The use of commitment techniques to support weight loss maintenance in obese adolescents

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Kulendran, M ; King, D ; Schmidtke, KA ; Curtis, C ; Gately, P ; Darzi, A ; Vlaev, I (2016)
  • Publisher: Taylor & Francis

© 2016 Informa UK Limited, trading as Taylor & Francis GroupObjectives: Obesity is a rising problem in adolescents related to unhealthy behaviours. Commitment devises are one type of behavioural intervention that may help people change their behaviours. The current pilot trial tests whether commitment devices delivered via text message help adolescents maintain their recent weight loss. Methods: During a 12-week pilot trial, adolescents who attended a weight loss camp were randomly assigned to either received text messages that contained only information, i.e. advice, about weight loss management (n = 13) or asked for them to commit to following the same advise (n = 14). Results: The BMI of the adolescents in the commitment group did not change. In contrast, the BMI of adolescents in the information group increased. A linear regression revealed that group was a significant predictor of BMI change. A logistic regression revealed that adolescents in the information group were nearly eight times more likely to regain weight than those in the commitment group. Conclusions: This is the first study with adolescents to show weight maintenance using a commitment device. The results suggest that commitment devices can help adolescents maintain their recent weight loss.
  • References (27)
    27 references, page 1 of 3

    1. World Health Organization (2009). Global health risks: mortality and burden of disease attributable to selected major risks. Geneva: WHO.

    2. World Health Organization (2012). Prioritizing areas for action in the field of populationbased prevention of childhood obesity: a set of tools for Member States to determine and identify priority areas for action. Geneva: WHO.

    3. Booth, H. P., Prevost, T. A., Wright, A. J., & Gulliford, M. C. (2014). Effectiveness of behavioural weight loss interventions delivered in a primary care setting: a systematic review and meta-analysis. Family Practice, 31(6) 643-653. doi: 10.1093/fampra/cmu064

    4. Whitaker, R.C., Wright, J.A., Pepe, M.S., Seidel, K.D., & Dietz, W.H. (1997) Predicting obesity in young adulthood from childhood and parental obesity. New England Journal of Medicine, 337, 869-873.

    5. Singh, A.S., Mulder, C., Twisk, J.W., van Mechelen, W., Chinapaw M.J. (2008). Tracking of childhood overweight into adulthood: a systematic review of the literature. Obesity Review, 9, 474-488.

    6. Padwal, R., Li, S.K., & Lau, D.C.W. (2003). Long-term pharmacotherapy for overweight and obesity: A systematic review and meta-analysis of randomized controlled trials. International Journal of Obesity, 27, 1437-1446.

    7. Stevens, V.J., Obarzanek, E., Cook, N.R., et al. (2001). Long-term weight loss and changes in blood pressure: results of the Trials of Hypertension Prevention, phase II. Annals of Internal Medicine, 134, 1-11.

    8. Karlsson, J., Taft, C., Rydén, A., Sjöström, L., & Sullivan M. (2007). Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. International Journal of Obesity, 31, 1248-1261.

    9. Gately P.J. Cooke C.B., Butterly R.J., Mackreth P., & Carroll S. (2000). The effects of an eight week physical activity, diet and behaviour modification programme on a sample of children attending a weight loss camp with a 10 month follow up. International Journal of Obesity, 24, 1445-1452.

    10. Evans J. St B. T. (2008). Dual-processing accounts of reasoning, judgment, and social cognition. Annual Review of Psychology 59, 255-278.

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