2 research outputs found
âOwn doctorâ presence in a web-based lifestyle intervention for adults with obesity and hypertension: A randomized controlled trial
Introduction: Online interventions have long been shown to be an effective means to promote a healthy lifestyle, thereby helping to control body weight and blood pressure figures. Likewise, using video modeling is also considered an effective way to guide patients through behavioral interventions. Nonetheless, to the best of our knowledge, this study is the first to analyze how the presence of patients' âown doctorâ in the audiovisual content of a web-based lifestyle program (âLiving Betterâ) aimed at promoting regular physical exercise and healthy eating behavior, compared with an âunknown doctor,â influences the outcomes of adults with obesity and hypertension. Materials and methods: A total of 132 patients were randomly assigned either to the experimental (n = 70) or control (n = 62) group (âown doctorâ or âunknown doctorâ, respectively). The body mass index, systolic and diastolic blood pressure, number of antihypertensive drugs used, physical activity level, and quality of life was assessed and compared at baseline and post-intervention (12 weeks).Results: The intention-to-treat analysis showed intragroup significant improvements in both groups in terms of the body mass index (control group: mean difference â0.3, 95% CI [â0.5, â0.1], p = 0.002; experimental group: â0.4 [â0.6, â0.2], p < 0.001) and systolic blood pressure (control group: â2.3 [â4.4, â0.2], p = 0.029; experimental group: â3.6 [â5.5, â1.6], p< 0.001). In addition, there were also significant improvements in the experimental group for the diastolic blood pressure (â2.5 [â3.7, â1.2], p < 0.001), physical activity (479 [9, 949], p = 0.046), and quality of life (5.2 [2.3, 8.2], p = 0.001). However, when comparing the experimental with the control group, no between-group significant differences were found in these variables.Conclusions: This study suggests that the presence of patients' âown doctorâ in the audiovisual content of a web-based intervention, aimed at promoting a healthy lifestyle among adults with obesity and hypertension, do not show significant additional benefits over the efficacy of eâcounseling.Trial registrationClinicalTrials.gov NCT04426877. First Posted: 11/06/2020. https://clinicaltrials.gov/ct2/show/NCT04426877
How the Presence of a Doctor Known to Patients Impacts a Web-Based Intervention to Promote Physical Activity and Healthy Eating Behaviour in Individuals with an Overweight/ObesityâHypertension Phenotype: A Randomised Clinical Trial
(1) Background: The âLiving Betterâ web-based programme has shown short- and long-term benefits for body composition and psychological variables in obese patients with hypertension by promoting a healthier lifestyle. To further explore the potential of this programme, in this work we aimed to explore the possible effect of the patientâs âown doctorâ appearing in the video content of the Living Better intervention. (2) Methods: A total of 132 patients were randomly assigned either to the experimental (EG, n = 70) or control (CG, n = 62) group (with a doctor the patient knew as âtheir ownâ or an âunknown doctorâ, respectively). The body mass index (BMI), motivation towards physical activity (PA), PA levels, motivation to change oneâs eating habits, adherence to the Mediterranean diet, and eating behaviour were all assessed and compared at baseline and post-intervention (12 weeks). (3) Results: The results of this study confirmed the positive effects of the Living Better programme on BMI and external eating style, with significant improvements in these variables in both groups. In addition, in the EG there was higher intrinsic motivation to change eating behaviour (mean difference of 0.9, 95% CI [0.1, 1.6], p = 0.032) and lower amotivation (mean difference of â0.6, 95% CI [â1.2, â0.1], p = 0.027) compared to the CG. (4) Conclusions: This study suggests that the presence of the patientsâ own doctor in the audiovisual content of the Living Better intervention did not have significant additional benefits in terms of BMI or external eating style. However, their presence did improve intrinsic motivation and amotivation related to eating habits