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Using instrumented paper diaries to document self-monitoring patterns in weight loss

Burke, LE and Sereika, SM and Music, E and Warziski, M and Styn, MA and Stone, A (2008) Using instrumented paper diaries to document self-monitoring patterns in weight loss. Contemporary Clinical Trials, 29 (2). 182 - 193. ISSN 1551-7144

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Self-monitoring of eating is associated with successful weight loss, but adherence is imperfect and deteriorates over time. Moreover, intentionally or not, many individuals have difficulty keeping faithful records. We used instrumented paper diaries (IPDs) to study self-monitoring in randomly chosen participants in the PREFER trial, a behavioral treatment for weight-loss study. The diaries they used to self-report eating were periodically replaced with IPDs at various times during an 18-month weight-loss program, consisting of three successive phases: intense treatment (n = 35), less-intense treatment (n = 13), and maintenance (n = 16). We compared electronically documented self-monitoring data, showing when and how often IPDs were used, with self-reported data, then compared the electronically validated adherence and weight loss. Self-reported diary usage exceeded IPD-documented usage while the electronic data demonstrated a significant decline in self-monitoring over time. Diary recording often was not timely. Percentage weight lost correlated significantly with frequency of IPD use (p = .001) and the number of diary entries made within 15 min of opening the IPD (p = .002). This is the first study to document patterns of self-monitoring among participants in a weight-loss program, which demonstrated that individuals may falsify the times and frequency of self-monitoring. Furthermore, our results showed that adherence to self-monitoring and the timeliness of recording significantly correlate with improved weight loss. © 2007 Elsevier Inc. All rights reserved.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Burke, LElbu100@pitt.eduLBU1000000-0003-2434-9867
Sereika, SMssereika@pitt.eduSSEREIKA0000-0002-7840-1352
Music, E
Warziski, M
Styn, MA
Stone, A
Date: 1 March 2008
Date Type: Publication
Journal or Publication Title: Contemporary Clinical Trials
Volume: 29
Number: 2
Page Range: 182 - 193
DOI or Unique Handle: 10.1016/j.cct.2007.07.004
Schools and Programs: School of Nursing > Nursing
Refereed: Yes
ISSN: 1551-7144
MeSH Headings: Automatic Data Processing; Diet Records; Diet, Reducing; Eating; Humans; Medical Records; Patient Compliance; Randomized Controlled Trials as Topic; Self Disclosure; Weight Loss
Other ID: NLM NIHMS41891, NLM PMC2435095
PubMed Central ID: PMC2435095
PubMed ID: 17702667
Date Deposited: 18 Sep 2012 14:36
Last Modified: 07 Nov 2023 11:56


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