Kathleen Y. Wolin|Dori Steinberg|Ilana B. Lane|Sandy Askew|Mary L. Greaney|Graham A. Colditz|Gary G. Bennett
Engagement with eHealth Self-Monitoring in a Primary Care-Based Weight Management Intervention
Duke University|Duke University|Duke University|University of Rhode Island|Washington University in St. Louis|Duke University
background ehealth approaches hold promise improving reach costeffectiveness behavior change interventions challenged declining participant engagement time particularly selfmonitoring behaviors significant concerns context chronic disease prevention management durable effects important driving meaningful changes purpose fit well ehealth weight loss intervention allowed participants selfselect selfmonitoring modality web interactive voice response ivr participants could change modality study provides unique opportunity examine effects intervention modality choice changing modalities intervention engagement outcomes methods intervention participants recruited community health centers n 180 expected selfmonitor health behaviors weekly course 24month intervention examined trends intervention engagement modality web ivr changed modality among participants intervention arm results majority 61 participants chose ivr selfmonitoring 39 chose web 56 selected web monitoring changed ivr study versus change initially selected ivr selfmonitoring declined modalities completion rates higher selected ivr associations selfmonitoring modality weight blood pressure outcomes conclusions first study compare web ivr selfmonitoring ehealth intervention participants could select change selfmonitoring modality ivr shows promise achieving consistent engagement