Obesity

Coach access to digital self‐monitoring data: an experimental test of short‐term effects in behavioral weight‐loss treatment

Obesity (Silver Spring)Published Randomised controlled trial

An erratum to this article was published (Obesity (Silver Spring), Feb 2026 ↗)

Authors' conclusion

The short-term efficacy of behavioral weight loss was greater when coaches had direct access to self-monitoring device data. Notably, there also was no evidence of iatrogenic effects of data sharing.

Study context

Population
Adults in 12 weeks of group-based behavioral weight-loss sessions via videoconference, instructed to self-monitor weight, physical activity (PA) and dietary intake daily
Participants
322 adults
Comparison
Coach access to participants' digital self-monitoring data vs no access
  • Coach Share ONn = 161
Primary endpoint
Weight loss
Follow-up
12 weeks

Primary result

As reported in the abstract

P = 0.04

Further findings

Self-monitoring of PA (% of days) · more frequent with Coach Share ON

P = 0.006

Self-monitoring of eating (% of days) · more frequent with Coach Share ON

P = 0.007

Perceived supportive accountability · significantly greater with Coach Share ON
P < 0.001

PA, attendance, working alliance, self-monitoring of weight

No significant difference by condition in PA
P = 0.57
No significant difference in attendance
P = 0.42
No significant difference in working alliance
P = 0.62
No significant difference in self-monitoring of weight
P = 0.12

Original publication

Coach access to digital self‐monitoring data: an experimental test of short‐term effects in behavioral weight‐loss treatment. Obesity (Silver Spring). Published 2 October 2024. doi:10.1002/oby.24138

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