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Telecoaching plus a portion control plate for weight care management: a randomized trial

Overview of attention for article published in Trials, July 2015
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Title
Telecoaching plus a portion control plate for weight care management: a randomized trial
Published in
Trials, July 2015
DOI 10.1186/s13063-015-0880-1
Pubmed ID
Authors

Jill M. Huber, Joshua S. Shapiro, Mark L. Wieland, Ivana T. Croghan, Kristen S. Vickers Douglas, Darrell R. Schroeder, Julie C. Hathaway, Jon O. Ebbert

Abstract

Obesity is a leading preventable cause of death and disability and is associated with a lower health-related quality of life. We evaluated the impact of telecoaching conducted by a counselor trained in motivational interviewing paired with a portion control plate for obese patients in a primary care setting. We conducted a randomized, clinical trial among patients in a primary care practice in the midwestern United States. Patients were randomized to either usual care or an intervention including telecoaching with a portion control plate. The intervention was provided during a 3-month period with follow-up of all patients through 6 months after randomization. The primary outcomes were weight, body mass index (BMI),waist circumference, and waist to hip ratio measured at baseline, 6, 12, 18, and 24 weeks. Secondary outcomes included measures assessing eating behaviors, self-efficacy, and physical activity at baseline and at 12 and 24 weeks. A total of 1,101 subjects were pre-screened, and 90 were randomly assigned to telecoaching plus portion control plate (n = 45) or usual care (n = 45). Using last-value carried forward without adjustment for baseline demographics, significant reductions in BMI (estimated treatment effect -0.4 kg/m(2), P = .038) and waist to hip ratio (estimated treatment effect -.02, P = .037) at 3 months were observed in the telecoaching plus portion control plate group compared to usual care. These differences were not statistically significant at 6 months. In females, the telecoaching plus portion control plate intervention was associated with significant reductions in weight and BMI at both 3 months (estimated treatment effect -1.6 kg, P = .016 and -0.6 kg/m(2), P = .020) and 6 months (estimated treatment effect -2.3 kg, P = .013 and -0.8 kg/m(2), P = .025). In males, the telecoaching plus portion control intervention was associated with a significant reduction in waist to hip ratio at 3 months (estimated treatment effect -0.04, P = .017), but failed to show a significant difference in weight and BMI. Telecoaching with a portion control plate can produce positive change in body habitus among obese primary care patients; however, changes depend upon sex. ClinicalTrials.gov NCT02373878, 13 February 2015. https://clinicaltrials.gov/ct2/show/NCT02373878 .

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The data shown below were compiled from readership statistics for 327 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 <1%
Unknown 326 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 50 15%
Student > Ph. D. Student 39 12%
Student > Bachelor 35 11%
Researcher 32 10%
Student > Postgraduate 17 5%
Other 64 20%
Unknown 90 28%
Readers by discipline Count As %
Medicine and Dentistry 76 23%
Nursing and Health Professions 56 17%
Psychology 21 6%
Sports and Recreations 14 4%
Unspecified 14 4%
Other 42 13%
Unknown 104 32%