Table 1.
Study | N | Treatment | Length of WM Tx | Results | % Weight Change | Effect Size |
---|---|---|---|---|---|---|
Harvey-Berino et al33 | 46 (37 women) 41 at end of trial 4% attrition “mostly White” |
3-GROUP DESIGN: Control -no treatment In-person therapist-led Internet therapist-led Biweekly meetings in person or chat session with same behavioral content, self- monitoring diet & physical activity. Call or e-mail on alternate weeks. |
22-week WM after 15 weeks of behavioral WL | During WM: All groups lost an average of 1.6 kg additional weight during the 22 weeks of WM with no between group differences, p = .83. | 25% of total weight loss experienced by the total sample during the trial was lost during 15 weeks of WM | .03 |
Harvey-Berino et al32 | 122 (104 women) 90 at end of trial 26% attrition > 96% White |
3-GROUP DESIGN: Frequent in-person (FIP) biweekly meetings Minimal in-person (MIP) monthly meetings for 6 months, then no contact Internet support (IS) biweekly chat sessions Same behavioral content, self-monitoring diet & physical activity. Call or e- mail on alternate weeks, FIP & IS. |
1-year WM after 24 weeks behavioral WL |
Prior to WL Rx through WM a: Frequent in-person -10.4 ± 6.3 kg Minimal in-person −10.4 ± 9.3 kg Internet −5.7 ± 5.9 kg p < .05 for between group differences. IS group sustained less WL than FIP & MIP. |
More of the FIP & MIP groups maintained a ≥ 5% WL, p < .02. FIP: 84% MIP: 81.3% IS: 44.4% |
.20 |
Harvey-Berino et al31 | 232 (194 women) 176 at end of trial 24% attrition 100% White |
3-GROUP DESIGN Frequent in-person (FIP) biweekly meetings at local interactive T.V. (ITV) studio Minimal in-person (MIP) monthly meetings at ITV studio for 6 months, then no contact Internet support (IS) biweekly chat sessions Same behavioral content, self-monitoring diet & physical activity. Call or e- mail on “off” weeks, FIP & IS. |
1-year WM after 6 months behavioral WL via ITV (live group members with a televised therapist) |
Prior to WL Rx through WM a: Frequent in-person −5.1 ± 6.5 kg Minimal in-person −5.5 ± 8.9 kg Internet −7.6 ± 7.3 kg p = .22 for between group differences. |
Percent who maintained a ≥ 5% WL: FIP: 46% MIP: 49% IS: 62% p = .23 for between group differences. |
.08 |
Wing et al34 | 314 (255 women) 291 at end of trial 7% attrition Ethnicity not reported |
3-GROUP DESIGN: Control monthly informational newsletter In-person weekly group meetings for 1st month, then monthly; submitted weekly weights via telephone system Internet weekly group meetings for 1st month, then monthly via chat room; submitted weekly weights online |
18-month WM- subjects had lost ≥ 10% of body weight in the previous 2 years |
During WM a: Control +4.9 ± 6.5 kg In-person +2.5 ± 6.7 kg Internet +4.7 ± 8.6 kg p = .05 for difference between in-person and control groups |
Percent who regained ≥ 2.3 kg: Control 72.4% In-person 45.7% Internet 54.8% p = .008 and p < .001 for difference between control & Internet and control & in- person, respectively. |
.11 |
Abbreviations: WL, weight loss; WM, weight maintenance; Tx, treatment.
mean ± standard deviation.