: Clinicaltrials.gov NCT00938535; http://www.clinicaltrials.gov/ct2/show/NCT00938535.

Resumo Limpo

ckground ehealth intervent effect weight control potenti broad reach littl known use interact voic respons ivr technolog selfmonitor weight control intervent particular among popul disproportion affect obesityobject analysi sought examin pattern predictor ivr selfmonitor adher associ adher weight chang among lowincom black women enrol weight gain prevent interventionmethod shape program random control trial compar month ehealth behavior weight gain prevent intervent usual care among overweight obes black women primari care set intervent particip n use ivr technolog selfmonitor behavior chang goal eg sugari drink step per day via week ivr call weight data collect clinic baselin month selfmonitor data store studi databas adher operation percent week success ivr callresult month averag ivr complet rate sd ivr complet rate month ivr call complet signific correl weight loss r p particip ivr complet rate signific greater weight loss compar ivr complet rate kg se vs kg se p similar outcom found chang bodi mass index bmi mean differ kg ci p older educ particip like achiev high ivr call complet particip report posit attitud toward ivr selfmonitoringconclus adher ivr selfmonitor high among socioeconom disadvantag black women enrol weight gain prevent intervent higher adher ivr selfmonitor also associ greater weight chang ivr effect use tool promot selfmonitor potenti widespread use longterm sustainabilitytri registr clinicaltrialsgov nct httpwwwclinicaltrialsgovctshownct

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