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Sieczkowska SM, de Lima AP, Swinton PA, Dolan E, Roschel H, Gualano B. Health Coaching Strategies for Weight Loss: A Systematic Review and Meta-Analysis. Adv Nutr 2021; 12:1449-1460. [PMID: 33339042 DOI: 10.1093/advances/nmaa159] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Revised: 10/01/2020] [Accepted: 11/11/2020] [Indexed: 02/07/2023] Open
Abstract
Health coaching has emerged as a potential supporting tool for health professionals to overcome behavioral barriers, but its efficacy in weight management remains unclear. We conducted a systematic review and meta-analysis to synthesize and evaluate the quality of evidence supporting the use of self-reported health coaching for weight loss. Seven electronic databases (PubMed, Web of Science, Scopus, Cochrane, Psyinfo, Virtual Health Library, and Scielo) were independently searched from inception to May 2020. This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and quality of evidence was assessed using the Grading of Recommendations, Assessment, Development and Evaluation recommendations. Any study that investigated a self-reported health coaching intervention with the goal of inducing weight loss in individuals of any age, health, or training status was considered for inclusion. Quantitative data were analyzed using multilevel hierarchical metaregression models conducted within a Bayesian framework. A total of 653 studies were screened and 38 were selected for inclusion. The quality of evidence supporting outcomes based on the entire evidence base was very low and studies were deemed to have high risk of bias. Meta-analysis of controlled studies provided evidence of an effect favoring coaching compared with usual care but was trivial in magnitude [effect size (ES)0.5: -0.09; 95% credible interval (CrI): -0.17, -0.02]. The multilevel extension of Egger's regression-intercept test indicated the existence of publication bias, whereas a sensitivity analysis based only on those studies deemed to be of high quality provided no evidence of an effect of coaching on weight loss (ES0.5: -0.04; 95% CrI: -0.12, 0.09). Considered collectively, the results of this investigation indicate that the available evidence is not of sufficient quality to support the use of self-reported health coaching as a health care intervention for weight loss. This trial was registered at Prospective Register of Systematic Reviews (PROSPERO) as CRD42020159023.
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Affiliation(s)
- Sofia Mendes Sieczkowska
- Applied Physiology & Nutrition Research Group; School of Physical Education and Sport; Laboratory of Assessment and Conditioning in Rheumatology; School of Medicine, FMUSP, University of Sao Paulo, Sao Paulo, SP, BR
| | - Alisson Padilha de Lima
- Applied Physiology & Nutrition Research Group; School of Physical Education and Sport; Laboratory of Assessment and Conditioning in Rheumatology; School of Medicine, FMUSP, University of Sao Paulo, Sao Paulo, SP, BR.,School of Physical Education, Faculty IELUSC, Joinville-SC, BR
| | - Paul Alan Swinton
- School of Health Sciences, Robert Gordon University, Aberdeen, United Kingdom
| | - Eimear Dolan
- Applied Physiology & Nutrition Research Group; School of Physical Education and Sport; Laboratory of Assessment and Conditioning in Rheumatology; School of Medicine, FMUSP, University of Sao Paulo, Sao Paulo, SP, BR
| | - Hamilton Roschel
- Applied Physiology & Nutrition Research Group; School of Physical Education and Sport; Laboratory of Assessment and Conditioning in Rheumatology; School of Medicine, FMUSP, University of Sao Paulo, Sao Paulo, SP, BR
| | - Bruno Gualano
- Applied Physiology & Nutrition Research Group; School of Physical Education and Sport; Laboratory of Assessment and Conditioning in Rheumatology; School of Medicine, FMUSP, University of Sao Paulo, Sao Paulo, SP, BR
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Robert C, Erdt M, Lee J, Cao Y, Naharudin NB, Theng YL. Effectiveness of eHealth Nutritional Interventions for Middle-Aged and Older Adults: Systematic Review and Meta-analysis. J Med Internet Res 2021; 23:e15649. [PMID: 33999005 PMCID: PMC8167617 DOI: 10.2196/15649] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2019] [Revised: 03/28/2020] [Accepted: 04/12/2021] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND The risk of development of chronic diseases related to poor nutrition increases with age. In the face of an aging population, it is important for health care sectors to find solutions in delivering health services efficiently and effectively to middle-aged and older adults. OBJECTIVE The aim of this systematic review and meta-analysis was to consolidate the literature that reported the effectiveness of eHealth apps in delivering nutritional interventions for middle-aged and older adults. METHODS A literature search from five databases (PubMed, CINAHL, Cochrane, Web of Science, and Global Health) from the past 5 years was performed. Studies were selected for inclusion that used eHealth to deliver nutritional interventions to adults aged 40 years and above, and reported health and behavioral outcomes. Two independent reviewers searched for research articles and assessed the eligibility of studies to be included in the review. A third reviewer resolved disagreements on study inclusion. We also assessed the quality of the included studies using the CONSORT 2010 checklist. RESULTS A total of 70 studies were included for analysis. The study quality ranged from 44% to 85%. The most commonly used eHealth intervention type was mobile apps (22/70, 31%). The majority of studies (62/70, 89%) provided multicomponent health interventions, which aimed to improve nutrition and other health behaviors (eg, exercise, smoking cessation, medication adherence). Meta-analysis results indicated high and significant heterogeneity; hence, conclusions based on these results should be considered with caution. Nonetheless, the results generally showed that eHealth interventions improved anthropometric and clinical outcomes, but not behavioral outcomes such as fruit and vegetable consumption. CONCLUSIONS The use of eHealth apps to deliver health interventions has been increasing in recent years, and these apps have the potential to deliver health services to a larger group of people. Our findings showed that the effectiveness of eHealth apps to deliver health interventions for middle-aged to older adults was supported by the improvement of anthropometric and clinical outcomes. Future work could aim to develop research frameworks in administering eHealth interventions to address heterogeneity in this field of research.
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Affiliation(s)
- Caroline Robert
- Wee Kim Wee School of Communication and Information, Nanyang Technological University, Singapore, Singapore
- Department of Pharmacology, National University of Singapore, Singapore, Singapore
| | - Mojisola Erdt
- Wee Kim Wee School of Communication and Information, Nanyang Technological University, Singapore, Singapore
- Institute for Infocomm Research, A*STAR, Singapore, Singapore
| | - James Lee
- Wee Kim Wee School of Communication and Information, Nanyang Technological University, Singapore, Singapore
| | - Yuanyuan Cao
- Wee Kim Wee School of Communication and Information, Nanyang Technological University, Singapore, Singapore
| | - Nurhazimah Binte Naharudin
- Wee Kim Wee School of Communication and Information, Nanyang Technological University, Singapore, Singapore
- Lee Kuan Yew Centre for Innovative Cities, Singapore University of Technology and Design, Singapore, Singapore
| | - Yin-Leng Theng
- Wee Kim Wee School of Communication and Information, Nanyang Technological University, Singapore, Singapore
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Barnett A, Campbell KL, Mayr HL, Keating SE, Macdonald GA, Hickman IJ. Liver transplant recipients' experiences and perspectives of a telehealth-delivered lifestyle programme: A qualitative study. J Telemed Telecare 2020; 27:590-598. [PMID: 31986966 DOI: 10.1177/1357633x19900459] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
INTRODUCTION Dietary modification and exercise are encouraged to address cardiometabolic risk factors after solid organ transplantation. However, the lived experience of attempting positive lifestyle changes for liver transplant recipients is not known. The aim of this study was to explore the experiences of liver transplant recipients and their perspectives of a 12-week telehealth lifestyle programme and assess the feasibility of this innovative health service. METHODS Focus groups and one-on-one interviews were conducted with participants who had completed a 12-week, group-based, telehealth-delivered diet and exercise programme and thematic qualitative analysis was used to code and theme the data. RESULTS In total, 19 liver transplant recipients participated in the study (25-68 years, median time since transplant 4.4 years, 63% male). Overarching themes included: (a) 'broad telehealth advantages' which highlighted that telehealth reduced the perceived burdens of face-to-face care; (b) 'impact of employment' which identified employment as a competing priority and appeared to effect involvement with the programme; (c) 'adapting Mediterranean eating pattern to meet individual needs' which identified the adaptability of the Mediterranean diet supported by sessions with the dietitian; (d) 'increasing exercise confidence' which recognised that a tailored approach facilitated confidence and acceptability of the exercise component of the programme. DISCUSSION A telehealth lifestyle programme delivered by dietitians and exercise physiologists is an acceptable alternative to face-to-face care that can meet the needs of liver transplant recipients. There is a need to further innovate and broaden the scope of routine service delivery beyond face-to-face consultations.
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Affiliation(s)
- Amandine Barnett
- Department of Nutrition and Dietetics, Princess Alexandra Hospital, Australia.,Bond University Nutrition and Dietetics Research Group, Bond University, Australia
| | - Katrina L Campbell
- Department of Nutrition and Dietetics, Princess Alexandra Hospital, Australia.,Bond University Nutrition and Dietetics Research Group, Bond University, Australia.,Translational Research Institute, Australia
| | - Hannah L Mayr
- Department of Nutrition and Dietetics, Princess Alexandra Hospital, Australia.,Bond University Nutrition and Dietetics Research Group, Bond University, Australia
| | - Shelley E Keating
- School of Human Movement and Nutrition Sciences, The University of Queensland, Australia
| | - Graeme A Macdonald
- Translational Research Institute, Australia.,Queensland Liver Transplant Service, Princess Alexandra Hospital, Australia.,Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Australia
| | - Ingrid J Hickman
- Department of Nutrition and Dietetics, Princess Alexandra Hospital, Australia.,Translational Research Institute, Australia.,Mater Research Institute, The University of Queensland, Australia
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Sforzo GA, Kaye MP, Harenberg S, Costello K, Cobus-Kuo L, Rauff E, Edman JS, Frates E, Moore M. Compendium of Health and Wellness Coaching: 2019 Addendum. Am J Lifestyle Med 2019; 14:155-168. [PMID: 32231482 DOI: 10.1177/1559827619850489] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2019] [Revised: 03/22/2019] [Accepted: 04/24/2019] [Indexed: 12/12/2022] Open
Abstract
The 2019 Addendum, in conjunction with the original health and wellness coaching (HWC) Compendium, organizes HWC literature with the aim of assisting researchers while providing a resource for practitioners. The 2019 Addendum to the HWC Compendium extends the initial work by adding HWC-related literature published in the past 2 years. The 2019 Addendum divides articles retrieved into 8 categories, including a new miscellaneous section complementing categories examining HWC effects on cancer, cholesterol, diabetes, heart disease, hypertension, obesity, and wellness. The 2019 Addendum again provides in-depth information about the nature, quality, and results from each article in a detailed spreadsheet provided as an electronic appendix. The 2019 Addendum contributes another 104 peer-reviewed coaching-related articles to the HWC Compendium. This most recent research again describes HWC as a favorable intervention with treatment potential in all categories, though only 3 new cancer articles were included in the 2019 Addendum. Trends in HWC (ie, e-coaching and group coaching) are identified, and there is also discussion of future research needs. In conclusion, the field of HWC continues to grow, as does the research describing this clinical practice; the 2019 Addendum to the Compendium of HWC organizes and assists understanding of this literature.
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Affiliation(s)
- Gary A Sforzo
- Department of Exercise & Sport Sciences, Ithaca College, Ithaca, New York (GAS, SH, LC-K).,The Clearinghouse for Military Family Readiness at Penn State, State College, Pennsylvania (MPK).,Springfield College, Springfield, Massachusetts (KC).,Seattle University, Seattle, Washington (ER).,Edman Wellness Services, Media, Pennsylvania (JSE).,Harvard Medical School, Boston, Massachusetts (EF, MM).,Institute of Coaching, McLean Hospital, Belmont, Massachusetts, and Wellcoaches Corporation, Wellesley, Massachusetts (MM)
| | - Miranda P Kaye
- Department of Exercise & Sport Sciences, Ithaca College, Ithaca, New York (GAS, SH, LC-K).,The Clearinghouse for Military Family Readiness at Penn State, State College, Pennsylvania (MPK).,Springfield College, Springfield, Massachusetts (KC).,Seattle University, Seattle, Washington (ER).,Edman Wellness Services, Media, Pennsylvania (JSE).,Harvard Medical School, Boston, Massachusetts (EF, MM).,Institute of Coaching, McLean Hospital, Belmont, Massachusetts, and Wellcoaches Corporation, Wellesley, Massachusetts (MM)
| | - Sebastian Harenberg
- Department of Exercise & Sport Sciences, Ithaca College, Ithaca, New York (GAS, SH, LC-K).,The Clearinghouse for Military Family Readiness at Penn State, State College, Pennsylvania (MPK).,Springfield College, Springfield, Massachusetts (KC).,Seattle University, Seattle, Washington (ER).,Edman Wellness Services, Media, Pennsylvania (JSE).,Harvard Medical School, Boston, Massachusetts (EF, MM).,Institute of Coaching, McLean Hospital, Belmont, Massachusetts, and Wellcoaches Corporation, Wellesley, Massachusetts (MM)
| | - Kyle Costello
- Department of Exercise & Sport Sciences, Ithaca College, Ithaca, New York (GAS, SH, LC-K).,The Clearinghouse for Military Family Readiness at Penn State, State College, Pennsylvania (MPK).,Springfield College, Springfield, Massachusetts (KC).,Seattle University, Seattle, Washington (ER).,Edman Wellness Services, Media, Pennsylvania (JSE).,Harvard Medical School, Boston, Massachusetts (EF, MM).,Institute of Coaching, McLean Hospital, Belmont, Massachusetts, and Wellcoaches Corporation, Wellesley, Massachusetts (MM)
| | - Laura Cobus-Kuo
- Department of Exercise & Sport Sciences, Ithaca College, Ithaca, New York (GAS, SH, LC-K).,The Clearinghouse for Military Family Readiness at Penn State, State College, Pennsylvania (MPK).,Springfield College, Springfield, Massachusetts (KC).,Seattle University, Seattle, Washington (ER).,Edman Wellness Services, Media, Pennsylvania (JSE).,Harvard Medical School, Boston, Massachusetts (EF, MM).,Institute of Coaching, McLean Hospital, Belmont, Massachusetts, and Wellcoaches Corporation, Wellesley, Massachusetts (MM)
| | - Erica Rauff
- Department of Exercise & Sport Sciences, Ithaca College, Ithaca, New York (GAS, SH, LC-K).,The Clearinghouse for Military Family Readiness at Penn State, State College, Pennsylvania (MPK).,Springfield College, Springfield, Massachusetts (KC).,Seattle University, Seattle, Washington (ER).,Edman Wellness Services, Media, Pennsylvania (JSE).,Harvard Medical School, Boston, Massachusetts (EF, MM).,Institute of Coaching, McLean Hospital, Belmont, Massachusetts, and Wellcoaches Corporation, Wellesley, Massachusetts (MM)
| | - Joel S Edman
- Department of Exercise & Sport Sciences, Ithaca College, Ithaca, New York (GAS, SH, LC-K).,The Clearinghouse for Military Family Readiness at Penn State, State College, Pennsylvania (MPK).,Springfield College, Springfield, Massachusetts (KC).,Seattle University, Seattle, Washington (ER).,Edman Wellness Services, Media, Pennsylvania (JSE).,Harvard Medical School, Boston, Massachusetts (EF, MM).,Institute of Coaching, McLean Hospital, Belmont, Massachusetts, and Wellcoaches Corporation, Wellesley, Massachusetts (MM)
| | - Elizabeth Frates
- Department of Exercise & Sport Sciences, Ithaca College, Ithaca, New York (GAS, SH, LC-K).,The Clearinghouse for Military Family Readiness at Penn State, State College, Pennsylvania (MPK).,Springfield College, Springfield, Massachusetts (KC).,Seattle University, Seattle, Washington (ER).,Edman Wellness Services, Media, Pennsylvania (JSE).,Harvard Medical School, Boston, Massachusetts (EF, MM).,Institute of Coaching, McLean Hospital, Belmont, Massachusetts, and Wellcoaches Corporation, Wellesley, Massachusetts (MM)
| | - Margaret Moore
- Department of Exercise & Sport Sciences, Ithaca College, Ithaca, New York (GAS, SH, LC-K).,The Clearinghouse for Military Family Readiness at Penn State, State College, Pennsylvania (MPK).,Springfield College, Springfield, Massachusetts (KC).,Seattle University, Seattle, Washington (ER).,Edman Wellness Services, Media, Pennsylvania (JSE).,Harvard Medical School, Boston, Massachusetts (EF, MM).,Institute of Coaching, McLean Hospital, Belmont, Massachusetts, and Wellcoaches Corporation, Wellesley, Massachusetts (MM)
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