| Title: |
Achieving Weight Loss through a Community-Based, Telewellness Programme: A Randomised Controlled Trial |
| Language: |
English |
| Authors: |
Backman, Desiree R.; Kohatsu, Neal D. (ORCID 0000-0002-5255-7658); Padovani, Andrew J.; Dao, Crystie; Ritley, Dominique; Fleuret, Julia E.; McCracken, Camlyn R. |
| Source: |
Health Education Journal. Feb 2023 82(1):82-94. |
| Availability: |
SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com |
| Peer Reviewed: |
Y |
| Page Count: |
13 |
| Publication Date: |
2023 |
| Sponsoring Agency: |
National Center for Advancing Translational Sciences (NCATS) (DHHS/NIH) |
| Contract Number: |
UL1TR001860 |
| Document Type: |
Journal Articles; Reports - Research |
| Descriptors: |
Body Weight; Community Programs; Family Programs; Females; Obesity; Comparative Analysis; Telecommunications; Handheld Devices; Coaching (Performance); Videoconferencing; Forestry; Self Esteem; Age Differences; Gender Differences; Food; Eating Habits; Health Behavior; Social Media; Low Income Groups; Physical Activity Level; Behavior Change; Correlation; Outcomes of Treatment |
| Geographic Terms: |
California (Sacramento) |
| DOI: |
10.1177/00178969221139234 |
| ISSN: |
0017-8969; 1748-8176 |
| Abstract: |
Objectives: To (1) determine the weight-reducing effect of the Koa Family Program (KFP), a community-based, telewellness obesity intervention and (2) examine the impact of the KFP on improving weight-related health indicators. Design: Randomised controlled trial. Setting: Community-based in Sacramento, California, USA. Methods: Seventy women with overweight or obesity (25 [less than or equal to] BMI < 40), aged 21-45 years and with low income ([less than or equal to] 185% of the US Federal Poverty Level) were randomly assigned to an intervention (n = 34) or control (n = 36) group. Data were collected by phone-administered questionnaire at weeks 0, 18 and 25. The intervention consisted of three components: (1) weekly, health coach-led, health education meetings on Zoom; (2) social media support through texting and private Facebook groups; and (3) a tree planting and stewardship campaign. The treatment effect on outcome measures (95% confidence intervals) was analysed with adjustment for variables including age, race/ethnicity, education and intake of fruit and vegetables. Results: The overall treatment effect of the KFP was weight loss at both Week 18 (-7.69 pounds [p < 0.000; 95% confidence interval (CI) = -11.97 to -3.41]) and Week 25 (-7.72 pounds [p = 0.002; 95% CI = -13.02 to -2.42]) of the study. KFP-associated improvements in diet, physical activity, stages of change and self-efficacy were also observed. Conclusions: The KFP resulted in weight loss significant at individual and population levels. |
| Abstractor: |
As Provided |
| Entry Date: |
2023 |
| Accession Number: |
EJ1364871 |
| Database: |
ERIC |