Guideline-concordant weight-loss programs in an urban area are uncommon and difficult to identify through the internet.
Guideline-concordant weight-loss programs in an urban area are uncommon and difficult to identify through the internet.
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DOI：
10.1002/oby.21403
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发表时间：
2016-03
期刊：
影响因子：
--
通讯作者：
Gudzune KA
中科院分区：
文献类型：
--
作者：
Bloom B;Mehta AK;Clark JM;Gudzune KA
To determine the reliability of Internet-based information on community-based weight-loss programs and grade their degree of concordance with 2013 American Heart Association, American College of Cardiology, and The Obesity Society weight management guidelines. We conducted an online search for weight-loss programs in the Maryland-Washington, DC-Virginia corridor. We performed content analysis to abstract program components from their websites, and then randomly selected 80 programs for a telephone survey to verify this information. We determined reliability of Internet information in comparison with telephone interview responses. Of the 191 programs, we graded 1% as high, 8% as moderate, and 91% as low with respect to guideline concordance based on website content. Fifty-two programs participated in the telephone survey (65% response rate). Program intensity, diet, physical activity, and use of behavioral strategies were underreported on websites as compared to description of these activities during phone interview. Within our subsample, we graded 6% of programs as high based on website information, whereas we graded 19% as high after telephone interview. Most weight-loss programs in an urban, mid-Atlantic region do not currently offer guideline-concordant practices and fail to disclose key information online, which may make clinician referrals challenging.
