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Published in: Journal of Public Health 3/2024

02-02-2023 | Original Article

Remotely delivered and clinic-delivered lifestyle interventions produced similar effects on the diet quality of participants

Authors: Abiodun T. Atoloye, Jared M. Goetz, Sherry L. Pagoto

Published in: Journal of Public Health | Issue 3/2024

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Abstract

Aim

The study examined the effect of delivery modes on diet quality of participants in a lifestyle intervention at 6 and 12 months.

Subject and methods

Adults with overweight or obesity (N = 290) were recruited and randomly selected for remotely delivered (via Twitter) and clinic-delivered lifestyle intervention conditions. The Diabetes Prevention Program curriculum was used for the clinic-delivered condition and adapted for the remote condition. Participants’ dietary intake was assessed using the Automated Self-Administered 24-hour dietary recall at baseline, 6, and 12 months. Diet quality at baseline, 6 and 12 months was calculated using the Healthy Eating Index (HEI)-2015. Mixed-model regression and Bonferroni adjustment for multiple comparisons were used.

Results

Total and component HEI scores did not differ by intervention delivery mode over time (Ps > 0.05). However, a main effect of time was observed. Six out of 13 component HEI scores improved significantly in both delivery modes across time points; total vegetable and whole grain intake increased at 6 and 12 months. Total greens intake increased only at 6 months. Added sugars and saturated fat intake decreased at both 6 and 12 months, while refined grains decreased at 12 months.

Conclusion

A remotely delivered lifestyle intervention was just as effective at improving diet quality as a clinic-delivered version.
Literature
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go back to reference Wang ML, Waring, ME, Jake-Schoffman DE, Oleski JL, Michaels Z, Goetz JM, Lemon SC, Ma Y, Pagoto SL (2017) Clinic Versus Online Social Network–Delivered Lifestyle Interventions: Protocol for the Get Social Noninferiority Randomized Controlled Trial. JMIR Research Protocols, 6(12), e243. https://doi.org/10.2196/resprot.8068 Wang ML, Waring, ME, Jake-Schoffman DE, Oleski JL, Michaels Z, Goetz JM, Lemon SC, Ma Y, Pagoto SL (2017) Clinic Versus Online Social Network–Delivered Lifestyle Interventions: Protocol for the Get Social Noninferiority Randomized Controlled Trial. JMIR Research Protocols, 6(12), e243. https://​doi.​org/​10.​2196/​resprot.​8068
Metadata
Title
Remotely delivered and clinic-delivered lifestyle interventions produced similar effects on the diet quality of participants
Authors
Abiodun T. Atoloye
Jared M. Goetz
Sherry L. Pagoto
Publication date
02-02-2023
Publisher
Springer Berlin Heidelberg
Published in
Journal of Public Health / Issue 3/2024
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-023-01835-2

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