Effectiveness of Obesity-Related Lifestyle Intervention Strategies Among School-Going Adolescents in Selected Schools of Bhubaneswar: A Quasi-Experimental Study

BACKGROUND The prevalence of obesity and diabetes among middle-aged and older adults is on the rise, and with an increase in the world population of adults aged 60 years and older, the demand for health interventions across age groups is growing. Noom is an mHealth behavior change lifestyle intervention that provides users with tracking features for food and exercise logging and weighing-in as well as access to a virtual 1:1 behavior change coach, support group, and daily curriculum that includes diet-, exercise-, and psychology-based content. Limited research has observed the effect of age on a mobile health (mHealth) lifestyle intervention. OBJECTIVE The goal of the research was to analyze engagement of middle-aged and older adults using a mobile lifestyle or diabetes prevention intervention. METHODS A total of 14,767 adults (aged 35 to 85 years) received one of two curricula via an mHealth intervention in a quasi-experimental study: the Healthy Weight program (HW) by Noom (84%) or the Noom-developed Diabetes Prevention Program (DPP), recognized by the US Centers for Disease Control and Prevention (CDC). The main outcome measure was weight over time, observed at baseline and weeks 16 and 52. RESULTS Linear mixed modeling found age to be a significant predictor of weight at week 16 (F2,1398.4=9.20; P<.001; baseline vs week 16: β=–.12, 95% CI –0.18 to –0.07), suggesting that as age increases by 1 year, weight decreased by 0.12 kg. An interaction between engagement and age was also found at week 52 (F1,14680.51=6.70; P=.01) such that engagement was more strongly associated with weight for younger versus older adults (age × engagement: β=.02, 95% CI 0.01 to 0.04). HW users lost 6.24 (SD 6.73) kg or 5.2% of their body weight and DPP users lost 5.66 (SD 7.16) kg or 8.1% of their body weight at week 52, meeting the CDC standards for weight loss effects on health. CONCLUSIONS Age and engagement are significant predictors of weight. Older adults lost more weight using an mHealth evidence-based lifestyle intervention compared with younger adults, despite their engagement. These preliminary findings suggest further clinical implications for adapting the program to older adults’ needs.

Download Full-text

Relationship Between Age and Weight Loss in Noom: Quasi-Experimental Study

JMIR Diabetes ◽

10.2196/18363 ◽

2020 ◽

Vol 5 (2) ◽

pp. e18363

Author(s):

Laura DeLuca ◽

Tatiana Toro-Ramos ◽

Andreas Michaelides ◽

Elizabeth Seng ◽

Charles Swencionis

Keyword(s):

Older Adults ◽

Experimental Study ◽

Weight Loss ◽

Body Weight ◽

Behavior Change ◽

Lifestyle Intervention ◽

Diabetes Prevention ◽

Middle Aged ◽

Obesity And Diabetes ◽

Quasi Experimental

Background The prevalence of obesity and diabetes among middle-aged and older adults is on the rise, and with an increase in the world population of adults aged 60 years and older, the demand for health interventions across age groups is growing. Noom is an mHealth behavior change lifestyle intervention that provides users with tracking features for food and exercise logging and weighing-in as well as access to a virtual 1:1 behavior change coach, support group, and daily curriculum that includes diet-, exercise-, and psychology-based content. Limited research has observed the effect of age on a mobile health (mHealth) lifestyle intervention. Objective The goal of the research was to analyze engagement of middle-aged and older adults using a mobile lifestyle or diabetes prevention intervention. Methods A total of 14,767 adults (aged 35 to 85 years) received one of two curricula via an mHealth intervention in a quasi-experimental study: the Healthy Weight program (HW) by Noom (84%) or the Noom-developed Diabetes Prevention Program (DPP), recognized by the US Centers for Disease Control and Prevention (CDC). The main outcome measure was weight over time, observed at baseline and weeks 16 and 52. Results Linear mixed modeling found age to be a significant predictor of weight at week 16 (F2,1398.4=9.20; P<.001; baseline vs week 16: β=–.12, 95% CI –0.18 to –0.07), suggesting that as age increases by 1 year, weight decreased by 0.12 kg. An interaction between engagement and age was also found at week 52 (F1,14680.51=6.70; P=.01) such that engagement was more strongly associated with weight for younger versus older adults (age × engagement: β=.02, 95% CI 0.01 to 0.04). HW users lost 6.24 (SD 6.73) kg or 5.2% of their body weight and DPP users lost 5.66 (SD 7.16) kg or 8.1% of their body weight at week 52, meeting the CDC standards for weight loss effects on health. Conclusions Age and engagement are significant predictors of weight. Older adults lost more weight using an mHealth evidence-based lifestyle intervention compared with younger adults, despite their engagement. These preliminary findings suggest further clinical implications for adapting the program to older adults’ needs.

Download Full-text

Diabetes prevention in the Caribbean using Lifestyle Intervention and Metformin Escalation (LIME): Protocol for a hybrid Type-1 effectiveness-implementation trial using a quasi-experimental study design

Contemporary Clinical Trials Communications ◽

10.1016/j.conctc.2021.100750 ◽

2021 ◽

pp. 100750

Author(s):

Saria Hassan ◽

Natasha Sobers ◽

Joanne Paul-Charles ◽

Joseph Herbert ◽

Kavita Dharamraj ◽

...

Keyword(s):

Experimental Study ◽

Lifestyle Intervention ◽

Study Design ◽

Diabetes Prevention ◽

Hybrid Type ◽

Quasi Experimental ◽

The Caribbean ◽

Implementation Trial ◽

Experimental Study Design

Download Full-text

Impact of group coaching on executive health: A quasi-experimental study

PsycEXTRA Dataset ◽

10.1037/e518532013-541 ◽

2007 ◽

Cited By ~ 1

Author(s):

Paul T. Barrett ◽

Karin Klenke

Keyword(s):

Experimental Study ◽

Group Coaching ◽

Quasi Experimental

Download Full-text

DESAIN PEMBELAJARAN BAHASA INDONESIA BERBASIS PEMAHAMAN NILAI SIKAP GOTONG ROYONG

Jurnal Ilmiah Bina Edukasi ◽

10.33557/jedukasi.v13i2.1150 ◽

2020 ◽

Vol 13 (2) ◽

pp. 01-10

Author(s):

Alpansyah Alpansyah ◽

Abdul Talib Hasim

Keyword(s):

Experimental Study ◽

Language Learning ◽

Reader Response ◽

Female Students ◽

Male Students ◽

Mutual Cooperation ◽

Male And Female ◽

Quasi Experimental ◽

Bahasa Indonesia ◽

Better Than

The aims of this study were: (1) to identify an increase in students' understanding of the value of mutual cooperation through the use of reader response rules in Indonesian Language Learning (KRPDPBI); (2) identifying the use of the reader response principle in Indonesian Language learning (KRPDPBI) there are differences between male and female students. The design of this study used a quasi-experimental study with two different methods. The results showed that (1) the achievement of the score of understanding the value of mutual cooperation for students taught by KRPDPBI was better than for students taught by regular learning according to the curriculum; (2) the achievement of the understanding of the value of male students' mutual cooperation is no better than that of female students.

Download Full-text