dc.contributor.author | Tang, JC | |
dc.contributor.author | Abraham, C | |
dc.contributor.author | Greaves, CJ | |
dc.contributor.author | Nikolaou, V | |
dc.date.accessioned | 2016-05-20T08:06:25Z | |
dc.date.issued | 2016-04-19 | |
dc.description.abstract | Many self-directed weight-loss interventions have been developed using a variety of delivery formats (e.g. internet, smartphone) and change techniques. Yet, little research has examined whether self-directed interventions can exclusively promote weight loss. MEDLINE, Embase, PsycINFO, CINAHL, and the Cochrane Library were systematically reviewed for randomised controlled trials evaluating self-directed interventions in relation to weight loss outcomes in adults. Standard mean differences (SMD) and 95% confidence intervals (CI) were calculated using a random effects model. Twenty-seven trials incorporating 36 comparisons met our inclusion criteria. Participants using self-directed interventions lost significantly more weight (MD = -1.56 kg, CI -2.25, -0.86 ranging from 0.6 to 5.3 kg) compared to those in the minimal-intervention or no-treatment groups (3.1-month follow-up median). The majority of interventions were internet-based (18 evaluations) and these were effective at 3 months (MD = -1.74 kg, CI -2.65, -0.82 ranging from 0.6 to 4.8 kg) (SMD = -0.48, 95% CI -0.72, -0.24, I² = 82%; p < .0001; 16 evaluations) and 6 months follow-up (MD = -2.71 kg, CI -4.03, -1.39 ranging from 2.2 to 5.3 kg) (SMD = -0.59, 95% CI -0.99, -0.19, I² = 76%; p = .004; 4 evaluations). Self-directed weight-loss interventions can generate modest weight loss for up to 6 months but may need to be supplemented by other interventions to achieve sustained and clinically meaningful weight loss. | en_GB |
dc.description.sponsorship | The work was partially funded by the UK National Institute for
Health Research (NIHR) Collaboration for Leadership in Applied Health
Research and Care of the South West Peninsula (PenCLAHRC) and partly by the NIHR Career
Development Fellowship CDF-2012-05-029. | en_GB |
dc.identifier.citation | DOI: 10.1080/17437199.2016.1172979 | en_GB |
dc.identifier.doi | 10.1080/17437199.2016.1172979 | |
dc.identifier.uri | http://hdl.handle.net/10871/21625 | |
dc.language.iso | en | en_GB |
dc.publisher | Taylor & Francis (Routledge) | en_GB |
dc.relation.url | http://www.ncbi.nlm.nih.gov/pubmed/27091296 | en_GB |
dc.rights.embargoreason | Publisher Policy | en_GB |
dc.subject | Weight loss | en_GB |
dc.subject | eHealth | en_GB |
dc.subject | meta-analysis | en_GB |
dc.subject | obesity | en_GB |
dc.subject | self-delivered intervention | en_GB |
dc.subject | systematic review | en_GB |
dc.title | Self-directed interventions to promote weight loss: a systematic review and meta-analysis. | en_GB |
dc.type | Article | en_GB |
dc.identifier.issn | 1743-7199 | |
dc.description | Accepted author version posted online: 19 Apr 2016
Published online: 10 May 2016 | en_GB |
dc.description | This is the author accepted manuscript. Final version available from the publisher via the DOI in this record, on publication | en_GB |
dc.identifier.journal | Health Psychology Review | en_GB |