Analysis of the efficacy of an internet-based self-administered intervention ("Living Better") to promote healthy habits in a population with obesity and hypertension: An exploratory randomized controlled trial
Por:
Mensorio MS, Cebolla-Martí A, Rodilla E, Palomar G, Lisón JF, Botella C, Fernández-Aranda F, Jimenez-Murcia S and Baños RM
Publicada:
1 abr 2019
Categoría:
Health informatics
Resumen:
Introduction: Changes in unhealthy lifestyles are key elements in the prevention and treatment of obesity and hypertension. Internet-based programs offer great potential for the implementation of evidence-based interventions focused on promoting healthy habits. We evaluate the efficacy of an Internet-based self-administered program ("Living Better") that addresses people diagnosed as being overweight or having type I obesity and hypertension.
Methods: The sample was composed of a total of 106 participants (age Mean = 53; 59 males) from a public hospital in Spain, diagnosed as being overweight or having type I obesity and hypertension and randomized into two groups-the intervention group (IG; Internet-based intervention) and the control group (CG; usual medical treatment). The intervention used cognitive-behavioral strategies and psychoeducation to promote healthy habits. Anthropometric data (i.e., Body Mass Index -BMI-, waist circumference, and hip circumference) and lifestyle/psychological data (i.e., quality of life, physical activity, eating styles, motivation, mood, and self-efficacy) were assessed before and after the intervention, and at 6 and 12-month follow-ups.
Results: Significant differences were observed between the IG and the CG in anthropometrical variables after intervention (i.e., BMI and waist circumference), external eating style, and anxiety and stress scores (p < 0.05). Follow-up data showed that changes were maintained in BMI, waist and hip circumference, and external eating in the IG. After receiving the Internet-based treatment, the CG also improved its clinical condition.
Discussion: This study demonstrates that the Internet is a viable alternative for the delivery and dissemination of interventions focused on promoting healthy habits, and a totally self-administered intervention can produce long-term positive results.
Filiaciones:
Mensorio MS:
Universitat de València, Facultad de Psicología, Valencia, Spain
CAPES Foundation, Brazil
Cebolla-Martí A:
Universitat de València, Facultad de Psicología, Valencia, Spain
CIBER Fisiopatología Obesidad y Nutrición (CB06/03), Instituto Carlos III, Spain
:
Hypertension and Vascular Risk Unit, Hospital de Sagunto, Sagunto, Spain
Department of Medicine, Universidad Cardenal Herrera CEU, CEU Universities, Valencia, Spain
:
Primary Care Health Center, Quartell, Spain
Lisón JF:
CIBER Fisiopatología Obesidad y Nutrición (CB06/03), Instituto Carlos III, Spain
Department of Medicine, Universidad Cardenal Herrera CEU, CEU Universities, Valencia, Spain
Botella C:
Universitat Jaume I. Castellón, València, Spain
CIBER Fisiopatología Obesidad y Nutrición (CB06/03), Instituto Carlos III, Spain
Fernández-Aranda F:
University Hospital of Bellvitge-IDIBELL, Department of Psychiatry, Barcelona, Spain
CIBER Fisiopatología Obesidad y Nutrición (CB06/03), Instituto Carlos III, Spain
Jimenez-Murcia S:
University Hospital of Bellvitge-IDIBELL, Department of Psychiatry, Barcelona, Spain
CIBER Fisiopatología Obesidad y Nutrición (CB06/03), Instituto Carlos III, Spain
Baños RM:
Universitat de València, Facultad de Psicología, Valencia, Spain
CIBER Fisiopatología Obesidad y Nutrición (CB06/03), Instituto Carlos III, Spain
Green Submitted, Green Published
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