Reach, Engagement, and Retention in an Internet-Based Weight Loss Program in a Multi-Site Randomized Controlled Trial
2007

Internet-Based Weight Loss Program Study

Sample size: 2311 publication Evidence: moderate

Author Information

Author(s): Russell E Glasgow, Candace C Nelson, Kathleen A Kearney, Robert Reid, Debra P Ritzwoller, Victor J Strecher, Mick P Couper, Beverly Green, Kevin Wildenhaus

Primary Institution: Kaiser Permanente Colorado

Hypothesis

Which recruitment methods produce higher eHealth participation rates?

Conclusion

A single personalized mailing increases enrollment in Internet-based weight loss programs.

Supporting Evidence

  • Personalized mailings produced higher enrollment rates than newsletters.
  • Members with diabetes or heart disease were more likely to enroll.
  • Males and older adults were less likely to enroll.
  • Participants under age 60 were less likely to participate in follow-up assessments.

Takeaway

Sending personal letters helps more people join online weight loss programs, but it might not reach those who need it most.

Methodology

Participants were recruited from three health maintenance organizations and assigned to different interventions in a randomized controlled trial.

Potential Biases

The program may not attract high-risk individuals at the same rate as lower-risk individuals.

Limitations

The study could not conduct multivariable analyses due to privacy issues and lacked data on health literacy.

Participant Demographics

54% of participants were over 60 years old, 45% had a BMI of 35 or higher, and 14% had diabetes.

Statistical Information

P-Value

P < .001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.2196/jmir.9.2.e11

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication