Table 1.
Randomized Controlled Trials for Digital-Based Interventions for Obesity and Eating Behavior Problems from 2017 to 2020
Study | Population | Study design | Delivery digital device | Outcomes | Adherence (estimated), % | ||||||||
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Intervention | Duration | Control | Smartphone | Web | Wearable | BW | Anthropometrics | LT | BT | Psych | |||
Spring et al. (2017) [18] | Adults with obesity (n=96) | Technology-supported (TECH) | 6 mo | Self-guided (SELF), standard (STND) | O | O | X | Δ | ↓↓ | - | - | - | O |
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Nezami et al. (2018) [16] | Mother with overweight & obesity, a child ages 3–5 yr (n=51) | Smart group (mobile supported) | 6 mo | Placebo | O | X | X | ↓↓ | - | - | - | - | 85 |
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Spring et al. (2018) [19] | Adults age 18–65 yr (n=212) | Temporally simultaneous intervention | 12 wk | Sequential (digital sham), control | O | X | X | - | - | - | Δ | - | 82 |
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Kim et al. (2019) [20] | Old adults (mean age 60) with diabetes (n=136) | Mobile-based glucose diary | 24 wk | Usual care (paper diary) | O | X | X | X | X | ↓↓ | - | X | - |
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Fitzsimmons-Craft et al. (2020) [17] | Women with eating disorders (n=690) | CBT-guided Self-help | 8 mo | Usual care | O | X | X | - | - | - | ↓↓ | ↓ | 31 |
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Lowe et al. (2020) [21] | Women+Men adults with BMI 27–43 (n=141) | Time-restricted eating | 12 wk | Consistent meal timing | O | X | O | X | LBM ↓↓ | X | - | X | 84 |
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Kim et al. (2020) [15] | Overweight and obese women adults (n=70) | Human-based digital CBT | 8 wk | Self-help using app (digital sham) | O | O | X | ↓↓ | ↓↓ | ↓↓ | ↓↓ | ↓↓ | 80 |
BW, body weight; LT, lab test; BT, behavioral test; Psych, psychological assessment; O, used; X, no difference; Δ, mixed results among the measures; ↓↓, (statistically) significantly decreased; −, not assessed; CBT, cognitive behavioral therapy; ↓, reported decreasing trend; BMI, body mass index; LBM, lean body mass.