Summary:
In primary care patients with overweight or obesity and cardiovascular risk factors, a hybrid health IT and telehealth-delivered lifestyle intervention modestly improved weight loss outcomes and engagement in self-monitoring and resources compared to basic lifestyle support alone, though it was associated with disruptions due to COVID-19 and did not show significant between-group differences in weight loss ≥5%.
| PICO | Description |
|---|---|
| Population | Adults receiving primary care in an urban clinic setting, with BMI ≥27 kg/m² and at least one cardiovascular risk factor, enrolled pragmatically via electronic health record outreach. |
| Intervention | Customized Lifestyle Support (CLS): basic lifestyle resources plus weekly adaptive EHR messages and telephonic coaching by a nurse if difficulties were identified. |
| Comparison | Basic Lifestyle Support (BLS) only: cellular-connected scale, referral to coaching programs, and encouragement via periodic EHR messaging. |
| Outcome | At 6 months, 60% of participants lost weight; 15% achieved ≥5% weight loss. No statistically significant difference in weight outcomes between groups (P=.85). CLS showed numerically higher engagement in daily self-weighing (43% vs. 21%) and in enrolling in lifestyle resources (52% vs. 37%), though these differences were not statistically significant. |
Source: Ronald T Ackermann, et al. “Hybrid Health IT and Telehealth-Delivered Behavioral Weight Loss Services for Primary Care Patients With Cardiovascular Risk Factors: Intervention Component Design and Pragmatic Randomized Feasibility Trial.” Read article here.
