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Volume 37, Issue 4, Pages 263-269 (October 2009)


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Pounds Off Digitally Study: A Randomized Podcasting Weight-Loss Intervention

Gabrielle M. Turner-McGrievy, PhD, RDaCorresponding Author Informationemail address, Marci K. Campbell, PhD, RDa, Deborah F. Tate, PhDab, Kimberly P. Truesdale, PhDa, J. Michael Bowling, PhDb, Lelia Crosby, BAc

Refers to article:
Opportunities and Challenges in Behavioral Informatics: Observations on the Pounds Off Digitally Study
Beth C. Bock
American Journal of Preventive Medicine
October 2009 (Vol. 37, Issue 4, Pages 377-378)
Full Text | Full-Text PDF (77 KB)

Background

As obesity rates rise, new weight-loss methods are needed. Little is known about the use of podcasting (audio files for a portable music player or computer) to promote weight loss, despite its growing popularity.

Design

A 12-week RCT was conducted.

Setting/participants

The study sample comprised overweight men and women (BMI=25–40 kg/m2; n=78) in the Raleigh–Durham NC area.

Intervention

In 2008, participants were randomly assigned to receive 24 episodes of a currently available weight-loss podcast (control podcast) or a weight-loss podcast based on social cognitive theory (SCT) designed by the researchers (enhanced podcast) for 12 weeks.

Main outcome measures

Weight was measured on a digital scale at baseline and follow-up. Both groups also completed questionnaires assessing demographic information, food intake, physical activity, and SCT constructs at the introductory and 12-week meetings. Additional questionnaires at the 12-week meeting assessed perceptions of the intervention.

Results

Data collection and analysis occurred in 2008 and intention-to-treat was used. Enhanced group participants (n=41) had a greater decrease in weight (−2.9±3.5 kg enhanced group vs −0.3±2.1 control group; p<0.001 between groups) and BMI (−1.0±1.2 kg/m2 enhanced group vs −0.1±0.7 kg/m2 control group; p<0.001 between groups) than the control group (n=37) and had greater weight-loss–related knowledge (p<0.05), elaboration (p<0.001), and user control (p<0.001) and less cognitive load (p<0.001).

Conclusions

The results of this study suggest that the use of behavioral, theory-based podcasting may be an effective way to promote weight loss.

Trial registration

NCT00771095

a Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

b Department of Health Behavior and Health Education, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

c Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina

Corresponding Author InformationAddress correspondence and reprint requests to: Gabrielle M. Turner-McGrievy, PhD, RD, University of North Carolina at Chapel Hill, 2217 McGavran-Greenberg Hall, Campus Box 7461, Chapel Hill NC 27599-7461

 The full text of this article is available via AJPM Online at www.ajpm-online.net.

PII: S0749-3797(09)00419-X

doi:10.1016/j.amepre.2009.06.010


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