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Long-Term Effect of Interactive Online Dietician Weight Loss Advice in General Practice (LIVA) Protocol for a Randomized Controlled Trial.

Brandt CJ, Brandt V, Pedersen M, Glintborg D, Toubro S, Nielsen JB, Eysenbach G, Brandt K, Søndergaard J - Int J Family Med (2014)

Bottom Line: To analyze the effects of a complex intervention using trained dieticians in a general practice setting combined with internet-based interactive and personalized weight management support compared with conventional advice with a noninteractive internet support as placebo treatment in 340 overweight patients during a 2-year period.Perspective.The project will generate knowledge on the cost-effectiveness of a complex internet-based intervention in a general practice setting and on barriers and acceptability among professionals and patients.

View Article: PubMed Central - PubMed

Affiliation: Research Unit for General Practice, Institute of Public Health, University of Southern Denmark, J. B. Winsloews Vej 9A, 5000 Odense, Denmark.

ABSTRACT
Background. Internet-based complex interventions aiming to promote weight loss and optimize healthy behaviors have attracted much attention. However, evidence for effect is lacking. Obesity is a growing problem, resulting in an increasing demand for cost efficient weight loss programs suitable for use on a large scale, for example, as part of standard primary care. In a previous pilot project by Brandt et al. (2011) without a control group, we examined the effects of online dietician counseling and found an average weight loss of 7.0 kg (95% CI: 4.6 to 9.3 kg) after 20 months. Aims and Methods. To analyze the effects of a complex intervention using trained dieticians in a general practice setting combined with internet-based interactive and personalized weight management support compared with conventional advice with a noninteractive internet support as placebo treatment in 340 overweight patients during a 2-year period. Primary endpoints are weight loss and lowering of cholesterol (LDL). We will also explore patients' sociodemographics and use of the intervention as well as the health professionals' views and perceptions of the intervention (their role and the advice and support that they provide). Perspective. The project will generate knowledge on the cost-effectiveness of a complex internet-based intervention in a general practice setting and on barriers and acceptability among professionals and patients.

No MeSH data available.


Related in: MedlinePlus

Flowchart for patients.
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fig1: Flowchart for patients.

Mentions: The study will recruit 340 patients registered in general practices within 4–6 medical centers, representing a population of approximately 40,000 citizens. The medical centers will be invited to participate and consecutively included. They will be both rural and city centers and have between 2 and 10 doctors working at each center. Doctors and practice staff will hand out information material about the study. Patients are included consecutively until there is a total number of 340 patients randomized to either intervention group or control group, respectively. The practice staff will register everyone agreeing to participate. We expect to include initial 500 patients before randomization as our experience from the pilot study is that 25% of those who agree to participate do not fill out the online registration form required to be randomized [17] (Figure 1).


Long-Term Effect of Interactive Online Dietician Weight Loss Advice in General Practice (LIVA) Protocol for a Randomized Controlled Trial.

Brandt CJ, Brandt V, Pedersen M, Glintborg D, Toubro S, Nielsen JB, Eysenbach G, Brandt K, Søndergaard J - Int J Family Med (2014)

Flowchart for patients.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4016832&req=5

fig1: Flowchart for patients.
Mentions: The study will recruit 340 patients registered in general practices within 4–6 medical centers, representing a population of approximately 40,000 citizens. The medical centers will be invited to participate and consecutively included. They will be both rural and city centers and have between 2 and 10 doctors working at each center. Doctors and practice staff will hand out information material about the study. Patients are included consecutively until there is a total number of 340 patients randomized to either intervention group or control group, respectively. The practice staff will register everyone agreeing to participate. We expect to include initial 500 patients before randomization as our experience from the pilot study is that 25% of those who agree to participate do not fill out the online registration form required to be randomized [17] (Figure 1).

Bottom Line: To analyze the effects of a complex intervention using trained dieticians in a general practice setting combined with internet-based interactive and personalized weight management support compared with conventional advice with a noninteractive internet support as placebo treatment in 340 overweight patients during a 2-year period.Perspective.The project will generate knowledge on the cost-effectiveness of a complex internet-based intervention in a general practice setting and on barriers and acceptability among professionals and patients.

View Article: PubMed Central - PubMed

Affiliation: Research Unit for General Practice, Institute of Public Health, University of Southern Denmark, J. B. Winsloews Vej 9A, 5000 Odense, Denmark.

ABSTRACT
Background. Internet-based complex interventions aiming to promote weight loss and optimize healthy behaviors have attracted much attention. However, evidence for effect is lacking. Obesity is a growing problem, resulting in an increasing demand for cost efficient weight loss programs suitable for use on a large scale, for example, as part of standard primary care. In a previous pilot project by Brandt et al. (2011) without a control group, we examined the effects of online dietician counseling and found an average weight loss of 7.0 kg (95% CI: 4.6 to 9.3 kg) after 20 months. Aims and Methods. To analyze the effects of a complex intervention using trained dieticians in a general practice setting combined with internet-based interactive and personalized weight management support compared with conventional advice with a noninteractive internet support as placebo treatment in 340 overweight patients during a 2-year period. Primary endpoints are weight loss and lowering of cholesterol (LDL). We will also explore patients' sociodemographics and use of the intervention as well as the health professionals' views and perceptions of the intervention (their role and the advice and support that they provide). Perspective. The project will generate knowledge on the cost-effectiveness of a complex internet-based intervention in a general practice setting and on barriers and acceptability among professionals and patients.

No MeSH data available.


Related in: MedlinePlus