- Obesity, Physical Activity, Diet
- Eating Disorders and Behaviors
- Mobile Health and mHealth Applications
- Obesity and Health Practices
- Behavioral Health and Interventions
- Physical Activity and Health
- Impact of Technology on Adolescents
- Health and Lifestyle Studies
- Digital Mental Health Interventions
- Nutritional Studies and Diet
- Cancer survivorship and care
- Diet and metabolism studies
- Child Development and Digital Technology
- Social Media in Health Education
- Childhood Cancer Survivors' Quality of Life
- Breastfeeding Practices and Influences
- Gestational Diabetes Research and Management
- Educational Games and Gamification
- Children's Physical and Motor Development
- Nutrition, Health and Food Behavior
- Pharmacology and Obesity Treatment
- Nutrition and Health in Aging
- Food Security and Health in Diverse Populations
- Health Literacy and Information Accessibility
- Child Nutrition and Feeding Issues
University of North Carolina at Chapel Hill
2016-2025
David H. Murdock Research Institute
2023-2025
Public Health Department
2015-2022
University of North Carolina Health Care
2017-2021
UNC Lineberger Comprehensive Cancer Center
2010-2021
Pennington Biomedical Research Center
2018-2019
University of Bristol
2019
Northwestern University
2019
California Polytechnic State University
2017
Miriam Hospital
2000-2015
ContextRapid increases in access to the Internet have made it a viable mode for public health intervention. No controlled studies evaluated this resource weight loss.ObjectiveTo determine whether structured behavioral loss program produces greater initial and changes waist circumference than education Web site.DesignRandomized, trial conducted from April December 1999.Setting ParticipantsNinety-one healthy, overweight adult hospital employees aged 18 60 years with body mass index of 25 36...
Since many successful dieters regain the weight they lose, programs that teach maintenance skills are needed. We developed a program based on self-regulation theory and tested efficacy of delivering face to or over Internet.We randomly assigned 314 participants who had lost mean 19.3 kg body in previous 2 years one three groups: control group, which received quarterly newsletters (105 participants), group face-to-face intervention (105), Internet-based (104). The content two groups was same,...
Context Weight loss programs on the Internet appear promising for short-term weight but have not been studied in individuals at risk of type 2 diabetes; thus, longer-term efficacy is unknown. Objective To compare effects an program alone vs with addition behavioral counseling via e-mail provided 1 year to diabetes. Design, Setting, and Participants A single-center randomized controlled trial conducted from September 2001 2002 Providence, RI, 92 overweight adults whose mean (SD) age was 48.5...
Background: Several studies have shown that e-mail counseling improves weight loss achieved in selfdirected Internet programs.Computer-tailored feedback offers a population-based alternative to human counseling.Methods: One hundred ninety-two adults, aged 49.2±9.8years, having body mass index (calculated as kilograms divided by height meters squared) of 32.7±3.5, were randomized 1 3 treatment groups: No counseling, computer-automated feedback, or counseling.All participants received group...
Self-monitoring of physical activity (PA) and diet are key components behavioral weight loss programs. The purpose this study was to assess the relationship between (mobile app, website, or paper journal) PA app vs no mobile app) self-monitoring dietary behaviors.This is a post hoc analysis 6-month randomized trial among 96 overweight men women (body mass index (BMI) 25-45 kg/m(2)) conducted from 2010 2011. Participants in both groups were collapsed categorized by their chosen method for PA....
Background: Previous interventions have shown promising results using theory-based podcasts to deliver a behavioral weight-loss intervention.
To examine the impact of a weight loss intervention that focused on daily self-weighing for self-monitoring as compared to delayed control group among 91 overweight adults.
The Internet has the potential for delivering innovative, interactive physical activity (PA) interventions to large numbers of people. This study was designed test efficacy an intervention that consisted a Web site plus 12 weekly e-mail tip sheets, compared with waiting list control group. theory based and emphasized clear, graphical presentation PA information. Sixty-five (30 35 control) sedentary adult employees several hospitals (9 men 56 women) were randomly assigned 1 2 arms. Of 65...
Overweight and obesity are increasingly prevalent in the United States. The prevalence of health care provider advice to lose weight is not clear.We examined percentage individuals who reported being advised by a practitioner past year population subgroup. Participants were 10 states participating 1996 Behavioral Risk Factor Surveillance System, which assessed weight, hypertension awareness, cholesterol awareness.The reporting was most strongly associated with body mass index (BMI)...
Few studies have examined predictors of weight regain after significant losses. This prospective study behavioral and psychological in 261 successful losers who completed an 18-month trial prevention that compared a control condition with self-regulation interventions delivered face-to-face or via the Internet. Linear mixed effect models were used to examine regain, both as main effects interactions treatment group. Decreases physical activity related across all 3 groups, increased frequency...
Abstract Objective: The objective was to examine the efficacy of adding a technology‐based program an in‐person, behavioral weight loss intervention. Research Methods and Procedures: Fifty‐seven subjects (BMI = 33.1 ± 2.8 kg/m 2 ; age 41.3 8.7 years) participated in 12‐week intervention with random assignment Standard In‐Person Behavioral Weight Control Program (SBWP) or Intermittent Continuous Technology‐Based (INT‐TECH, CON‐TECH). SBWP received seven individualized sessions encouraging...
Objective: To test the ability of two levels modest financial incentives to encourage weight loss among overweight employees. Methods: This study used a randomized design with measurements at baseline, 3, and 6 months ($7 $14 per percentage point lost). Payments were structured so that all participants had equal obtain during period. Results: At 3 months, no incentive lost 2 pounds, those in $7 group approximately 4.7 pounds. Between baseline when gains equalized, losses similar across...
Given the obesity epidemic, effective but resource-efficient weight loss treatments are needed. Stepped-treatment approaches customize interventions based on milestone completion and can be more while costing less to administer than conventional treatment approaches.To determine whether a stepped-care intervention (STEP) compared with standard behavioral (SBWI) would result in greater loss.A randomized clinical trial of 363 overweight obese adults (body mass index: 25-<40; age: 18-55 years,...
Little is known about how online social networking can help enhance weight loss. To examine the types of support utilized in a behavioral loss intervention and relationship posting A sub-analysis content number posts to Twitter among participants (n = 47) randomized mobile, network arm as part 6-month trial overweight adults, examining loss, use Twitter, type (informational, tangible assistance, esteem, network, emotional support). were related % at 6 months (p < 0.001). Initial reported...
Playing active video games can produce moderate levels of physical activity, but little is known about how these motivate players to be active. Several psychological predictors, such as perceptions competence, control, and engagement, may associated with enjoyment a game, which has in turn been hypothesized predict energy expended during play. However, relationships have yet tested games.