Remotely Delivered Interventions for Obesity Treatment
Purpose of Review
This review synthesizes recent research on remotely delivered interventions for obesity treatment, including summarizing outcomes and challenges to implementing these treatments as well as outlining recommendations for clinical implementation and future research.
There are a wide range of technologies used for delivering obesity treatment remotely. Generally, these treatments appear to be acceptable and feasible, though weight loss outcomes are mixed. Engagement in these interventions, particularly in the long term, is a significant challenge. Newer technologies are rapidly developing and enable tailored and adaptable interventions, though research in this area is in its infancy.
Further research is required to optimize potential benefits of remotely delivered interventions for obesity.
KeywordsObesity eHealth mHealth Behavior interventions
Compliance with Ethical Standards
Conflict of Interest
Lauren Bradley, Christine Smith-Mason, Joyce Corsica, Mackenzie Kelly, and Megan Hood declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 2.Perri MG. Corsica JA. Improving the maintenance of weight lost in behavioral treatment of obesity. 2002;1:357–79.Google Scholar
- 6.Internet/broadband fact sheet: Pew Research Center 2018. Available from: https://www.pewinternet.org/fact-sheet/internet-broadband/.
- 7.Mobile fact sheet: Pew Research Center 2018. Available from: https://www.pewinternet.org/fact-sheet/mobile/.
- 10.Afshin A, Babalola D, Mclean M, Yu Z, Ma W, Chen CY, et al. Information technology and lifestyle: a systematic evaluation of Internet and mobile interventions for improving diet, physical activity, obesity, tobacco, and alcohol use. J Am Heart Assoc. 2016;5:9. https://doi.org/10.1161/JAHA.115.003058. CrossRefGoogle Scholar
- 14.•• Kozak AT, Buscemi J, Hawkins MA, Wang ML, Breland JY, Ross KM, et al. Technology-based interventions for weight management: current randomized controlled trial evidence and future directions. J Behav Med. 2017;40(1):99–111. This paper provides a comprehensive review of clinical trials evaluating effectiveness of interventions delivered via technology.PubMedGoogle Scholar
- 15.Godino JG, Merchant G, Norman GJ, Donohue MC, Marshall SJ, Fowler JH, et al. Using social and mobile tools for weight loss in overweight and obese young adults (Project SMART): a 2 year, parallel-group, randomised, controlled trial. Lancet Diabetes Endocrinol. 2016;4(9):747–55.PubMedPubMedCentralGoogle Scholar
- 20.Wang JB, Cadmus-Bertram LA, Natarajan L, White MM, Madanat H, Nichols JF, et al. Wearable sensor/device (Fitbit One) and SMS text-messaging prompts to increase physical activity in overweight and obese adults: a randomized controlled trial. Telemed J E Health. 2015;21(10):782–92.PubMedPubMedCentralGoogle Scholar
- 24.Hales S, Turner-McGrievy GM, Wilcox S, Fahim A, Davis RE, Huhns M, et al. Social networks for improving healthy weight loss behaviors for overweight and obese adults: a randomized clinical trial of the social pounds off digitally (Social POD) mobile app. Int J Med Inform. 2016;94:81–90.PubMedGoogle Scholar
- 25.Svetkey LP, Batch BC, Lin PH, Intille SS, Corsino L, Tyson CC, et al. Cell phone intervention for you (CITY): a randomized, controlled trial of behavioral weight loss intervention for young adults using mobile technology. Obesity (Silver Spring). 2015;23(11):2133–41.Google Scholar
- 26.Bardus M, van Beurden SB, Smith JR, Abraham C. A review and content analysis of engagement, functionality, aesthetics, information quality, and change techniques in the most popular commercial apps for weight management. Int J Behav Nutr Phys Act. 2016;13:35 016-0359-9.PubMedPubMedCentralGoogle Scholar
- 27.Nikolaou CK, Lean ME. Mobile applications for obesity and weight management: current market characteristics. Int J Obes (Lond). 2017;41(1):200–2.Google Scholar
- 29.Thomas JG, Raynor HA, Bond DS, Luke AK, Cardoso CC, Wojtanowski AC, et al. Weight loss and frequency of body-weight self-monitoring in an online commercial weight management program with and without a cellular-connected ‘smart’ scale: a randomized pilot study. Obes Sci Pract. 2017;3(4):365–72.PubMedPubMedCentralGoogle Scholar
- 30.Thomas JG, Raynor HA, Bond DS, Luke AK, Cardoso CC, Foster GD, et al. Weight loss in Weight Watchers Online with and without an activity tracking device compared to control: a randomized trial. Obesity (Silver Spring). 2017;25(6):1014–21.Google Scholar
- 31.Ross KM, Wing RR. Impact of newer self-monitoring technology and brief phone-based intervention on weight loss: a randomized pilot study. Obesity (Silver Spring). 2016\;24(8):1653–9.Google Scholar
- 32.• Spring B, Pellegrini CA, Pfammatter A, Duncan JM, Pictor A, McFadden HG, et al. Effects of an abbreviated obesity intervention supported by mobile technology: The ENGAGED randomized clinical trial. Obesity (Silver Spring). 2017;25(7):1191–8. This study examined the effects of technology-based self-monitoring and coaching on a brief lifestyle intervention.Google Scholar
- 33.• Jakicic JM, Davis KK, Rogers RJ, King WC, Marcus MD, Helsel D, et al. Effect of wearable technology combined with a lifestyle intervention on long-term weight loss: the IDEA randomized clinical trial. JAMA. 2016;316(11):1161–71. This trial evaluated the addition of activity trackers to a standard behavioral weight management program.PubMedPubMedCentralGoogle Scholar
- 34.Goldstein CM, Thomas JG, Wing RR, Bond DS. Successful weight loss maintainers use health-tracking smartphone applications more than a nationally representative sample: comparison of the National Weight Control Registry to Pew Tracking for Health. Obes Sci Pract. 2017;3(2):117–26.PubMedPubMedCentralGoogle Scholar
- 35.Social media use in 2018:2018 Pew Research Center. Available from: https://www.pewinternet.org/2018/03/01/social-media-use-in-2018/.
- 36.Waring ME, Jake-Schoffman DE, Holovatska MM, Mejia C, Williams JC, Pagoto SL. Social Media and obesity in adults: a review of recent research and future directions. Curr Diab Rep. 2018 18;18(6):34,018–1001-9.Google Scholar
- 38.Pagoto S, Waring M, Jake-Schoffman D, Goetz J, Michaels Z, Oleski J, et al. What type of engagement predicts success in a Facebook weight loss group? In: Proceedings of the 50th Hawaii International Conference on System Sciences, HICSS 2018, Hawaii, USA; 2018. p. 5–8.Google Scholar
- 40.Laranjo L, Lau AYS, Martin P, Tong HL, Coiera E. Use of a mobile social networking intervention for weight management: a mixed-methods study protocol. BMJ Open. 2017;7(7):e016665,2017–016665.Google Scholar
- 46.Slusser W, Whitley M, Izadpanah N, Kim SL, Ponturo D. Multidisciplinary pediatric obesity clinic via telemedicine within the Los Angeles metropolitan area: lessons learned. Clin Pediatr (Phila). 2016;55(3):251–9.Google Scholar
- 48.Teens, social media & technology [Internet].: Pew Research Center; 2018. Available from: https://www.pewinternet.org/2018/05/31/teens-social-media-technology-2018/.
- 52.Saez L, Langlois J, Legrand K, Quinet MH, Lecomte E, Omorou AY, et al. Reach and acceptability of a mobile reminder strategy and Facebook group intervention for weight management in less advantaged adolescents: insights from the PRALIMAP-INES trial. JMIR Mhealth Uhealth. 2018;6(5):e110.PubMedPubMedCentralGoogle Scholar
- 53.Tu AW, Watts AW, Chanoine JP, Panagiotopoulos C, Geller J, Brant R, et al. Does parental and adolescent participation in an e-health lifestyle modification intervention improves weight outcomes? BMC Public Health. 2017;17(1):352,017–4220-0.Google Scholar
- 55.Schippers M, Adam PC, Smolenski DJ, Wong HT, de Wit JB. A meta-analysis of overall effects of weight loss interventions delivered via mobile phones and effect size differences according to delivery mode, personal contact, and intervention intensity and duration. Obes Rev. 2017;18(4):450–9.PubMedGoogle Scholar
- 74.Eagleson R, Altamirano-Diaz L, McInnis A, Welisch E, De Jesus S, Prapavessis H, et al. Implementation of clinical research trials using web-based and mobile devices: challenges and solutions. BMC Med Res Methodol. 2017;17(1):43,017–0324-6.Google Scholar
- 79.Thomas JG, Bond DS. Review of innovations in digital health technology to promote weight control. Curr Diab Rep. 2014;14(5):485,014–0485-1.Google Scholar