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Ann Med. 2015 May;47(3):179-85. doi: 10.3109/07853890.2014.931102. Epub 2014 Jul 10.

Innovative interventions to promote behavioral change in overweight or obese individuals: A review of the literature.

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Division of Endocrinology, Metabolism, and Nutrition, Duke University Medical Center , Durham, NC , USA.


The overweight and obesity trends have risen over the past few decades, placing significant burdens on health care in terms of increased morbidity and cost. Behavioral change therapy is an effective treatment strategy and includes goal setting, self-monitoring, problem solving, and reinforcement tactics. Traditionally, behavior change therapy has been delivered using face-to-face counseling along with paper and pen recording of dietary intake and physical activity. The current advances in technology provide opportunities to deliver interventions using cellphones, internet, and active video games. These new methods to deliver behavior change for the management and prevention of obesity are being developed in order to increase access, improve convenience, decrease cost, and increase participant engagement. In this review, we present new approaches to promote behavior changes in the management of obesity. Currently available data show promising results. However, future research is needed to address study limitations and implementation challenges of these innovative interventions.


Behavioral; exergaming; mHealth; mobile apps; obesity; web-based; weight loss

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