Browsing by Author "Kordy, Hans"
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- ItemShort message service reduces dropout in childhood obesity treatment: a randomized controlled trial.(2012-11-15) de Niet, Judith; Timman, Reinier; Bauer, Stephanie; van den Akker, Erica; de Klerk, Cora; Kordy, Hans; Passchier, JanOBJECTIVE Lifestyle programs can reduce the level of overweight in children however maintenance results and adherence to treatment are difficult to achieve New technologies such as the Short Message Service SMS might be a promising tool for enhancing interventions The effect of an SMS approach aimed at improving treatment results and reducing dropout rates in a pediatric lifestyle intervention is explored METHOD Overweight and obese children N 141 age 7 12 years participating in a lifestyle program were randomly assigned to an intervention group receiving an SMS Maintenance Treatment SMSMT for 38 weeks n 73 or to a control group receiving no SMSMT n 68 Children were asked to send weekly self monitoring data on exercise eating behavior and emotional well being In return they received tailored feedback messages A differential decrease in BMI was analyzed with repeated measures ANOVA and dropout with logistic regression analysis RESULTS We found no significant difference in BMI decrease between the two groups after 12 months however we showed that the SMSMT group had 3 25 times less probability of dropping out after 1 year p 01 than controls In the first 3 months of SMSMT the SMSMT completers sent 0 80 SMSs per week which reduced to 0 50 SMSs in the final 3 months Younger children sent more SMSs p 03 CONCLUSIONS These results indicate that SMSMT is effective in reducing dropout rates from a pediatric lifestyle intervention Future research should examine the effectiveness of SMSMT on weight management and related psychosocial variables
- ItemSupportive monitoring and disease management through the internet: an internet-delivered intervention strategy for recurrent depression.(2013-11-27) Kordy, Hans; Backenstrass, Matthias; Hüsing, Johannes; Wolf, Markus; Aulich, Kai; Bürgy, Martin; Puschner, Bernd; Rummel-Kluge, Christine; Vedder, HelmutMajor depression is a highly prevalent disabling disorder associated with loss of quality of life and large economic burden for the society Depressive disorders often follow a chronic or recurrent course The risk of relapses increases with each additional episode The internet deliverable intervention strategy SUMMIT SUpportive Monitoring and Disease Management over the InTernet for patients with recurrent depression has been developed with the main objectives to prolong symptom free phases and to shorten symptom loaden phases This paper describes the study design of a six sites three arm randomized clinical trial intended to evaluate the efficacy of this novel strategy compared to treatment as usual TAU Two hundred thirty six patients who had been treated for their at least third depressive episode in one of the six participating psychiatric centers were randomized into one of three groups 1 TAU plus a twelve month SUMMIT program participation with personal support or 2 TAU plus a twelve month SUMMIT program participation without personal support or 3 TAU alone Primary outcome of this study is defined as the number of well weeks over 24months after index treatment assessed by blind evaluators based on the Longitudinal Interval Follow Up Evaluation If efficacious the low monetary and nonmonetary expenditures of this automated yet individualized intervention may open new avenues for providing an acceptable convenient and affordable long term disease management strategy to people with a chronic mental condition such as recurrent depression
- ItemTechnology-enhanced maintenance of treatment gains in eating disorders: efficacy of an intervention delivered via text messaging.(2012-07-24) Bauer, Stephanie; Okon, Eberhard; Meermann, Rolf; Kordy, HansOBJECTIVE Given the lack of maintenance interventions for eating disorders a program delivered via the short message service SMS and text messaging was developed to support patients after their discharge from inpatient treatment METHOD The efficacy of the intervention was studied in a randomized controlled trial Additionally its impact on the utilization of outpatient treatment during follow up was investigated One hundred sixty five female patients with bulimia nervosa or a related eating disorder not otherwise specified were randomly assigned to a control group treatment as usual TAU or an intervention group SMS based maintenance intervention SMS After hospital discharge participants in the intervention group submitted a weekly symptom report via text message for 16 weeks and received tailored feedback Primary outcome was the rate of partial remission 8 months after discharge from inpatient treatment RESULTS The difference in remission rates reached significance in the intent to treat analyses SMS 51 2 TAU 36 1 1 3 81 p 05 and approached significance in the completer analysis SMS 59 2 TAU 43 5 1 3 44 p 06 There were no differences in the utilization of outpatient treatment Remission rates between the intervention and control groups were not significantly different among patients who used outpatient treatment 63 2 vs 55 6 1 0 44 p 51 A significant difference was found in those who did not utilize such treatment 54 5 vs 30 3 1 3 97 p 046 CONCLUSION The aftercare intervention was efficacious in enhancing treatment outcome after discharge from inpatient treatment
- ItemUse of text messaging for monitoring sugar-sweetened beverages, physical activity, and screen time in children: a pilot study.(2008-11-05) Shapiro, Jennifer R; Bauer, Stephanie; Hamer, Robert M; Kordy, Hans; Ward, Dianne; Bulik, Cynthia MOBJECTIVE To examine acceptability attrition adherence and preliminary efficacy of mobile phone short message service SMS text messaging for monitoring healthful behaviors in children DESIGN All randomized children received a brief psychoeducational intervention They then either monitored target behaviors via SMS with feedback or via paper diaries PD or participated in a no monitoring control C for 8 weeks SETTING University of North Carolina at Chapel Hill PARTICIPANTS Fifty eight children age 5 13 and parents participated 31 completed SMS 13 18 PD 7 18 C 11 22 INTERVENTION Children and parents participated in a total of 3 group education sessions 1 session weekly for 3 weeks to encourage increasing physical activity and decreasing screen time and sugar sweetened beverage consumption MAIN OUTCOME MEASURES Treatment acceptability attrition and adherence to self monitoring ANALYSIS Descriptive statistics and nonparametric tests were used to analyze differences across time and group RESULTS Children in SMS had somewhat lower attrition 28 than both PD 61 and C 50 and significantly greater adherence to self monitoring than PD 43 vs 19 P Under 02 CONCLUSIONS AND IMPLICATIONS Short message service may be a useful tool for self monitoring healthful behaviors in children although the efficacy of this approach needs further study Implications suggest that novel technologies may play a role in improving health