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

Publication ,  Journal Article
Steinberg, DM; Levine, EL; Lane, I; Askew, S; Foley, PB; Puleo, E; Bennett, GG
Published in: Journal of medical Internet research
April 2014

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.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.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.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.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.Clinicaltrials.gov NCT00938535; http://www.clinicaltrials.gov/ct2/show/NCT00938535.

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Published In

Journal of medical Internet research

DOI

EISSN

1438-8871

ISSN

1439-4456

Publication Date

April 2014

Volume

16

Issue

4

Start / End Page

e114

Related Subject Headings

  • Weight Gain
  • Telemedicine
  • Self Care
  • Patient Compliance
  • Overweight
  • Obesity
  • Medical Informatics
  • Humans
  • Female
  • Educational Status
 

Citation

APA
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MLA
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Steinberg, D. M., Levine, E. L., Lane, I., Askew, S., Foley, P. B., Puleo, E., & Bennett, G. G. (2014). Adherence to self-monitoring via interactive voice response technology in an eHealth intervention targeting weight gain prevention among Black women: randomized controlled trial. Journal of Medical Internet Research, 16(4), e114. https://doi.org/10.2196/jmir.2996
Steinberg, Dori M., Erica L. Levine, Ilana Lane, Sandy Askew, Perry B. Foley, Elaine Puleo, and Gary G. Bennett. “Adherence to self-monitoring via interactive voice response technology in an eHealth intervention targeting weight gain prevention among Black women: randomized controlled trial.Journal of Medical Internet Research 16, no. 4 (April 2014): e114. https://doi.org/10.2196/jmir.2996.
Steinberg DM, Levine EL, Lane I, Askew S, Foley PB, Puleo E, et al. Adherence to self-monitoring via interactive voice response technology in an eHealth intervention targeting weight gain prevention among Black women: randomized controlled trial. Journal of medical Internet research. 2014 Apr;16(4):e114.
Steinberg, Dori M., et al. “Adherence to self-monitoring via interactive voice response technology in an eHealth intervention targeting weight gain prevention among Black women: randomized controlled trial.Journal of Medical Internet Research, vol. 16, no. 4, Apr. 2014, p. e114. Epmc, doi:10.2196/jmir.2996.
Steinberg DM, Levine EL, Lane I, Askew S, Foley PB, Puleo E, Bennett GG. Adherence to self-monitoring via interactive voice response technology in an eHealth intervention targeting weight gain prevention among Black women: randomized controlled trial. Journal of medical Internet research. 2014 Apr;16(4):e114.

Published In

Journal of medical Internet research

DOI

EISSN

1438-8871

ISSN

1439-4456

Publication Date

April 2014

Volume

16

Issue

4

Start / End Page

e114

Related Subject Headings

  • Weight Gain
  • Telemedicine
  • Self Care
  • Patient Compliance
  • Overweight
  • Obesity
  • Medical Informatics
  • Humans
  • Female
  • Educational Status