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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

Consultation schedules in the intervention group.
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fig2: Consultation schedules in the intervention group.

Mentions: Patients randomized to the intervention group receive a login to the website “http://www.praksis.sundhedsdoktor.dk/” as well as a consultation with a certified clinical dietician within 2 weeks. The website has been developed over a 12-year period with focus groups, usability testing, and user involvement from both patients and health care professionals. At “http://www.praksis.sundhedsdoktor.dk/” the patients fill in a daily diet record as well as their comments, concerns, and questions to the dietician, who will have access to all patient profiles. Patients can monitor and follow their weight loss progress at the website. They have access to a community where they can discuss and chat with other patients and share weight loss experiences as well as give advice and support to each other. Patients receive subsequent 15–30 min consultations with the dietician by appointment at the start and up to every 6 weeks for 6 months to a total of 5 (Figure 2). The certified clinical dieticians also provide individual asynchronous online consultation [14] according to their patients' needs and based on information supplied via the website. The online consultations are weekly during the first 6 months and after that they are monthly. The dietician generates a daily caloric reduction plan of approximately 2400–3200 KJ based on the patients' starting weight, diet record, and physical activity. The dietary advice will be as standardized as possible. In collaboration with the patient goals for obesogenic behavior changes are set up like “eat breakfast every day,” “no late night meal or snack,” and so forth that follow the dietary guidelines given at “http://www.praksis.sundhedsdoktor.dk/” and The Danish Health and Medicine Authority (Sundhedsstyrelsen). A personal trainer evaluates the exercise by monitoring information given by the patients and encourages them to increase their physical activity to a level of at least. Patients will be encouraged to increase their physical activity to a level with at least 30 min daily. Three times a week the physical activity is suggested to be of moderate to high intensity.


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)

Consultation schedules in the intervention group.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig2: Consultation schedules in the intervention group.
Mentions: Patients randomized to the intervention group receive a login to the website “http://www.praksis.sundhedsdoktor.dk/” as well as a consultation with a certified clinical dietician within 2 weeks. The website has been developed over a 12-year period with focus groups, usability testing, and user involvement from both patients and health care professionals. At “http://www.praksis.sundhedsdoktor.dk/” the patients fill in a daily diet record as well as their comments, concerns, and questions to the dietician, who will have access to all patient profiles. Patients can monitor and follow their weight loss progress at the website. They have access to a community where they can discuss and chat with other patients and share weight loss experiences as well as give advice and support to each other. Patients receive subsequent 15–30 min consultations with the dietician by appointment at the start and up to every 6 weeks for 6 months to a total of 5 (Figure 2). The certified clinical dieticians also provide individual asynchronous online consultation [14] according to their patients' needs and based on information supplied via the website. The online consultations are weekly during the first 6 months and after that they are monthly. The dietician generates a daily caloric reduction plan of approximately 2400–3200 KJ based on the patients' starting weight, diet record, and physical activity. The dietary advice will be as standardized as possible. In collaboration with the patient goals for obesogenic behavior changes are set up like “eat breakfast every day,” “no late night meal or snack,” and so forth that follow the dietary guidelines given at “http://www.praksis.sundhedsdoktor.dk/” and The Danish Health and Medicine Authority (Sundhedsstyrelsen). A personal trainer evaluates the exercise by monitoring information given by the patients and encourages them to increase their physical activity to a level of at least. Patients will be encouraged to increase their physical activity to a level with at least 30 min daily. Three times a week the physical activity is suggested to be of moderate to high intensity.

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