Lifestyle intervention using an internet-based curriculum with cell phone reminders for obese Chinese teens: A randomized controlled study

Anisha A. ABRAHAM, Wing-Chi CHOW, Hung-Kwan SO, Benjamin Hon-Kei YIP, Albert M. LI, Shekhar M. KUMTA, Jean WOO, Suk-Mei CHAN, Esther Yuet Ying LAU, E. Anthony S. NELSON

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objectives
Obesity is an increasing public health problem affecting young people. The causes of obesity are multi-factorial among Chinese youth including lack of physical activity and poor eating habits. The use of an internet curriculum and cell phone reminders and texting may be an innovative means of increasing follow up and compliance with obese teens. The objectives of this study were to determine the feasibility of using an adapted internet curriculum and existing nutritional program along with cell phone follow up for obese Chinese teens.
Design and Methods
This was a randomized controlled study involving obese teens receiving care at a paediatric obesity clinic of a tertiary care hospital in Hong Kong. Forty-eight subjects aged 12 to 18 years were randomized into three groups. The control group received usual care visits with a physician in the obesity clinic every three months. The first intervention (IT) group received usual care visits every three months plus a 12-week internet-based curriculum with cell phone calls/texts reminders. The second intervention group received usual care visits every three months plus four nutritional counselling sessions.
Results
The use of the internet-based curriculum was shown to be feasible as evidenced by the high recruitment rate, internet log-in rate, compliance with completing the curriculum and responses to phone reminders. No significant differences in weight were found between IT, sLMP and control groups.
Conclusion
An internet-based curriculum with cell phone reminders as a supplement to usual care of obesity is feasible. Further study is required to determine whether an internet plus text intervention can be both an effective and a cost-effective adjunct to changing weight in obese youth. Copyright © 2015 Abraham et al.
Original languageEnglish
Article numbere0125673
JournalPLoS One
Volume10
Issue number5
DOIs
Publication statusPublished - 2015

Citation

Abraham, A. A., Chow, W.-C., So, H.-K., Yip, B. H.-K., Li, A. M., Kumta, S. M., & ... Nelson, E. A. S. (2015). Lifestyle intervention using an internet-based curriculum with cell phone reminders for obese Chinese teens: A randomized controlled study. PLoS One, 10 (5), e0125673. doi: 10.1371/journal.pone.0125673.

Fingerprint Dive into the research topics of 'Lifestyle intervention using an internet-based curriculum with cell phone reminders for obese Chinese teens: A randomized controlled study'. Together they form a unique fingerprint.