Effect of a Gender-Tailored eHealth Weight Loss Program on the Depressive Symptoms of Overweight and Obese Men: Pre-Post Study (Preprint)

Mapping Intimacies ◽

10.2196/preprints.8920 ◽

2017 ◽

Author(s):

Myles D Young ◽

Philip J Morgan

Keyword(s):

Weight Loss ◽

Depressive Symptoms ◽

Controlled Trial ◽

Community Sample ◽

Weight Loss Program ◽

Text Messages ◽

Retention Rates ◽

Intervention Effect ◽

Intention To Treat ◽

Before And After

BACKGROUND Obesity and depression are of two of the largest contributors to the global burden of disease in men. Although lifestyle behavior change programs can improve participants’ weight and depressive symptoms, the evidence is limited by a lack of male participants and a reliance on face-to-face treatment approaches, which are not accessible or appealing for many men. OBJECTIVE This study examined the effect of a gender-tailored electronic health (eHealth) program on the depressive symptoms of a community sample of overweight and obese men with or without depression. A secondary aim was to determine whether the eHealth, self-directed format of the program was a feasible and acceptable treatment approach for the subgroup of men with depression at baseline. METHODS In total, 209 overweight/obese men from the Hunter Region of Australia were assessed before and after completing a self-administered eHealth weight loss program over 3 months. To increase engagement, most program elements were socio-culturally targeted to appeal specifically to men and included printed materials, a DVD, motivational text messages, online- or app-based self-monitoring, and other weight loss tools (eg, pedometer). Depressive symptoms were measured with the validated 8-item Patient Health Questionnaire (PHQ-8). Program feasibility and acceptability were assessed with a process questionnaire plus recruitment and retention rates. Changes in depressive symptoms and weight were examined using intention-to-treat linear mixed models, adjusted for the centered baseline score and other covariates. Effect sizes were estimated with Cohen’s d. RESULTS At baseline, the mean weight and age of the sample was 105.7 kg (standard deviation [SD] 14.0) and 46.6 years (SD 11.3), respectively. Overall, 36 men (36/209, 17.2%) were experiencing depression (PHQ-8 score ≥10). Retention rates were comparable between men with and without depression (32/36, 88.9% vs 145/173, 83.8%; P=.44). At posttest, depressive symptoms had reduced by 1.8 units (95% CI 1.3 to 2.3; P<.001; d=0.5) for the whole sample. These improvements were particularly notable in the subgroup of men with depression (-5.5 units; P<.001; d=1.0) and 72.2% (26/36) of this subgroup no longer met the criterion for depression at posttest. A corresponding, albeit smaller, intervention effect on depressive symptoms was also observed in men without depression (-1.0 units; P<.001; d=0.4). The overall intervention effect on weight was -4.7 kg (d=1.3), which did not vary significantly by depression status. Program acceptability, feasibility, and online engagement metrics were also comparable between men with and without depression. CONCLUSIONS A gender-tailored eHealth lifestyle program generated short-term improvements in the mental health of overweight and obese men, particularly for men with depression at baseline. Despite receiving no personalized support, men with depression reported high levels of satisfaction and engagement with the program. As such, a longer-term controlled trial testing an adapted version of the program for this subgroup is warranted. CLINICALTRIAL Australian New Zealand Clinical Trials Registry: ACTRN12612000749808; https://www.anzctr.org.au/ Trial/Registration/TrialReview.aspx?id=362575 (Archived by WebCite at http://www.webcitation.org/6wJvbRsNW)

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Effect of a Gender-Tailored eHealth Weight Loss Program on the Depressive Symptoms of Overweight and Obese Men: Pre-Post Study

JMIR Mental Health ◽

10.2196/mental.8920 ◽

2018 ◽

Vol 5 (1) ◽

pp. e1 ◽

Cited By ~ 3

Author(s):

Myles D Young ◽

Philip J Morgan

Keyword(s):

Weight Loss ◽

Depressive Symptoms ◽

Controlled Trial ◽

Community Sample ◽

Weight Loss Program ◽

Text Messages ◽

Trial Registration ◽

Retention Rates ◽

Intervention Effect ◽

Intention To Treat

Background Obesity and depression are of two of the largest contributors to the global burden of disease in men. Although lifestyle behavior change programs can improve participants’ weight and depressive symptoms, the evidence is limited by a lack of male participants and a reliance on face-to-face treatment approaches, which are not accessible or appealing for many men. Objective This study examined the effect of a gender-tailored electronic health (eHealth) program on the depressive symptoms of a community sample of overweight and obese men with or without depression. A secondary aim was to determine whether the eHealth, self-directed format of the program was a feasible and acceptable treatment approach for the subgroup of men with depression at baseline. Methods In total, 209 overweight/obese men from the Hunter Region of Australia were assessed before and after completing a self-administered eHealth weight loss program over 3 months. To increase engagement, most program elements were socio-culturally targeted to appeal specifically to men and included printed materials, a DVD, motivational text messages, online- or app-based self-monitoring, and other weight loss tools (eg, pedometer). Depressive symptoms were measured with the validated 8-item Patient Health Questionnaire (PHQ-8). Program feasibility and acceptability were assessed with a process questionnaire plus recruitment and retention rates. Changes in depressive symptoms and weight were examined using intention-to-treat linear mixed models, adjusted for the centered baseline score and other covariates. Effect sizes were estimated with Cohen’s d. Results At baseline, the mean weight and age of the sample was 105.7 kg (standard deviation [SD] 14.0) and 46.6 years (SD 11.3), respectively. Overall, 36 men (36/209, 17.2%) were experiencing depression (PHQ-8 score ≥10). Retention rates were comparable between men with and without depression (32/36, 88.9% vs 145/173, 83.8%; P=.44). At posttest, depressive symptoms had reduced by 1.8 units (95% CI 1.3 to 2.3; P<.001; d=0.5) for the whole sample. These improvements were particularly notable in the subgroup of men with depression (-5.5 units; P<.001; d=1.0) and 72.2% (26/36) of this subgroup no longer met the criterion for depression at posttest. A corresponding, albeit smaller, intervention effect on depressive symptoms was also observed in men without depression (-1.0 units; P<.001; d=0.4). The overall intervention effect on weight was -4.7 kg (d=1.3), which did not vary significantly by depression status. Program acceptability, feasibility, and online engagement metrics were also comparable between men with and without depression. Conclusions A gender-tailored eHealth lifestyle program generated short-term improvements in the mental health of overweight and obese men, particularly for men with depression at baseline. Despite receiving no personalized support, men with depression reported high levels of satisfaction and engagement with the program. As such, a longer-term controlled trial testing an adapted version of the program for this subgroup is warranted. Trial Registration Australian New Zealand Clinical Trials Registry: ACTRN12612000749808; https://www.anzctr.org.au/ Trial/Registration/TrialReview.aspx?id=362575 (Archived by WebCite at http://www.webcitation.org/6wJvbRsNW)

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An Internet-Based Intervention for the Relatives of People with Mental Illnesses

Swiss Journal of Psychology ◽

10.1024/1421-0185/a000219 ◽

2019 ◽

Vol 78 (1-2) ◽

pp. 15-27 ◽

Cited By ~ 1

Author(s):

Virginie Salamin ◽

Philippe Ray ◽

Isabelle Gothuey ◽

Sabine Corzani ◽

Chantal Martin-Soelch

Keyword(s):

Mental Illness ◽

Emotion Regulation ◽

Depressive Symptoms ◽

Group Intervention ◽

Controlled Trial ◽

Online Intervention ◽

Skills Training ◽

Mental Illnesses ◽

Intention To Treat ◽

Before And After

Abstract. Relatives of individuals with mental illness are exposed to an elevated level of burden. Consequently, it is important to provide them with coping strategies. We explored the benefits of an online skills-training intervention. This open, uncontrolled interventional pilot study included 104 relatives of individuals with a mental illness. They participated either in a face-to-face group ( n = 60) or online intervention ( n = 44); participants were free to choose the type of intervention. Depressive symptoms and emotion regulation were assessed before and after the interventions. The analysis was based on an intention-to-treat model. About one-third of both samples did not complete the posttest assessments. The results of a multivariate analysis of variance revealed a significant effect of the interaction between time and intervention type, F(2,101) = 11.77, p < .01. Reductions in depressive symptoms, F(1,102) = 9.41, p < .01, ε2p= .08, and emotion-regulation difficulty, F(1,102) = 8.01, p < .01, ε2p= .07, following the online intervention were greater relative to the group intervention. Despite the limitations of this study because of group differences, the results demonstrated the benefits of an online intervention for the relatives. These encouraging initial results require further confirmation using a randomized controlled trial.

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Do Nutrition Education Approaches With Preschoolers and Their Caregivers Influence Retention of Biofortified Orange-Fleshed Sweetpotato on Farms?: Evidence From Homa Bay County, Kenya

Food and Nutrition Bulletin ◽

10.1177/03795721211025445 ◽

2021 ◽

pp. 037957212110254

Author(s):

Sylvester O. Ojwang ◽

David J. Otieno ◽

Julius J. Okello ◽

Penina Muoki ◽

Rose A. Nyikal

Keyword(s):

Nutrition Education ◽

Early Childhood Development ◽

Controlled Trial ◽

Text Messages ◽

Sub Saharan Africa ◽

Childhood Development ◽

Control Group ◽

Micronutrient Deficiencies ◽

Household Level ◽

Intention To Treat

Background: Biofortified staples have been promoted widely in sub-Saharan Africa to combat micronutrient deficiencies. Contemporary projects are increasingly using elementary schools to target households with these foods. Objective: This study assessed the effects of integrated nutrition education approaches, targeting preschoolers and their caregivers, on retention of orange-fleshed sweetpotato (OFSP) on farms in the second season after lapse of free vine dissemination initiatives. Methods: Rural farming households, with preschoolers and no prior engagement with OFSP, were targeted. A multistage sample of 431 preschooler–caregiver pairs was recruited for a cluster-randomized controlled trial. After issuing routine OFSP promotion activities, 15 village-level clusters of the pairs were randomized into 1 control group (3 villages) and 3 treatment arms (4 villages each) for the interventions. Baseline and follow-up household-level survey data were collected from the caregivers. The interventions included: (1) OFSP-branded exercise books, posters, and a poem to preschoolers only; (2) OFSP-oriented mobile phone-mediated text messages to caregivers only; and (3) both 1 and 2 provided to individual households concurrently. Interventions 1 and 2 were single-channeled, while 3 was multichanneled. We estimated the intention-to-treat (ITT) and treatment-on-the-treated (TOT) effects using a binary logit model and a special regressor method, respectively. Results: Only the multichanneled nutrition education approach had significant effects (ITT = 0.167, P = .001; TOT = .243, P = .007) on the caregivers’ likelihood to retain OFSP on their farms. Conclusions: The finding implies that multichanneled agriculture-nutrition education interventions through Early Childhood Development institutions can be effective in ensuring sustainable adoption of OFSP.

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A proteomic analysis of serum from dogs before and after a controlled weight-loss program

Domestic Animal Endocrinology ◽

10.1016/j.domaniend.2012.04.004 ◽

2012 ◽

Vol 43 (4) ◽

pp. 271-277 ◽

Cited By ~ 5

Author(s):

A. Tvarijonaviciute ◽

A.M. Gutiérrez ◽

I. Miller ◽

E. Razzazi-Fazeli ◽

F. Tecles ◽

...

Keyword(s):

Weight Loss ◽

Proteomic Analysis ◽

Weight Loss Program ◽

Before And After

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A randomized controlled trial of a theory-based weight-loss program for couples.

Health Psychology ◽

10.1037/hea0000808 ◽

2020 ◽

Vol 39 (2) ◽

pp. 137-146 ◽

Cited By ~ 1

Author(s):

Amy A. Gorin ◽

Theodore A. Powers ◽

Katelyn Gettens ◽

Talea Cornelius ◽

Richard Koestner ◽

...

Keyword(s):

Weight Loss ◽

Randomized Controlled Trial ◽

Controlled Trial ◽

Weight Loss Program ◽

Randomized Controlled

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Evaluation of the impact of an internet-based weight loss program for men: The SHED-IT randomised controlled trial

Journal of Science and Medicine in Sport ◽

10.1016/j.jsams.2008.12.040 ◽

2009 ◽

Vol 12 ◽

pp. S15

Author(s):

P. Morgan ◽

D. Lubans ◽

R. Callister ◽

J. Warren ◽

C. Collins

Keyword(s):

Weight Loss ◽

Randomised Controlled Trial ◽

Controlled Trial ◽

Weight Loss Program ◽

Randomised Controlled ◽

The Impact

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A Pilot Randomized Controlled Trial of a Telenutrition Weight Loss Intervention in Middle-Aged and Older Men with Multiple Risk Factors for Cardiovascular Disease

Nutrients ◽

10.3390/nu11020229 ◽

2019 ◽

Vol 11 (2) ◽

pp. 229 ◽

Cited By ~ 6

Author(s):

Melissa Ventura Marra ◽

Christa Lilly ◽

Kelly Nelson ◽

Dominick Woofter ◽

James Malone

Keyword(s):

Primary Care ◽

Weight Loss ◽

Controlled Trial ◽

A Priori ◽

Intervention Group ◽

Caloric Intake ◽

Overweight And Obesity ◽

Retention Rates ◽

Weight Loss Intervention ◽

Dietary Counseling

Overweight and obesity threaten the health, functionality and quality of life of 77.2% men in West Virginia. The purpose of this study was to evaluate the feasibility and effectiveness of a 12-week primary care referred telenutrition weight loss intervention. Fifty-nine 40–70-year-old men with obesity were randomized to either the intervention group (n = 29) or an enhanced usual care (EUC) (n = 30) group. Participants from both groups were prescribed a moderate energy restricted diet (500–750 kcal/day below energy requirements) and provided diet-related educational materials; but, only those in the intervention group received weekly support from a registered dietitian nutritionist via telephone and videoconferencing. Both groups significantly reduced body weight, waist circumference, percent body fat and caloric intake and improved diet quality from baseline (p < 0.0001). Groups did not differ after controlling for time (all p > 0.30) and none of the group by time interactions were statistically significant. At week 12, a greater proportion of participants from the intervention group than the EUC group lost at least 5% of their baseline weight, (70.4% vs. 41.4%, p = 0.035). Retention rates and participant-reported adherence and satisfaction rates were ≥80% in the telenutrition group, thereby meeting the a priori criterion for feasibility of a larger trial. Primary care referred telenutrition interventions have the potential to improve access to dietary counseling for obesity treatment in health disparate populations. A larger longer-term trial is warranted.

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