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Patient Educ Couns. 2010 Jun;79(3):315-9. doi: 10.1016/j.pec.2010.03.014. Epub 2010 Apr 24.

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

Author information

  • 1University Hospital Heidelberg, Germany. stephanie.bauer@med.uni-heidelberg.de

Abstract

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.

Copyright 2010 Elsevier Ireland Ltd. All rights reserved.

PMID:
20418046
[PubMed - indexed for MEDLINE]
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