Browsing by Author "Shapiro, Jennifer R"
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- ItemMobile therapy: Use of text-messaging in the treatment of bulimia nervosa.(2010-09-23) Shapiro, Jennifer R; Bauer, Stephanie; Andrews, Ellen; Pisetsky, Emily; Bulik-Sullivan, Brendan; Hamer, Robert M; Bulik, Cynthia MOBJECTIVE To examine a text messaging program for self monitoring symptoms of bulimia nervosa BN within the context of cognitive behavioral therapy CBT METHOD Thirty one women participated in 12 weekly group CBT sessions and a 12 week follow up Participants submitted a text message nightly indicating the number of binge eating and purging episodes and rating their urges to binge and purge Automatic feedback messages were tailored to their self reported symptoms RESULTS Fully 87 of participants adhered to self monitoring and reported good acceptability The number of binge eating and purging episodes as well as symptoms of depression BDI eating disorder EDI and night eating NES decreased significantly from baseline to both post treatment and follow up DISCUSSION Given the frequent use of mobile phones and text messaging globally this proof of principle study suggests their use may enhance self monitoring and treatment for BN leading to improved attendance adherence engagement in treatment and remission from the disorder
- ItemText4Diet: a randomized controlled study using text messaging for weight loss behaviors.(2012-11-05) Shapiro, Jennifer R; Koro, Tina; Doran, Neal; Thompson, Sheri; Sallis, James F; Calfas, Karen; Patrick, KevinOBJECTIVE Text messaging shows promise as a health intervention This randomized controlled trial evaluated a daily text messaging weight loss intervention METHODS Overweight and obese adults n 170 in California were randomized to receive daily interactive and personally weight relevant text messages or monthly e newsletters Participants were measured at baseline 6 and 12 months Group differences were assessed in weight loss Relation of text messaging adherence to weight loss and change in pedometer steps was examined RESULTS There were no group differences in weight loss over 6 1 53 lb vs 3 72 lb or 12 months 2 27 lb vs 3 64 lb control vs intervention Text messaging adherence was moderately strong 60 69 Participants with greater adherence lost more weight at 6 p 039 and 12 months p 023 than those who were less adherent Intervention participants steps increased almost 3000 steps day over time pUnder 05 and higher step counts were associated with greater weight loss pUnder 05 Text messaging satisfaction was moderate to high and pedometer related satisfaction was associated with greater weight loss pUnder 05 CONCLUSIONS Although text messaging had no effect on weight adherence was associated with improvement in weight related behaviors and weight outcomes Text messages could be a useful adjunct to weight loss treatments
- 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