Associations of internet website use with weight change in a long-term weight loss maintenance program

Kristine L. Funk, Victor J. Stevens, Lawrence Appel, Alan Bauck, Phillip J. Brantley, Catherine M. Champagne, Janelle Coughlin, Arlene Dalcin, Jean Harvey-Berino, Jack F. Hollis, Gerald J. Jerome, Betty M. Kennedy, Lillian F. Lien, Valerie H. Myers, Carmen Samuel-Hodge, Laura P. Svetkey, William M. Vollmer

Research output: Contribution to journalArticle

Abstract

Background: The Weight Loss Maintenance Trial (WLM) compared two long-term weight-maintenance interventions, a personal contact arm and an Internet arm, with a no-treatment control after an initial six-month Phase I weight loss program. The Internet arm focused on use of an interactive website for support of long-term weight maintenance. There is limited information about patterns of website use and specific components of an interactive website that might help promote maintenance of weight loss. Objective: This paper presents a secondary analysis of the subset of participants in the Internet arm and focuses on website use patterns and features associated with long-term weight maintenance. Methods: Adults at risk for cardiovascular disease (CVD) who lost at least 4 kilograms in an initial 20-week group-based, behavioral weight-loss program were trained to use an interactive website for weight loss maintenance. Of the 348 participants, 37% were male and 38% were African American. Mean weight loss was 8.6 kilograms. Participants were encouraged to login at least weekly and enter a current weight for the 30-month study period. The websitecontained features that encouraged setting short-term goals, creating action plans, and reinforcing self-management habits. The website also included motivational modules, dailytips, and tailored messages. Based on log-in and weight-entry frequency, we divided participants into three website use categories: consistent, some, and minimal. Results: Participants in the consistent user group (n = 212) were more likely to be older(P = .002), otherthan African American (P = .02), and more educated (P = .01). While there was no significant difference betweenwebsite use categories in the amount of Phase I change in body weight (P = .45) or income (P = .78), minimal website users (n = 75) were significantly more likely to have attended fewer Phase I sessions (P = .001) and had a higher initial body mass index (BMI) (P

Original languageEnglish (US)
JournalJournal of Medical Internet Research
Volume12
Issue number3
DOIs
StatePublished - Jul 2010

Fingerprint

Weight Reduction Programs
Internet
Maintenance
Weights and Measures
Weight Loss
African Americans
Body Weight Changes
Self Care
Habits
Body Mass Index
Cardiovascular Diseases

Keywords

  • Behavioral strategies
  • Internet
  • Intervention
  • Weight loss
  • Weight maintenance

ASJC Scopus subject areas

  • Health Informatics

Cite this

Associations of internet website use with weight change in a long-term weight loss maintenance program. / Funk, Kristine L.; Stevens, Victor J.; Appel, Lawrence; Bauck, Alan; Brantley, Phillip J.; Champagne, Catherine M.; Coughlin, Janelle; Dalcin, Arlene; Harvey-Berino, Jean; Hollis, Jack F.; Jerome, Gerald J.; Kennedy, Betty M.; Lien, Lillian F.; Myers, Valerie H.; Samuel-Hodge, Carmen; Svetkey, Laura P.; Vollmer, William M.

In: Journal of Medical Internet Research, Vol. 12, No. 3, 07.2010.

Research output: Contribution to journalArticle

Funk, KL, Stevens, VJ, Appel, L, Bauck, A, Brantley, PJ, Champagne, CM, Coughlin, J, Dalcin, A, Harvey-Berino, J, Hollis, JF, Jerome, GJ, Kennedy, BM, Lien, LF, Myers, VH, Samuel-Hodge, C, Svetkey, LP & Vollmer, WM 2010, 'Associations of internet website use with weight change in a long-term weight loss maintenance program', Journal of Medical Internet Research, vol. 12, no. 3. https://doi.org/10.2196/jmir.1504
Funk, Kristine L. ; Stevens, Victor J. ; Appel, Lawrence ; Bauck, Alan ; Brantley, Phillip J. ; Champagne, Catherine M. ; Coughlin, Janelle ; Dalcin, Arlene ; Harvey-Berino, Jean ; Hollis, Jack F. ; Jerome, Gerald J. ; Kennedy, Betty M. ; Lien, Lillian F. ; Myers, Valerie H. ; Samuel-Hodge, Carmen ; Svetkey, Laura P. ; Vollmer, William M. / Associations of internet website use with weight change in a long-term weight loss maintenance program. In: Journal of Medical Internet Research. 2010 ; Vol. 12, No. 3.
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AU - Hollis, Jack F.

AU - Jerome, Gerald J.

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