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The effect of a short message service maintenance treatment on body mass index and psychological well-being in overweight and obese children: a randomized controlled trial

Summary Objective Maintaining weight loss results in childhood obesity treatment is difficult to achieve. Self‐management techniques such as self‐monitoring are associated with increased weight loss and maintenance. This study analyzes whether self‐monitoring of lifestyle behaviours through a short...

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Published in:Pediatric obesity 2012-06, Vol.7 (3), p.205-219
Main Authors: de Niet, J., Timman, R., Bauer, S., van den Akker, E., Buijks, H., de Klerk, C., Kordy, H., Passchier, J.
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container_end_page 219
container_issue 3
container_start_page 205
container_title Pediatric obesity
container_volume 7
creator de Niet, J.
Timman, R.
Bauer, S.
van den Akker, E.
Buijks, H.
de Klerk, C.
Kordy, H.
Passchier, J.
description Summary Objective Maintaining weight loss results in childhood obesity treatment is difficult to achieve. Self‐management techniques such as self‐monitoring are associated with increased weight loss and maintenance. This study analyzes whether self‐monitoring of lifestyle behaviours through a short message service maintenance treatment (SMSMT) via mobile phones with personalized feedback positively effects weight, lifestyle behaviours and psychological well‐being in obese children. Methods After 3 months of behavioural lifestyle treatment, 141 overweight and obese children (7–12 years) were randomly assigned to an intervention group receiving SMSMT for 9 months (n = 73) or to the control group (n = 68). The intervention group sent weekly self‐monitoring data on exercise and eating behaviour and their mood via mobile phones. In return, they received tailored feedback messages. Primary treatment outcomes were weight, eating behaviour and psychological well‐being, i.e. competence, self‐esteem and quality of life. Secondary outcome was adherence to the SMSMT. Data were analyzed with mixed modelling. Results SMSMT did not improve treatment outcomes. Controls gained temporarily in physical health scores (P = 0.01). SMSMT completers sent on average every 2 weeks an SMS. Children who had greater weight loss during the first 3 months of lifestyle treatment sent more SMSs (P = 0.04). Conclusions We did not find a positive effect of SMSMT on weight, eating behaviour or psychological well‐being in obese children. SMSMT seems to be a feasible method of treatment delivery. Future research should study variations of SMSMT to investigate how SMSMT can be more effective.
doi_str_mv 10.1111/j.2047-6310.2012.00048.x
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Self‐management techniques such as self‐monitoring are associated with increased weight loss and maintenance. This study analyzes whether self‐monitoring of lifestyle behaviours through a short message service maintenance treatment (SMSMT) via mobile phones with personalized feedback positively effects weight, lifestyle behaviours and psychological well‐being in obese children. Methods After 3 months of behavioural lifestyle treatment, 141 overweight and obese children (7–12 years) were randomly assigned to an intervention group receiving SMSMT for 9 months (n = 73) or to the control group (n = 68). The intervention group sent weekly self‐monitoring data on exercise and eating behaviour and their mood via mobile phones. In return, they received tailored feedback messages. Primary treatment outcomes were weight, eating behaviour and psychological well‐being, i.e. competence, self‐esteem and quality of life. Secondary outcome was adherence to the SMSMT. Data were analyzed with mixed modelling. Results SMSMT did not improve treatment outcomes. Controls gained temporarily in physical health scores (P = 0.01). SMSMT completers sent on average every 2 weeks an SMS. Children who had greater weight loss during the first 3 months of lifestyle treatment sent more SMSs (P = 0.04). Conclusions We did not find a positive effect of SMSMT on weight, eating behaviour or psychological well‐being in obese children. SMSMT seems to be a feasible method of treatment delivery. Future research should study variations of SMSMT to investigate how SMSMT can be more effective.</description><identifier>ISSN: 2047-6302</identifier><identifier>EISSN: 2047-6310</identifier><identifier>DOI: 10.1111/j.2047-6310.2012.00048.x</identifier><identifier>PMID: 22492669</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adherence ; Body Mass Index ; Child ; Child Behavior ; Diet ; Exercise ; Feedback, Psychological ; Feeding Behavior ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Linear Models ; Male ; mobile phones ; Netherlands ; obesity ; Obesity - diagnosis ; Obesity - physiopathology ; Obesity - psychology ; Obesity - therapy ; Overweight - diagnosis ; Overweight - physiopathology ; Overweight - psychology ; Overweight - therapy ; Patient Compliance ; Quality of Life ; Risk Reduction Behavior ; Self Care ; Self Concept ; self-monitoring ; Short Message Service (SMS) ; Surveys and Questionnaires ; Text Messaging ; Time Factors ; Treatment Outcome ; Weight Loss</subject><ispartof>Pediatric obesity, 2012-06, Vol.7 (3), p.205-219</ispartof><rights>2012 The Authors. Pediatric Obesity © 2012 International Association for the Study of Obesity</rights><rights>2012 The Authors. Pediatric Obesity © 2012 International Association for the Study of Obesity.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4568-40a4efb5ae1b78e781e496e03717a37f4d0eb460231957cdd85465f08e155b23</citedby><cites>FETCH-LOGICAL-c4568-40a4efb5ae1b78e781e496e03717a37f4d0eb460231957cdd85465f08e155b23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22492669$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Niet, J.</creatorcontrib><creatorcontrib>Timman, R.</creatorcontrib><creatorcontrib>Bauer, S.</creatorcontrib><creatorcontrib>van den Akker, E.</creatorcontrib><creatorcontrib>Buijks, H.</creatorcontrib><creatorcontrib>de Klerk, C.</creatorcontrib><creatorcontrib>Kordy, H.</creatorcontrib><creatorcontrib>Passchier, J.</creatorcontrib><title>The effect of a short message service maintenance treatment on body mass index and psychological well-being in overweight and obese children: a randomized controlled trial</title><title>Pediatric obesity</title><addtitle>Pediatric Obesity</addtitle><description>Summary Objective Maintaining weight loss results in childhood obesity treatment is difficult to achieve. Self‐management techniques such as self‐monitoring are associated with increased weight loss and maintenance. This study analyzes whether self‐monitoring of lifestyle behaviours through a short message service maintenance treatment (SMSMT) via mobile phones with personalized feedback positively effects weight, lifestyle behaviours and psychological well‐being in obese children. Methods After 3 months of behavioural lifestyle treatment, 141 overweight and obese children (7–12 years) were randomly assigned to an intervention group receiving SMSMT for 9 months (n = 73) or to the control group (n = 68). The intervention group sent weekly self‐monitoring data on exercise and eating behaviour and their mood via mobile phones. In return, they received tailored feedback messages. Primary treatment outcomes were weight, eating behaviour and psychological well‐being, i.e. competence, self‐esteem and quality of life. Secondary outcome was adherence to the SMSMT. Data were analyzed with mixed modelling. Results SMSMT did not improve treatment outcomes. Controls gained temporarily in physical health scores (P = 0.01). SMSMT completers sent on average every 2 weeks an SMS. Children who had greater weight loss during the first 3 months of lifestyle treatment sent more SMSs (P = 0.04). Conclusions We did not find a positive effect of SMSMT on weight, eating behaviour or psychological well‐being in obese children. SMSMT seems to be a feasible method of treatment delivery. 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Self‐management techniques such as self‐monitoring are associated with increased weight loss and maintenance. This study analyzes whether self‐monitoring of lifestyle behaviours through a short message service maintenance treatment (SMSMT) via mobile phones with personalized feedback positively effects weight, lifestyle behaviours and psychological well‐being in obese children. Methods After 3 months of behavioural lifestyle treatment, 141 overweight and obese children (7–12 years) were randomly assigned to an intervention group receiving SMSMT for 9 months (n = 73) or to the control group (n = 68). The intervention group sent weekly self‐monitoring data on exercise and eating behaviour and their mood via mobile phones. In return, they received tailored feedback messages. Primary treatment outcomes were weight, eating behaviour and psychological well‐being, i.e. competence, self‐esteem and quality of life. Secondary outcome was adherence to the SMSMT. Data were analyzed with mixed modelling. Results SMSMT did not improve treatment outcomes. Controls gained temporarily in physical health scores (P = 0.01). SMSMT completers sent on average every 2 weeks an SMS. Children who had greater weight loss during the first 3 months of lifestyle treatment sent more SMSs (P = 0.04). Conclusions We did not find a positive effect of SMSMT on weight, eating behaviour or psychological well‐being in obese children. SMSMT seems to be a feasible method of treatment delivery. Future research should study variations of SMSMT to investigate how SMSMT can be more effective.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>22492669</pmid><doi>10.1111/j.2047-6310.2012.00048.x</doi><tpages>15</tpages><oa>free_for_read</oa></addata></record>
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ispartof Pediatric obesity, 2012-06, Vol.7 (3), p.205-219
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source Wiley-Blackwell Read & Publish Collection
subjects Adherence
Body Mass Index
Child
Child Behavior
Diet
Exercise
Feedback, Psychological
Feeding Behavior
Female
Health Knowledge, Attitudes, Practice
Humans
Linear Models
Male
mobile phones
Netherlands
obesity
Obesity - diagnosis
Obesity - physiopathology
Obesity - psychology
Obesity - therapy
Overweight - diagnosis
Overweight - physiopathology
Overweight - psychology
Overweight - therapy
Patient Compliance
Quality of Life
Risk Reduction Behavior
Self Care
Self Concept
self-monitoring
Short Message Service (SMS)
Surveys and Questionnaires
Text Messaging
Time Factors
Treatment Outcome
Weight Loss
title The effect of a short message service maintenance treatment on body mass index and psychological well-being in overweight and obese children: a randomized controlled trial
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