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Feasibility and efficacy of a novel technology-based approach to harness social networks for weight loss: the NETworks pilot randomized controlled trial
Monroe CM, Geraci M, Larsen CA, West DS
Obesity Science & Practice 2019 Aug;5(4):354-365
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: Harnessing social support from existing social ties represents a key weight control practice. This trial evaluated an intervention that provided health-promoting technologies for leveraging the influence of existing social ties. METHOD(S): Volunteers (N = 36) with a body mass index between 25 and 55 kg/m2 were randomized to a 16-week, in-person, technology-supported behavioural weight-loss treatment (standard behavioural treatment) or the same programme supplemented by providing self-selected members of participants' social networks with a digital body-weight scale and Fitbit Zip physical activity tracker (enhanced). RESULT(S): Average weight losses from baseline to 16 weeks did not significantly differ between groups (standard behavioural treatment 5.30%, SD 3.93%; enhanced 5.96%, SD 5.19%, p = 0.63). By the 1-year follow-up, standard behavioural treatment had lost 5.63%, SD 8.14% of baseline weight versus 4.73%, SD 9.43% for enhanced (p = 0.82). Enhanced reported self-weighing on more days than did standard behavioural treatment (p = 0.03). Most participants reported high programme satisfaction. Similar improvements were observed in perceived social support for diet and exercise from baseline to 16 weeks in both groups (ps < 0.05) but regressed by 1 year (ps < 0.01). CONCLUSION(S): Although feasible to implement, this technology-based, social support approach failed to enhance outcomes of a face-to-face, group-based behavioural weight-loss treatment.

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