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Smartloss: A Personalized Mobile Health Intervention for Weight Management and Health Promotion.

Martin CK, Gilmore LA, Apolzan JW, Myers CA, Thomas DM, Redman LM - JMIR Mhealth Uhealth (2016)

Bottom Line: Behavior change theory (eg, the theory of planned behavior) can be effectively encapsulated into mobile phone-based health improvement programs, which is fostered by the ability of mobile phones and related devices to collect and transmit objective data in near real time and for health care or research professionals and clients to communicate easily.The clinician dashboard allows for efficient remote monitoring of all clients simultaneously, which may further increase adherence, personalization of treatment, treatment fidelity, and efficacy.Evidence of the efficacy of the SmartLoss approach has been reported previously.

View Article: PubMed Central - HTML - PubMed

Affiliation: Pennington Biomedical Research Center, Baton Rouge, LA, United States.

ABSTRACT

Background: Synonymous with increased use of mobile phones has been the development of mobile health (mHealth) technology for improving health, including weight management. Behavior change theory (eg, the theory of planned behavior) can be effectively encapsulated into mobile phone-based health improvement programs, which is fostered by the ability of mobile phones and related devices to collect and transmit objective data in near real time and for health care or research professionals and clients to communicate easily.

Objective: To describe SmartLoss, a semiautomated mHealth platform for weight loss.

Methods: We developed and validated a dynamic energy balance model that determines the amount of weight an individual will lose over time if they are adherent to an energy intake prescription. This model was incorporated into computer code that enables adherence to a prescribed caloric prescription determined from the change in body weight of the individual. Data from the individual are then used to guide personalized recommendations regarding weight loss and behavior change via a semiautomated mHealth platform called SmartLoss, which consists of 2 elements: (1) a clinician dashboard and (2) a mobile phone app. SmartLoss includes and interfaces with a network-connected bathroom scale and a Bluetooth-connected accelerometer, which enables automated collection of client information (eg, body weight change and physical activity patterns), as well as the systematic delivery of preplanned health materials and automated feedback that is based on client data and is designed to foster prolonged adherence with body weight, diet, and exercise goals. The clinician dashboard allows for efficient remote monitoring of all clients simultaneously, which may further increase adherence, personalization of treatment, treatment fidelity, and efficacy.

Results: Evidence of the efficacy of the SmartLoss approach has been reported previously. The present report provides a thorough description of the SmartLoss Virtual Weight Management Suite, a professionally programmed platform that facilitates treatment fidelity and the ability to customize interventions and disseminate them widely.

Conclusions: SmartLoss functions as a virtual weight management clinic that relies upon empirical weight loss research and behavioral theory to promote behavior change and weight loss.

No MeSH data available.


Related in: MedlinePlus

Screenshot of the SmartToolbox section of the clinician dashboard. SmartToolbox options are utilized when clients require additional support to meet their goals. Less intense and usually more affordable options are used first and progress is tracked to determine if improvement occurred. If not, more intense and usually more costly options are utilized and progress is similarly tracked. The clinician dashboard automatically tracks toolbox use and reports can be generated to demonstrate which options were utilized, as well as change in weight and exercise levels during use of the different toolbox options.
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figure5: Screenshot of the SmartToolbox section of the clinician dashboard. SmartToolbox options are utilized when clients require additional support to meet their goals. Less intense and usually more affordable options are used first and progress is tracked to determine if improvement occurred. If not, more intense and usually more costly options are utilized and progress is similarly tracked. The clinician dashboard automatically tracks toolbox use and reports can be generated to demonstrate which options were utilized, as well as change in weight and exercise levels during use of the different toolbox options.

Mentions: When using this approach, the client and health care or research professional are prompted by the SmartLoss app and dashboard to first select less intensive strategies from the toolbox, followed by more intensive and frequently more expensive strategies if the less intense strategies fail to result in the desired outcome (usually weight loss) over a given period of time (eg, 2 weeks). Treatment strategies provided within the SmartToolBox are specified by the clinic and customized for the type of weight management program being delivered and to meet the needs of individual clients (Figure 5). Use of the toolbox is tracked and quantified by the clinician dashboard. One aim of the toolbox approach is to build self-efficacy as selection of toolbox strategies is a collaborative process between the client and their healthcare or research professional, particularly early in treatment. Options are personalized to meet the individual client’s needs based on their current circumstances and abilities. As treatment progresses, the client learns to identify potential problems, evaluate and select a strategy to overcome the problem, and track the success of the strategy. This framework follows an active problem-solving approach and builds accountability and self-efficacy since the client is actively involved in choosing methods to improve adherence, evaluating the effectiveness of the chosen solution, and selecting an alternative solution if needed.


Smartloss: A Personalized Mobile Health Intervention for Weight Management and Health Promotion.

Martin CK, Gilmore LA, Apolzan JW, Myers CA, Thomas DM, Redman LM - JMIR Mhealth Uhealth (2016)

Screenshot of the SmartToolbox section of the clinician dashboard. SmartToolbox options are utilized when clients require additional support to meet their goals. Less intense and usually more affordable options are used first and progress is tracked to determine if improvement occurred. If not, more intense and usually more costly options are utilized and progress is similarly tracked. The clinician dashboard automatically tracks toolbox use and reports can be generated to demonstrate which options were utilized, as well as change in weight and exercise levels during use of the different toolbox options.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4834738&req=5

figure5: Screenshot of the SmartToolbox section of the clinician dashboard. SmartToolbox options are utilized when clients require additional support to meet their goals. Less intense and usually more affordable options are used first and progress is tracked to determine if improvement occurred. If not, more intense and usually more costly options are utilized and progress is similarly tracked. The clinician dashboard automatically tracks toolbox use and reports can be generated to demonstrate which options were utilized, as well as change in weight and exercise levels during use of the different toolbox options.
Mentions: When using this approach, the client and health care or research professional are prompted by the SmartLoss app and dashboard to first select less intensive strategies from the toolbox, followed by more intensive and frequently more expensive strategies if the less intense strategies fail to result in the desired outcome (usually weight loss) over a given period of time (eg, 2 weeks). Treatment strategies provided within the SmartToolBox are specified by the clinic and customized for the type of weight management program being delivered and to meet the needs of individual clients (Figure 5). Use of the toolbox is tracked and quantified by the clinician dashboard. One aim of the toolbox approach is to build self-efficacy as selection of toolbox strategies is a collaborative process between the client and their healthcare or research professional, particularly early in treatment. Options are personalized to meet the individual client’s needs based on their current circumstances and abilities. As treatment progresses, the client learns to identify potential problems, evaluate and select a strategy to overcome the problem, and track the success of the strategy. This framework follows an active problem-solving approach and builds accountability and self-efficacy since the client is actively involved in choosing methods to improve adherence, evaluating the effectiveness of the chosen solution, and selecting an alternative solution if needed.

Bottom Line: Behavior change theory (eg, the theory of planned behavior) can be effectively encapsulated into mobile phone-based health improvement programs, which is fostered by the ability of mobile phones and related devices to collect and transmit objective data in near real time and for health care or research professionals and clients to communicate easily.The clinician dashboard allows for efficient remote monitoring of all clients simultaneously, which may further increase adherence, personalization of treatment, treatment fidelity, and efficacy.Evidence of the efficacy of the SmartLoss approach has been reported previously.

View Article: PubMed Central - HTML - PubMed

Affiliation: Pennington Biomedical Research Center, Baton Rouge, LA, United States.

ABSTRACT

Background: Synonymous with increased use of mobile phones has been the development of mobile health (mHealth) technology for improving health, including weight management. Behavior change theory (eg, the theory of planned behavior) can be effectively encapsulated into mobile phone-based health improvement programs, which is fostered by the ability of mobile phones and related devices to collect and transmit objective data in near real time and for health care or research professionals and clients to communicate easily.

Objective: To describe SmartLoss, a semiautomated mHealth platform for weight loss.

Methods: We developed and validated a dynamic energy balance model that determines the amount of weight an individual will lose over time if they are adherent to an energy intake prescription. This model was incorporated into computer code that enables adherence to a prescribed caloric prescription determined from the change in body weight of the individual. Data from the individual are then used to guide personalized recommendations regarding weight loss and behavior change via a semiautomated mHealth platform called SmartLoss, which consists of 2 elements: (1) a clinician dashboard and (2) a mobile phone app. SmartLoss includes and interfaces with a network-connected bathroom scale and a Bluetooth-connected accelerometer, which enables automated collection of client information (eg, body weight change and physical activity patterns), as well as the systematic delivery of preplanned health materials and automated feedback that is based on client data and is designed to foster prolonged adherence with body weight, diet, and exercise goals. The clinician dashboard allows for efficient remote monitoring of all clients simultaneously, which may further increase adherence, personalization of treatment, treatment fidelity, and efficacy.

Results: Evidence of the efficacy of the SmartLoss approach has been reported previously. The present report provides a thorough description of the SmartLoss Virtual Weight Management Suite, a professionally programmed platform that facilitates treatment fidelity and the ability to customize interventions and disseminate them widely.

Conclusions: SmartLoss functions as a virtual weight management clinic that relies upon empirical weight loss research and behavioral theory to promote behavior change and weight loss.

No MeSH data available.


Related in: MedlinePlus