Enhancement of care through self-monitoring and tailored feedback via text messaging and their use in the treatment of childhood overweight

OBJECTIVE: This paper first illustrates the general potential of the short message service (SMS) for symptom and behavior monitoring and the provision of tailored feedback. Second, an SMS-based maintenance treatment (SMSMT) is introduced aimed at enhancing the treatment of childhood overweight. - ME...

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Hauptverfasser: Bauer, Stephanie (VerfasserIn) , De Niet, Judith (VerfasserIn) , Timman, Reinier (VerfasserIn) , Kordy, Hans (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 18 March 2010
In: Patient education and counseling
Year: 2010, Jahrgang: 79, Heft: 3, Pages: 315-319
ISSN:1873-5134
Online-Zugang: Volltext
Verfasserangaben:Stephanie Bauer, Judith de Niet, Reinier Timman, Hans Kordy

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520 |a OBJECTIVE: This paper first illustrates the general potential of the short message service (SMS) for symptom and behavior monitoring and the provision of tailored feedback. Second, an SMS-based maintenance treatment (SMSMT) is introduced aimed at enhancing the treatment of childhood overweight. - METHODS: After a 12-week cognitive behavioral group treatment (CBGT), 40 children were assigned to the SMSMT for a period of 36 weeks. Children were asked to send weekly self-monitoring data on eating behavior, exercise behavior, and emotions and received tailored feedback. The adherence to SMSMT and changes in Body Mass Index Standard Deviation Scores (BMI-SDS) during the first and second treatment phase were analysed. - RESULTS: Children (mean age=10.05, SD=1.28) submitted 67% of the weekly SMS that they were expected to send in. During CBGT a significant reduction by 0.20 BMI-SDS was observed. The reduction by 0.07 BMI-SDS during the SMSMT did not reach statistical significance. - CONCLUSION: The results support the feasibility of SMSMT in the treatment of childhood overweight. The efficacy of the intervention needs to be demonstrated in an RCT. - PRACTICE IMPLICATIONS: SMSMT is a promising intervention that may extend the reach of treatment centers for childhood overweight at reasonable cost and effort. 
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