An addiction‐based digital weight loss intervention: A multi‐centre randomized controlled trial
Authors' conclusion
Contrary with our hypothesis, our results showed no difference in the change in BMI status between treatment arms. Since efficacy of this digital intervention was not inferior to in-person, multi-disciplinary care, this could offer a reasonable weight management option for clinicians, based on youth and family specific characteristics, such as accessibility, resources, and communication styles.
Study context
- Population
- Adolescents with obesity (BMI ≥95th%), age 16 ± 2.5 years; 47% Hispanic, 65% female, 59% publicly insured
- Participants
- 161 adolescents
- Comparison
- Addiction-based digital weight-loss app, with or without coaching, vs in-person multidisciplinary obesity care
- Primary endpoint
- Change in %BMIp95
- Follow-up
- Weeks 12 and 24
Methodological detailsmulti-centre
- Multi-centre
Primary result
As reported in the abstract
24-weeks
Weight change, all adolescents
−1.29%,
−1.82, −0.76p < 0.0001
Further findings
Predictors of change in %BMIp95
- Girls lost more weight than boys
- Baseline binge eating associated with increase in %BMIp95, controlling for covariates
- No association of ethnicity, mood, intervention timing relative to pandemic, or executive function with change in %BMIp95
Original publication
An addiction‐based digital weight loss intervention: A multi‐centre randomized controlled trial. Pediatr Obes. Published 9 December 2022. doi:10.
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