Efficacy of an internet-based behavioral weight loss program for overweight adolescent African-American girls
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Objective: This randomized controlled trial tested the efficacy of an internetbased lifestyle behavior modification program for weight management in African-American girls. Design: African-American girls were randomly assigned to an interactive behavioral internet program or an internet health education program, the control condition. The behavioral intervention included internet counseling and was highly interactive. The control intervention was a passive (non-interactive) educational program. Parents were also participants in the study. Participants in both treatment groups met in face-to-face sessions on four occasions over the first 12 weeks of a 6-month intervention. Subjects: The study enrolled 57 African-American adolescent girls (ages 11 to 15 years) who were overweight or obese and had at least one biological parent who was obese [body mass index (BMI) >30 kg/m2]. Of the 57 participants, 50 (88%) completed the 6-month trial. Measurements: Outcome data, including BMI, body weight, body composition, dietary intake, and weight loss behaviors were collected at baseline and 6-months later. A computer server tracked utilization of the websites. Participation in the program was measured by number of “hits” on the website. Results: Compared to the control condition, adolescents in the behavioral treatment lost more body fat (group difference =1.6% body fat) and parents lost significantly more body weight (group difference =2.1 kg). Utilization of the behavioral website by adolescents and parents was associated with positive outcome. Dietary fat intake was lowered for adolescents and parents in the behavioral treatment group. Conclusion: An internet-based behavioral intervention was superior to internet-based health education and yielded decreased body fat for adolescent girls and decreased body weight for parents.
- Flegal K.M., Carroll M.D., Kuczmarski R.J., Johnson C.L.: Overweight and obesity in the United States: prevalence and trends, 1960–1994. Int. J. Obes. Relat. Metab. Disord., 22, 39–47, 1998. CrossRef
- National Heart Lung and Blood Institute: NHLBI report of the Task Force on Behavioral Research in cardiovascular disease. Available at: http://www.nhlbi.nih.gov/ resources/docs/taskforc.htm. Accessed 2001.
- World Health Organization Consultation of Obesity. Obesity: preventing and managing the global epidemiology: Geneva 1998.
- Wolf A.M., Colditz G.A.: Current estimates of the economic cost of obesity in the United States. Obes. Res., 6, 97–106, 1998. CrossRef
- Serdula M.K., Ivery D., Coates R.J., Freedman D.S., Williamson D.F., Byers T.: Do obese children become obese adults? A review of the literature. Prev. Med., 22, 167–177, 1993. CrossRef
- Himes J.H., Dietz W.H.: Guidelines for overweight in adolescent preventive services: recommendations from an expert committee. The Expert Committee on Clinical Guidelines for Overweight in Adolescent Preventive Services. Am. J. Clin. Nutr., 59, 307–316, 1994.
- Kumanyika S.K.: Minisymposium on obesity: overview and some strategic considerations. Annu. Rev. Public Health, 22, 293–308, 2001. CrossRef
- Kumanyika S.K., Obarzanek E., Stevens V.J., Hebert P.R., Whelton P.K., Kumanyaka S.K.: Weight-loss experience of black and white participants in NHLBIsponsored clinical trials. Am. J. Clin. Nutr., 53 (6 Suppl.), 1631S–1638S, 1991.
- Malarcher A.M., Casper M.L., Matson Koffman D.M., Brownstein J.N., Croft J., Mensah G.A.: Women and cardiovascular disease: addressing disparities through prevention research and a national comprehensive state-based program. J. Womens Health Gend. Based Med., 10, 717–724, 2001. CrossRef
- Harsha D.W., Bray G.A.: Body composition and childhood obesity. Endocrinol. Metab. Clin. North Am., 25, 871–885, 1996. CrossRef
- Yanovski J.A., Yanovski S.Z.: Treatment of pediatric and adolescent obesity. JAMA, 289, 1851–1853, 2003. CrossRef
- Wadden T.A., Stunkard A.J., Rich L., Rubin C.J., Sweidel G., McKinney S.: Obesity in black adolescent girls: a controlled clinical trial of treatment by diet, behavior modification, and parental support. Pediatrics, 85, 345–352, 1990.
- Zabinski M.F., Celio A.A., Jacobs M.J., Manwaring J., Wilfley D.E.: Internet-based prevention of eating disorders. Eur. Eat. Disord. Rev., 11, 183–197, 2003. CrossRef
- 14. Suler J.: The psychology of cyberspace. Available at: http://www.rider.edu/users/suler/psycyber/psycyber.html. Accessed 2001.
- Harvey-Berino J., Pintauro S., Buzzell P., Di Giulio M., Casey Gold B., Moldovan C., Ramirez E.: Does using the Internet facilitate the maintenance of weight loss? Int. J. Obes. Relat. Metab. Disord., 26, 1254–1260, 2002. CrossRef
- Harvey-Berino J., Pintauro S., Buzzell P., Gold E.C.: Effect of internet support on the long-term maintenance of weight loss. Obes. Res., 12, 320–329, 2004. CrossRef
- Tate D.F., Jackvony E.H., Wing RR.: Effects of Internet behavioral counseling on weight loss in adults at risk for type 2 diabetes: a randomized trial. JAMA, 289, 1833–1836, 2003. CrossRef
- Tate D.F., Wing R.R., Winett R.A.: Using Internet technology to deliver a behavioral weight loss program. JAMA, 285, 1172–1177, 2001. CrossRef
- Baranowski T., Baranowski J.C., Cullen K.W., Thompson D.I., Nicklas T., Zakeri I.E., Rochon J.: The Fun, Food, and Fitness Project (FFFP): the Baylor GEMS pilot study. Ethn. Dis., 13 (1 Suppl. 1), S30–S39, 2003.
- Wing R.R.: Behavioral weight control. In: Wadden T.A., Stunkard A.J., (Eds.), Handbook of Obesity Treatment. New York, Guilford, 2002, pp. 301–316.
- National Center for Health Statistics. Prevelance of overweight and obesity among adults: United States. Available at: http://www.cdc.gov/nchs/products/pubs/pubd/hestats/obese/obse99.htm. Accessed 2001.
- Epstein L.H., Wing R.R., Koeske R., Andrasik F., Ossip D.J.: Child and parent weight loss in family-based behavior modification programs. J. Consult. Clin. Psychol., 49, 674–685, 1981. CrossRef
- Epstein L.H., Valoski A., Wing R.R., McCurley J.: Tenyear outcomes of behavioral family-based treatment for childhood obesity. Health Psychol., 13, 373–383, 1994. CrossRef
- Kutlesic V., Williamson D.A., Gleaves D.H., Barbin J.M., Murphy-Eberenz K.P.: The Interview for the Diagnosis of Eating Disorders-IV: Application to DSMIV Diagnostic Criteria. Psychol. Assess., 10, 41–48, 1998. CrossRef
- Johnson R.K., Driscoll P., Goran M.I.: Comparison of multiple-pass 24-hour recall estimates of energy intake with total energy expenditure determined by the doubly labeled water method in young children. J. Am. Diet. Assoc., 96, 1140–1144, 1996. CrossRef
- Block G., Woods M., Potosky A., Clifford C.: Validation of a self-administered diet history questionnaire using multiple diet records. J. Clin. Epidemiol., 1327–1335, 1990.
- Smith C.F., Williamson D.A., Womble L.G., Johnson J., Burke L.E.: Psychometric development of a multidimensional measure of weight-related attitudes and behaviors. Eat. Weight Disord., 5, 73–86, 2000. CrossRef
- Parcel G.S., Edmundson E., Perry C.L., Feldman H.A., O’Hara-Tompkins N., Nader P.R., Johson C.C., Stone E.J.: Measurement of self-efficacy for diet-related behaviors among elementary school children. J. Sch. Health, 65, 23–27, 1995. CrossRef
- Parcel G.S., Simons-Morton B., O’Hara N.M., Baranowski T., Wilson B.: School promotion of healthful diet and physical activity: impact on learning outcomes and self-reported behavior. Health Educ. Q., 16, 181–199, 1989. CrossRef
- Maloney M.J., McGuire J.B., Daniels S.R.: Reliability testing of a children’s version of the Eating Attitude Test. J. Am. Acad. Child Adolesc. Psychiatry, 27, 541–543, 1988. CrossRef
- Diener E., Emmons R.A., Larsen R.J., Griffin S.: The satisfaction with life scale. J. Person. Assess., 49, 71–75, 1985. CrossRef
- Kovacs M.: The Children’s Depression Inventory (CDI). Toronto, Ontario, Canada, Multi-Health Systems, Inc., 1992.
- Rosenberg M.: Self-Esteem Measure. Princeton, Princeton University Press, 1965.
- Schumm W.R., McCollum E.E., Bugaighis M.A., Jurich A.P., Bollman S.R.: Characteristics of the Kansas Family Life Satisfaction Scale in a Regional Sample. Psychological Reports, 58, 975–980, 1986. CrossRef
- Derogatis L.R.: SCL-90: administration scoring procedures manual-I for the (revised) version. Baltimore, MD, Johns Hopkins University School of Medicine, Clinical Psychometrics Research Unit, 1977.
- Saelens B.E., Sallis J.F., Wilfley D.E., Patrick K., Cella J.A., Buchta R.: Behavioral weight control for overweight adolescents initiated in primary care. Obes. Res., 10, 22–32, 2002. CrossRef
- Berkowitz R.I., Wadden T.A., Tershakovec A.M., Cronquist J.L.: Behavior therapy and sibutramine for the treatment of adolescent obesity: a randomized controlled trial. JAMA, 289, 1805–1812, 2003. CrossRef
- Goldfield G.S., Raynor H.A., Epstein L.H.: In: Wadden T.A., Stunkard A.J. (Eds.), Handbook of Obesity Treatment. New York, Guilford, 532–554, 2002.
- Beaton G.H., Burema J., Ritenbaugh C.: Errors in the interpretation of dietary assessments. Am. J. Clin. Nutr., 65 (4 Suppl.), 1100S–1107S, 1997.
- Kretsch M.J., Fong A.K., Green M.W.: Behavioral and body size correlates of energy intake underreporting by obese and normal-weight women. J. Am. Diet. Assoc., 99, 300–306, quiz 307–308, 1999 CrossRef
- Efficacy of an internet-based behavioral weight loss program for overweight adolescent African-American girls
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity
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