Analysis of the efficacy of an internet-based self-administered intervention (“Living Better”) to promote healthy habits in a population with obesity and hypertension: An exploratory randomized controlled trial
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Other documents of the author: Mensorio, Marinna S.; Cebolla Marti, Ausias; Rodilla, Enrique; Palomar, Gonzalo; Lisón, Juan; Botella, Cristina; Fernández Aranda, Fernando; Jiménez-Murcia, Susana; Baños, Rosa Maria
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comunitat-uji-handle2:10234/8033
comunitat-uji-handle3:10234/8636
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Title
Analysis of the efficacy of an internet-based self-administered intervention (“Living Better”) to promote healthy habits in a population with obesity and hypertension: An exploratory randomized controlled trialAuthor (s)
Date
2019-04-01Publisher
ElsevierBibliographic citation
MENSORIO, Marinna S., et al. Analysis of the efficacy of an internet-based self-administered intervention (“Living Better”) to promote healthy habits in a population with obesity and hypertension: An exploratory randomized controlled trial. International Journal of Medical Informatics, 2019, 124: 13-23.Type
info:eu-repo/semantics/articlePublisher version
https://www.sciencedirect.com/science/article/pii/S1386505618304647Version
info:eu-repo/semantics/acceptedVersionSubject
Abstract
Introduction: Changes in unhealthy lifestyles are key elements in the prevention and treatment of obesity and
hypertension. Internet-based programs offer great potential for the implementation of evidence-based ... [+]
Introduction: Changes in unhealthy lifestyles are key elements in the prevention and treatment of obesity and
hypertension. Internet-based programs offer great potential for the implementation of evidence-based interventions focused on promoting healthy habits. We evaluate the efcacy of an Internet-based self-administered
program (“Living Better”) that addresses people diagnosed as being overweight or having type I obesity and
hypertension.
Methods: The sample was composed of a total of 106 participants (age Mean = 53; 59 males) from a public
hospital in Spain, diagnosed as being overweight or having type I obesity and hypertension and randomized into
two groups—the intervention group (IG; Internet-based intervention) and the control group (CG; usual medical
treatment). The intervention used cognitive-behavioral strategies and psychoeducation to promote healthy habits. Anthropometric data (i.e., Body Mass Index –BMI-, waist circumference, and hip circumference) and lifestyle/psychological data (i.e., quality of life, physical activity, eating styles, motivation, mood, and self-efcacy)
were assessed before and after the intervention, and at 6 and 12-month follow-ups.
Results: Signifcant differences were observed between the IG and the CG in anthropometrical variables after
intervention (i.e., BMI and waist circumference), external eating style, and anxiety and stress scores (p < 0.05).
Follow-up data showed that changes were maintained in BMI, waist and hip circumference, and external eating
in the IG. After receiving the Internet-based treatment, the CG also improved its clinical condition.
Discussion: This study demonstrates that the Internet is a viable alternative for the delivery and dissemination of
interventions focused on promoting healthy habits, and a totally self-administered intervention can produce
long-term positive results. [-]
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