Trial reportAmerican journal of preventive medicine2012
Using mHealth technology to enhance self-monitoring for weight loss: a randomized trial.
Trial report in American journal of preventive medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 153 papers, 12 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Improving Self-Monitoring in Weight Loss With Technology
Fitbit / Healthy Weight Management Study
The mDIARY Study: Using Smartphones for Daily Selfmonitoring of Skilluse and Outcome in Dialectical Behavior Therapy With Borderline Personality Disorder: A Combined RCT and Timeseries Study
Who cites it
153 citing papers in PubMed, 12 syntheses or guidelines pooled it.
- Evaluation of the Aspects of Digital Interventions That Successfully Support Weight Loss: Systematic Review With Component Network Meta-Analysis.Journal of medical Internet research · 2025Pooled it
- Effectiveness of Different Online Intervention Modalities for Middle-Aged Adults with Overweight and Obesity: A 20-Year Systematic Review and Meta-analysis.Journal of prevention (2022) · 2024Pooled it
- Social media-based interventions for adults with obesity and overweight: a meta-analysis and meta-regression.International journal of obesity (2005) · 2023Pooled it
- Effectiveness of Mobile Phone and Web-Based Interventions for Diabetes and Obesity Among African American and Hispanic Adults in the United States: Systematic Review.JMIR public health and surveillance · 2022Pooled it
- A systematic review of the use of dietary self-monitoring in behavioural weight loss interventions: delivery, intensity and effectiveness.Public health nutrition · 2021Pooled it
- Self-Monitoring via Digital Health in Weight Loss Interventions: A Systematic Review Among Adults with Overweight or Obesity.Obesity (Silver Spring, Md.) · 2021Pooled it
- Use of Technology-Based Interventions in the Treatment of Patients with Overweight and Obesity: A Systematic Review.Nutrients · 2020Pooled it
- Extensive Review of Persuasive System Design Categories and Principles: Behavioral Obesity Interventions.Journal of medical systems · 2020Pooled it
- Just-in-Time Feedback in Diet and Physical Activity Interventions: Systematic Review and Practical Design Framework.Journal of medical Internet research · 2018Pooled it
- A Systematic Review of Application and Effectiveness of mHealth Interventions for Obesity and Diabetes Treatment and Self-Management.Advances in nutrition (Bethesda, Md.) · 2017Pooled it
- Guideline
- The effectiveness of mobile-health technology-based health behaviour change or disease management interventions for health care consumers: a systematic review.PLoS medicine · 2013Pooled it
- Does sexual rehabilitation work for gay and bisexual prostate cancer patients? Acceptability, feasibility, and efficacy results from the Restore-2 randomized controlled trial.Journal of cancer survivorship : research and practice · 2026Trial
- Effectiveness of a Digital Therapy on 6-Month Weight Loss in People With Obesity: The Digital Therapy to Promote Weight Loss in Patients With Obesity by Increasing Their Adherence to Treatment (DEMETRA) Randomized Clinical Trial.Journal of medical Internet research · 2025Trial
- Adherence to self-monitoring and behavioral goals is associated with improved weight loss in an mHealth randomized-controlled trial.Obesity (Silver Spring, Md.) · 2025Trial
- Efficacy of a Commercial Weight Management Program Compared With a Do-It-Yourself Approach: A Randomized Clinical Trial.JAMA network open · 2022Trial
- The Effect of Tailored, Daily, Smartphone Feedback to Lifestyle Self-Monitoring on Weight Loss at 12 Months: the SMARTER Randomized Clinical Trial.Journal of medical Internet research · 2022Trial
- Efficacy of a New Low-Protein Multimedia Diet App for PKU.Nutrients · 2022Trial
- A pilot randomized trial of simplified versus standard calorie dietary self-monitoring in a mobile weight loss intervention.Obesity (Silver Spring, Md.) · 2022Trial
- Trial
93 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundSelf-monitoring for weight loss has traditionally been performed with paper diaries. Technologic advances could reduce the burden of self-monitoring and provide feedback to enhance adherence. PURPOSE: To determine if self-monitoring diet using a PDA only or the PDA with daily tailored feedback (PDA+feedback [FB]), was superior to using a paper diary on weight loss and maintenance.
designThe Self-Monitoring and Recording Using Technology (SMART) Trial was a 24-month randomized clinical trial; participants were randomly assigned to one of three self-monitoring groups. SETTING/
participantsFrom 2006 to 2008, a total of 210 overweight/obese adults (84.8% female, 78.1% white) were recruited from the community. Data were analyzed in 2011.
interventionParticipants received standard behavioral treatment for weight loss that included dietary and physical activity goals, encouraged the use of self-monitoring, and was delivered in group sessions.
main outcome measuresPercentage weight change at 24 months, adherence to self-monitoring over time.
resultsStudy retention was 85.6%. The mean percentage weight loss at 24 months was not different among groups (paper diary: -1.94%, 95% CI = -3.88, 0.01; PDA: -1.38%, 95% CI= -3.38, 0.62; PDA+FB: -2.32%, 95% CI= -4.29, -0.35); only the PDA+FB group (p=0.02) demonstrated a significant loss. For adherence to self-monitoring, there was a time-by-treatment group interaction between the combined PDA groups and the paper diary group (p=0.03) but no difference between PDA and PDA+FB groups (p=0.49). Across all groups, weight loss was greater for those who were adherent ≥60% versus <30% of the time (p<0.001).
conclusionsPDA+FB use resulted in a small weight loss at 24 months; PDA use resulted in greater adherence to dietary self-monitoring over time. However, for sustained weight loss, adherence to self-monitoring is more important than the method used to self-monitor. A daily feedback message delivered remotely enhanced adherence and improved weight loss, which suggests that technology can play a role in improving weight loss.
trial registrationThis study is registered at clinicaltrials.gov NCT00277771.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.