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Randomized Controlled Trial
. 2011 Apr;41(2):252-63.
doi: 10.1007/s12160-010-9240-2.

Directive and nondirective e-coach support for weight loss in overweight adults

Affiliations
Randomized Controlled Trial

Directive and nondirective e-coach support for weight loss in overweight adults

Jeanne Marisa Gabriele et al. Ann Behav Med. 2011 Apr.

Abstract

Background: Although e-coach support increases the effectiveness of Internet weight loss interventions, no studies have assessed influence of type of e-coach support.

Purpose: The effects of nondirective (collaborative, flexible) and directive (prescriptive, protocol driven) e-coach support on weight loss, dietary behavior, physical activity, and engagement were assessed in a 12-week weight loss e-coaching program.

Procedures: Overweight adults (N = 104) were randomly assigned to nondirective, directive, or minimal support. All received weekly lessons and feedback graphs via e-mail. Participants in the nondirective and directive support conditions received individualized nondirective or directive weight loss support.

Results: For females, weight loss (η(2) = 0.10) and changes in waist circumference (η(2) = 0.07) were greater in the directive than in the nondirective and minimal support conditions.

Conclusions: Differences in type of e-coach support are salient to participants. Directive support is beneficial to females in a 12-week e-coach weight loss program.

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Figures

Fig. 1
Fig. 1
Flow chart of participant attrition

References

    1. World Health Organization Obesity and Overweight. 2003 Retrieved from http://www.who.int/dietphysicalactivity/media/en/gsfs_obesity.pdf.
    1. McKay HG, Feil EG, Glasgow RE, et al. Feasibility and use of an Internet support service for diabetes self-management. Diabetes Educator. 1998;24:174–179. - PubMed
    1. Harvey-Berino J, Pintauro S, Buzzell P, et al. Does using the Internet facilitate the maintenance of weight loss? International Journal of Obesity Related Metabolic Disorders. 2002;26:1254–1260. - PubMed
    1. Tate DF, Jackvony EH, Wing RR. A randomized trial comparing human e-mail counseling, computer-automated tailored counseling, and no counseling in an Internet weight loss program. Archives of Internal Medicine. 2006;166:1620–1625. - PubMed
    1. Tate DF, Jackvony EH, Wing RR. Effects of Internet behavioral counseling on weight loss in adults at risk for type 2 diabetes: A randomized trial. Journal of the American Medical Association. 2003;289:1833–1836. - PubMed

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