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Effect of adherence to self-monitoring of diet and physical activity on weight loss in a technology-supported behavioral intervention
BACKGROUND: Examination of mediating behavioral factors could explain how an intervention works and thus provide guidance to optimize behavioral weight-loss programs. This study examined the mediating role of adherence to self-monitoring of diet and physical activity on weight loss in a behavioral w...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3333811/ https://www.ncbi.nlm.nih.gov/pubmed/22536058 http://dx.doi.org/10.2147/PPA.S28889 |
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author | Wang, Jing Sereika, Susan M Chasens, Eileen R Ewing, Linda J Matthews, Judith T Burke, Lora E |
author_facet | Wang, Jing Sereika, Susan M Chasens, Eileen R Ewing, Linda J Matthews, Judith T Burke, Lora E |
author_sort | Wang, Jing |
collection | PubMed |
description | BACKGROUND: Examination of mediating behavioral factors could explain how an intervention works and thus provide guidance to optimize behavioral weight-loss programs. This study examined the mediating role of adherence to self-monitoring of diet and physical activity on weight loss in a behavioral weight-loss trial testing the use of personal digital assistants (PDA) for self-monitoring. METHODS: Mediation analysis was conducted to examine the possible mediating role of adherence to self-monitoring of diet and physical activity between treatments using varying self-monitoring methods (paper record, PDA, and PDA with daily tailored feedback messages) and weight loss. FINDINGS: The sample (N = 210) was predominantly white (78%) and female (85%). Compared to a paper record, using a PDA for self-monitoring diet (P = 0.027) and physical activity (P = 0.014) had significant direct effects on weight loss at 12 months, as well as a significant indirect effect on outcomes through improved adherence to self-monitoring (P(S) < 0.001). Receiving an automated daily feedback message via PDA only had a significant indirect effect on weight through self-monitoring adherence to diet (P = 0.004) and physical activity (P = 0.002). CONCLUSIONS: Adherence to self-monitoring of diet and physical activity is important as the underlying mechanism in this technology-supported behavioral weight-loss intervention. |
format | Online Article Text |
id | pubmed-3333811 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-33338112012-04-25 Effect of adherence to self-monitoring of diet and physical activity on weight loss in a technology-supported behavioral intervention Wang, Jing Sereika, Susan M Chasens, Eileen R Ewing, Linda J Matthews, Judith T Burke, Lora E Patient Prefer Adherence Original Research BACKGROUND: Examination of mediating behavioral factors could explain how an intervention works and thus provide guidance to optimize behavioral weight-loss programs. This study examined the mediating role of adherence to self-monitoring of diet and physical activity on weight loss in a behavioral weight-loss trial testing the use of personal digital assistants (PDA) for self-monitoring. METHODS: Mediation analysis was conducted to examine the possible mediating role of adherence to self-monitoring of diet and physical activity between treatments using varying self-monitoring methods (paper record, PDA, and PDA with daily tailored feedback messages) and weight loss. FINDINGS: The sample (N = 210) was predominantly white (78%) and female (85%). Compared to a paper record, using a PDA for self-monitoring diet (P = 0.027) and physical activity (P = 0.014) had significant direct effects on weight loss at 12 months, as well as a significant indirect effect on outcomes through improved adherence to self-monitoring (P(S) < 0.001). Receiving an automated daily feedback message via PDA only had a significant indirect effect on weight through self-monitoring adherence to diet (P = 0.004) and physical activity (P = 0.002). CONCLUSIONS: Adherence to self-monitoring of diet and physical activity is important as the underlying mechanism in this technology-supported behavioral weight-loss intervention. Dove Medical Press 2012-03-22 /pmc/articles/PMC3333811/ /pubmed/22536058 http://dx.doi.org/10.2147/PPA.S28889 Text en © 2012 Wang et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. |
spellingShingle | Original Research Wang, Jing Sereika, Susan M Chasens, Eileen R Ewing, Linda J Matthews, Judith T Burke, Lora E Effect of adherence to self-monitoring of diet and physical activity on weight loss in a technology-supported behavioral intervention |
title | Effect of adherence to self-monitoring of diet and physical activity on weight loss in a technology-supported behavioral intervention |
title_full | Effect of adherence to self-monitoring of diet and physical activity on weight loss in a technology-supported behavioral intervention |
title_fullStr | Effect of adherence to self-monitoring of diet and physical activity on weight loss in a technology-supported behavioral intervention |
title_full_unstemmed | Effect of adherence to self-monitoring of diet and physical activity on weight loss in a technology-supported behavioral intervention |
title_short | Effect of adherence to self-monitoring of diet and physical activity on weight loss in a technology-supported behavioral intervention |
title_sort | effect of adherence to self-monitoring of diet and physical activity on weight loss in a technology-supported behavioral intervention |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3333811/ https://www.ncbi.nlm.nih.gov/pubmed/22536058 http://dx.doi.org/10.2147/PPA.S28889 |
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