Bariatric Times

JAN 2014

A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional

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10 Review behavioral counseling, not the frequency, was the defining characteristic between the two interventions. At the conclusion of two years, the weight change from baseline was 1.1 percent in the control group, 5 percent in the group receiving remote support, and 5.2 percent in the group receiving in person Bariatric Times • January 2014 treatment. These results demonstrate that remote behavioral counseling can be just as effective as face-to-face counseling in achieving clinically significant weight losses. Internet behavioral counseling was also compared to standard internet treatment. All participants were asked to submit their weight and food records via a web-based diary. E-mail reminders were submitted weekly for the entire 12 months of the study. The behavioral counseling group received feedback on their food records, reinforcement for identified behaviors and recommendations for change, while the standard group received no such treatment. At 12 months, the addition of e-counseling doubled the READER HANDOUT: Cut, copy, and distribute. FOOD TRACKING APPS/WEBSITES • MyFitnessPal or www.myfitnesspal.com • Lose It! or www.loseit.com • Diet & Food Tracker – Spark People or • MyNetDiary or www.mynetdiary.com www.sparkactivitytracker.com • ControlMyWeight by Calorie King or • Tap & Track – Calorie Counter or www.calorieking.com • Calorie Tracker by Livestrong or www.livestrong.com/myplate • Diet Assistant – Weight Loss or www.dietassistantapp.com percentage of initial weight loss from 2.2 to 4.8 percent.25 The paradigm of remote counseling with reinforcement has far-reaching implications. Consider the patient's reduced burden from missing time from work, finding and paying for a parking space, and cost of commuting. SUMMARY Providers need strategies to increase weight loss momentum in their patients. This is especially true before bariatric surgery and at the conclusion of the "honeymoon phase." While more studies are needed to confirm its effectiveness, electronic tracking and remote counseling incorporated into a standard practice shows promise in augmenting weight losses. REFERENCES 1. www.tapandtrack.com • Fit Day or www.fitday.com • iAwaken • www.fitwatch.com 2. • www.my-caloriecounter.com 3. REMOTE MEETING PLATFORMS NOTES: • http://www.skype.com 4. • http://www.gotomeeting.com • http://www.join.me • http://www.meetingburner.com • http://webex.com • http://meetin.gs 5. EMERGING COMPANIES USING REMOTE BEHAVIORAL COUNSELING • Retrofitme.com 6. • Vtrimonline.com 7. 8. 9. Disclaimer: This handout represents a selection of services available at the time of publication and is not a complete list. Bariatric Times did not review or rate any of these services nor accept funding for advertising. National Heart, Lung, and Blood Institute and the North American Association for the Study of Obesity. 2000. The Practical Guide: Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. National Institutes of Health. Bethesda, Maryland. Moyer VA, U.S. Preventive Services Task Force. Screening for and management of obesity in adults. U.S. Preventative Services Task Force recommendation statement. Ann Intern Med. 157:373–378. Morton JM. The Affordable Care Act: key elements and what it means for bariatric surgery. Bariatric Times. 2013;10(1):8. Centers for Medicaid and Medicare Services. Decision memo for behavioral therapy for obesity (CAG00423N). November 29, 2011. http://www.cms.gov/medicarecoverage dbase/details/ncadecisionmemo.aspx ?&NcaName;=Intensive%20Behaviora l%20Therapy%20for%20Obesity&bc; =ACAAAAAAIAAA&NCAId;=253 Wadden TA, Webb VL, Moran CH, Bailer BA. Lifestyle modification for obesity: new developments in diet, physical activity, and behavior therapy. Circulation. 2012;125:1157–1170. Wadden TA, West DS., et al. One year weight losses in the Look AHEAD study: factors associated with success. Obesity (Silver Spring). 2009;17(4):713–722. Wadden Ta, Berkowitz RI, Womble LG, et al. Randomized trial of lifestyle modification and pharmacotherapy for obesity. N Engl J Med. 2005; 353(20):2111–2120. Odom J, Zalesin K, et al. Behavioral predictors of weight regain after bariatric surgery. Obes Surg. 2009; 20:349–356. Lynch A, Bisogni C. Understanding dietary self-monitoring and selfweighing by gastric bypass patients: a pilot study of self monitoring behaviors and long-term weight

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