Increasing dietary self-monitoring and weight loss in a mHealth intervention Abstract/Project Summary Overweight plays a role in both cancer incidence and survival. Finding low-cost and innovative ways to reach overweight adults to help them lose weight and decrease cancer risk, however, has been difficult. Many people find face-to-face weight loss interventions to be time consuming and inconvenient. Providing weight loss information via podcasting allows for participants to receive weight loss tips anywhere. Podcasts are audio files that may be downloaded and transferred to portable audio players (MP3 players or smartphones). Our previous podcasting weight loss intervention proved to be a successful way to help overweight men and women achieve modest weight loss over a 3 to 6 month period. One of the keys to successful weight loss is regular dietary self-monitoring (recording caloric intake of every food/drink consumed). This can be burdensome. Our team has developed a mobile watch-like device which assesses bites and provides feedback on caloric intake to users (called the Bite Counter). The goal of this project is to test the effectiveness ofa behavioral weight loss intervention delivered via podcasting with participants randomized to self-monitor diet with the Bite Counter or with a standard diet mobile app. Mobile health (mHealth technologies hold promise as a way not only to deliver the behavioral content of a low-cost and scalable weight loss intervention but also to provide innovative ways for participants to self-monitor behavior and receive in-the-moment feedback. If a 5 percent weight loss can be achieved by a completely mobile intervention, then this will dramatically shift how behavioral weight loss programs are administered and have the potential to decrease cost and increase dissemination rates.

Public Health Relevance

Increasing dietary self-monitoring and weight loss in an mHealth intervention Project Narrative Our proposed project will examine if the addition of a low-burden mobile diet self-monitoring method (Bite Counter) and feedback to a podcasting intervention promotes greater weight loss-therefore reducing cancer risk-than a standard diet app. The purpose of this research project is to develop the mobile web interface for the Bite Counter and then test the efficacy of the Bite Counter for weight loss in a randomized trial comparing a behavioral weight loss intervention delivered theory-based podcast (TBP) plus standard app vs. TBP plus Bite Counter. The refined intervention that results from this project will be used in a larger weight loss trial submitted to NIH for funding.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Exploratory/Developmental Grants (R21)
Project #
5R21CA187929-02
Application #
8976251
Study Section
Psychosocial Risk and Disease Prevention Study Section (PRDP)
Program Officer
Agurs-Collins, Tanya
Project Start
2014-12-01
Project End
2016-11-30
Budget Start
2015-12-01
Budget End
2016-11-30
Support Year
2
Fiscal Year
2016
Total Cost
Indirect Cost
Name
University of South Carolina at Columbia
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
041387846
City
Columbia
State
SC
Country
United States
Zip Code
29208
Turner-McGrievy, Gabrielle M; Boutté, Alycia; Crimarco, Anthony et al. (2017) Byte by Bite: Use of a mobile Bite Counter and weekly behavioral challenges to promote weight loss. Smart Health (Amst) 3-4:20-26
Turner-McGrievy, Gabrielle M; Wilcox, Sara; Boutté, Alycia et al. (2017) The Dietary Intervention to Enhance Tracking with Mobile Devices (DIET Mobile) Study: A 6-Month Randomized Weight Loss Trial. Obesity (Silver Spring) 25:1336-1342