TY - JOUR
T1 - Tailored, Interactive Text Messages for Enhancing Weight Loss among African American Adults
T2 - The TRIMM Randomized Controlled Trial
AU - Lin, Michael
AU - Mahmooth, Zayan
AU - Dedhia, Nicket
AU - Frutchey, Robin
AU - Mercado, Catherine E.
AU - Epstein, David H.
AU - Preston, Kenzie L.
AU - Gibbons, Michael C.
AU - Bowie, Janice V.
AU - Labrique, Alain B.
AU - Cheskin, Lawrence J.
N1 - Funding Information:
Funding: This trial was conducted by the Johns Hopkins Weight Management Center, supported by a Mobilizing for Health grant from the McKesson Foundation , by a grant from the Doris Duke Charitable Foundation to Johns Hopkins University to fund Clinical Research Fellow ML , and by the Intramural Research Program of the National Institute on Drug Abuse , National Institutes of Health . The trial received support for statistical analysis from the National Center for Research Resources and the National Center for Advancing Translational Sciences (NCATS) of the National Institute of Health through Grant Number UL1T000424 . The funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, and approval of the manuscript; or decision to submit the manuscript for publication.
Publisher Copyright:
© 2015 Elsevier Inc. All rights reserved.
PY - 2015/8/1
Y1 - 2015/8/1
N2 - Background Helping patients control obesity remains a clinical challenge for internists, and African Americans experience obesity rates higher than other racial/ethnic groups. Purpose To investigate whether a behavioral theory-based mobile health intervention would enhance weight loss when added to standard care among overweight/obese African American adults. Methods A randomized controlled trial of 124 adults recruited from Baltimore-area African American churches. Participant follow-up ended March 2013. Participants were randomized to standard care (included one-on-one counseling sessions with a dietitian and a physician) or standard care plus daily tailored text messages for 6 months. Text messages were delivered in phases: preparation, reinforcement of participant-selected diet and exercise goals, reflection, goal integration, weight loss methods, and maintenance. There were follow-up visits at 3, 6, and 12 months. Primary outcome was weight change from baseline to end-intervention at 6 months. Secondary outcomes included weight change at 3 months, engagement, and satisfaction with the intervention. Results Sixty-three participants were randomized to the mobile health intervention and 61 to standard-care control. Weights were collected in-window for 45 (36.3%) at 3 months and 51 (41.1%) at 6 months. Mean weight loss at 3 months was 2.5 kg greater in the intervention group compared with standard care (95% confidence interval [CI], -4.3 to -0.6; P <.001), and 3.4 kg greater (95% CI, -5.2 to -1.7; P =.001) at 6 months. Degree of engagement with messages was correlated with weight loss. Conclusions While attrition was high, this study supports a tailored, interactive text-message intervention to enhance weight loss among obese African-American adults.
AB - Background Helping patients control obesity remains a clinical challenge for internists, and African Americans experience obesity rates higher than other racial/ethnic groups. Purpose To investigate whether a behavioral theory-based mobile health intervention would enhance weight loss when added to standard care among overweight/obese African American adults. Methods A randomized controlled trial of 124 adults recruited from Baltimore-area African American churches. Participant follow-up ended March 2013. Participants were randomized to standard care (included one-on-one counseling sessions with a dietitian and a physician) or standard care plus daily tailored text messages for 6 months. Text messages were delivered in phases: preparation, reinforcement of participant-selected diet and exercise goals, reflection, goal integration, weight loss methods, and maintenance. There were follow-up visits at 3, 6, and 12 months. Primary outcome was weight change from baseline to end-intervention at 6 months. Secondary outcomes included weight change at 3 months, engagement, and satisfaction with the intervention. Results Sixty-three participants were randomized to the mobile health intervention and 61 to standard-care control. Weights were collected in-window for 45 (36.3%) at 3 months and 51 (41.1%) at 6 months. Mean weight loss at 3 months was 2.5 kg greater in the intervention group compared with standard care (95% confidence interval [CI], -4.3 to -0.6; P <.001), and 3.4 kg greater (95% CI, -5.2 to -1.7; P =.001) at 6 months. Degree of engagement with messages was correlated with weight loss. Conclusions While attrition was high, this study supports a tailored, interactive text-message intervention to enhance weight loss among obese African-American adults.
KW - African-American
KW - Obesity
KW - Text messaging
KW - Weight loss
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U2 - 10.1016/j.amjmed.2015.03.013
DO - 10.1016/j.amjmed.2015.03.013
M3 - Article
C2 - 25840035
AN - SCOPUS:84937816607
SN - 0002-9343
VL - 128
SP - 896
EP - 904
JO - American Journal of Medicine
JF - American Journal of Medicine
IS - 8
ER -