An app-, web- and social support-based weight loss intervention for adults with obesity: the ‘HelpMeDoIt!’ feasibility randomised controlled trial

Pilot and Feasibility Studies

Elinor Coulman¹  Simon Murphy²  Mark Kelson³  Kathryn Hughes⁴  Emma McIntosh⁵  Sarah Morgan-Trimmer⁶  Sharon Anne Simpson⁷  Olga Utkina-Macaskill⁷  Juliana Pugmire⁷  Laurence Anthony Russell Moore⁷  Lynsay Matthews⁷  Alex McConnachie⁸ 

[1] Centre for Trials Research, Cardiff University, Neuadd Meirionnydd, Heath Park Way, CF14 4YS, Cardiff, UK;Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), Cardiff School of Social Sciences, Cardiff University, CF10 3AT, Cardiff, UK;College of Engineering, Mathematics and Physical Sciences, School of Mathematics/The Alan Turing Institute, University of Exeter, Harrison Building, Streatham Campus, North Park Road, EX4 4QF, Exeter, UK;Division of Population Medicine, School of Medicine, Cardiff University, Neuadd Meirionnydd, Heath Park Way, CF14 4YS, Cardiff, UK;Health Economics and Health Technology Assessment Unit (HEHTA), Institute of Health and Wellbeing, University of Glasgow, 1 Lilybank Gardens, G12 8RZ, Glasgow, UK;Institute of Health Research, College of Medicine and Health, University of Exeter, College House, St Luke’s Campus, Heavitree Road, EX1 2LU, Exeter, UK;MRC/CSO Social and Public Health Sciences Unit, Institute of Health and Wellbeing, University of Glasgow, Berkeley Square, 99 Berkeley Street, G3 7HR, Glasgow, UK;Robertson Centre for Biostatistics, Institute of Health and Wellbeing, University of Glasgow, Robertson Centre, Boyd Orr Building, G12 8QQ, Glasgow, UK;

关键词: Digital health;    Obesity;    Weight loss;    Social support;    Social network;    Goal setting, Self-monitoring, Physical activity;    Diet;   

DOI  :  10.1186/s40814-020-00656-4

来源: Springer

【 摘 要 】

BackgroundSocial support has an important role in successful weight loss. The aim of this study was to assess the feasibility and acceptability of an app-, web- and social support-based intervention in supporting adults with obesity to achieve weight loss.MethodsThe intervention and evaluation methods were tested in a feasibility randomised controlled trial. Adults in the Greater Glasgow and Clyde Health Board area of Scotland with a body mass index ≥ 30 kg/m2 were recruited and randomised 2:1 (intervention to control). The feasibility and acceptability of the intervention and trial methods were assessed against pre-specified progression criteria, via process, economic and outcome evaluation. Three primary outcomes were explored: BMI, diet and physical activity, as well as a number of secondary outcomes. The intervention group had access to the HelpMeDoIt! intervention for 12 months. This encouraged them to (i) set goals, (ii) monitor progress and (iii) harness social support by inviting ‘helpers’ from their existing social network. The control group received a healthy lifestyle leaflet.ResultsOne hundred and nine participants were recruited, with 84 participants (77%) followed-up at 12 months. The intervention and trial methods were feasible and acceptable. Participants and helpers were generally positive. Of the 54 (74%) participants who downloaded the app, 48 (89%) used it. Interview data indicated that HelpMeDoIt! promoted social support from existing social networks to support weight loss. This support was often given outside of the app.Outcomes were compared using linear regression models, with randomised group, the baseline measurement of the outcome, age and gender as predictor variables. These analyses were exploratory and underpowered to detect effects. However, all pre-specified primary outcome effects (BMI, diet and physical activity) had wide confidence intervals and were therefore consistent with clinically relevant benefits. Objective physical activity measures perhaps showed most potential (daily step count (p = 0.098; 1187 steps [− 180, 2555])) and sedentary time (p = 0.022; − 60.8 min [− 110.5, − 11.0]). However, these outcomes were poorly completed.ConclusionsThe study demonstrated that a novel social support intervention involving support from participants’ close social networks, delivered via app and website, has potential to promote weight loss and is feasible and acceptable.Trial registrationISRCTN, ISRCTN85615983. Registered 25 September 2014

【 授权许可】

CC BY