RESEARCH COMPUTING DARTMOUTH STATA MP SOFTWARE

However, engagement drops off after initial usage suggesting a need for more personalized approaches. 13, 14 Goal setting through text messaging, 15 automated voice response systems, 16 or tailored self-monitoring platforms 17 can all enhance success and are cost-effective strategies to at-risk populations. For instance, self-monitoring using commercial applications has demonstrated an increased likelihood of short-term weight loss. Mobile health interventions hold promise in engaging adults with obesity in behavioural change. 8- 11 Disparities in accessing care are especially problematic in caring for patients with obesity, where regular interactions are needed to promote health behaviour change. 6 Conditions are even worse in rural areas of the United States where obesity prevalence rates are much higher 7 and patients often need to travel extensive distances to access health care services and specialist providers. 4 The escalating costs associated with obesity in the United States demonstrate a critical need to address this epidemic 5 given that direct and indirect costs account for 9.3% of the gross domestic product. Obesity is known to adversely impact cardiometabolic factors, including hypertension, diabetes, and dyslipidemia, 2 ultimately increasing vascular risk and leading to disability 3 and death. ConclusionДЄ telemedicine-delivered, intensive weight loss intervention is feasible, acceptable, and potentially effective in rural adults seeking weight loss.ДЄs a major public health crisis nationally and internationally, obesity rates continue to rise, exceeding 1 an estimated 38%. In the 30-second sit-to-stand test, a mean improvement of 2.46 stands ( P =. 05), with marginal improvement in appendicular skeletal muscle mass (1.7%). Fat mass and visceral fat were significantly lower at 16 weeks (2.9% and 12.5% both P <. 001), with a loss in waist circumference of 3.4% ( P =. Mean weight loss at 16 weeks was 2.22 В± 3.18 kg representing a 2.1% change ( P <. Mean patient participant satisfaction regarding the telemedicine approach was favourable (4.48 В± 0.58 on 1-5 Likert scale-low to high) and 67.6/75 on standardized questionnaire. Mean age was 46.9 В± 11.6 years (88.9% female), with a mean body mass index of 41.3 В± 7.1 kg/m 2 and mean waist circumference of 120.7 В± 16.8 cm. Of 62 participants approached, we enrolled 37, of which 27 completed at least 75% of the 16-week programme sessions (27% attrition). Our primary outcomes were feasibility and acceptability of the telemedicine intervention, as well as potential effectiveness on anthropometric and functional measures.

RESEARCH COMPUTING DARTMOUTH STATA MP SOFTWARE

Patients were provided hardware and appropriate software allowing for remote participation in all sessions, outside of the clinic setting. Patients from the Dartmouth-Hitchcock Weight and Wellness Center were recruited into a pragmatic, single-arm, nonrandomized study of a remotely delivered 16-week evidence-based healthy lifestyle programme. Live, two-way video-conferencing is a modality that can potentially surmount geographic barriers and staffing shortages. The public health crisis of obesity leads to increasing morbidity that are even more profound in certain populations such as rural adults.

Research computing dartmouth stata mp