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The Effects of an Internet Based Coaching Program for Obesity Management in Hypertensive Patients  

Jeon, Hae-Ok (Department of Nursing, Cheongju University)
Kim, Ok-Soo (Division of Nursing Science, Ewha Womans University)
Publication Information
Korean Journal of Adult Nursing / v.23, no.2, 2011 , pp. 146-159 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate the effects of the internet based coaching program for obesity management on weight control related knowledge, self-efficacy, eating habits, physical activity and obesity related physiological indexes in hypertensive patients. Methods: The study design was non-equivalent control group pre-test-post-test design. A total of 43 subjects were overweight or obese hypertensive patients aged 30 or older, who were divided into experimental group (n=23) and control group (n=20). This program lasting 12 weeks consisted of a weight control related education, internet based individual coaching for diet, exercise and behavior modification, offering internet community and health counseling. The variables were measured three times (before the treatment, after 6 weeks, and after 12 weeks) and the collected data were analyzed by SPSS/WIN 17.0 program. Results: The experimental group had significantly improved weight control related knowledge, self efficacy, eating habits, body composition, and systolic blood pressure with time. Conclusion: The internet based coaching program was effective in improving obesity management, also this program will help to prevent cardiovascular disease of obese hypertensive patients.
Keywords
Hypertension; Obesity; Internet; Education;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 American College of Sport Medicine (2006). ACSM's guidelines for exercise testing and prescription (7th ed.). Seoul: Hanmi Medicine.
2 Bandura, A. (1997). Self-efficacy: The exercise of control. New York: W. H. Freeman and Company.
3 Bastelaar, K. M., Pouwer, F., Cuijpers, P., Twisk, J. W., & Snoek, F. J. (2008). Web-based cognitive behavioural therapy (W-CBT) for diabetes patients with co-morbid depression: Design of a randomised controlled trial. BMC Psychiatry, 8(9), 1-7.
4 Chung, E. J. (2001). Risk estimates of obesity according to life style in women. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
5 Dachs, R. (2007). Exercise is an effective intervention in overweight and obese patients. American Family Physician, 75(9), 1333-1335.
6 American Corporate Coach University (2005). Coach definition. Retrieved March 20, 2009, from http://www.cdc.gov, http://www.koreacoach.com/
7 O'Connor, D. B., Warttig, S., Conner, M., & Lawton, R. (2009). Raising awareness of hypertension risk through a webbased framing intervention: Does consideration of future consequences make a difference? Psychology, Health & Medicine, 14(2), 213-219.
8 Ministry of Health & Welfare & Korea Centers for Disease Control and Prevention (2008). 2007 National health statistics - the forth national health and nutrition examination survey. Retrieved 2009. 1. 1, from http://knhanes.cdc.go.kr
9 Moore, T. J., Alsabeeh, N., Apovian, C. M., Murphy, M. C., Coffman, G. A., Cullum, D. D., et al. (2008). Weight, blood pressure, and dietary benefits after 12 months of a webbased nutrition education program (DASH for health): Longitudinal observational study. Journal of Medical Internet Research, 10(4), e52.   DOI
10 Morgan, P. J., Lubans, D. R., Collins, C. E., Warren, J. M., & Callister, R. (2009). The SHED-IT randomized controlled trial: Evaluation of an internet-based weight-loss program for men. Obesity, 17(11), 2025-2032.
11 Korean Click (2009). Analysis report for Korean internet using. Retrieved 2009. March 10, from http://www.computertimes. co.kr
12 Panagiotakos, D. B., Kromhout, D., Menotti, A., Chrysohoou, C., Dontas, A., Pitsavos, C., et al. (2005). The relation between pulse pressure and cardiovascular mortality in 12,763 middle-aged men from various parts of the world: A 25- year follow-up of the seven countries study. Archives of Internal Medicine, 165(18), 2142-2147.
13 Jeor, S. T., Perumean-Chaney, S., Sigman-Grant, M., Williams, C., & Foreyt, J. (2002). Family-based interventions for the treatment of childhood obesity. Journal of the American Dietetic Association, 102(5), 640-644.
14 Joint National Committee (2003). The seventh report of joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: The (JNC 7). National Institute of Health.
15 Kim, K. H., Chung, B. Y., & Byun, H. S. (2007). The effects of weight control program on body composition, blood pressure, serum lipid and self-regulation behavior in obese college women. Journal of Korean Academy of Adult Nursing, 19(3), 339-352.
16 Kim, W. S., & Lee, M. R. (2007). Blood pressure lowering effect of exercise training according to the baseline blood pressure and body mass index. Korean Journal of Exercise Nutrition, 11(2), 129-135.
17 Korean National Statistical Office (2008). 2007 Death cause statistic results. Retrieved September 1, 2009, from http://www.kostat.go.kr/
18 Dolor, R. J., Yancy, W. S., Owen, W. F., Matcjar, D. B., Samsa, G. P., Pollak, K. I., et al. (2009). Hypertension improving project (HIP): Study protocol and implementation challenges. Trials, 10(13), 1-14.
19 Korean Society for the Study Obesity (2000). The BMI criteria. Retrieved June 20, 2008, from http://www.kosso.or.kr
20 Matsuo, T., Kato, Y., Murotake, Y., Kim, M. K., Unno, H., & Tanaka, K. (2010). An increase in high-density lipoprotein cholesterol after weight loss intervention is associated with long-term maintenance of reduced visceral abdominal fat. International Journal of Obesity, 34(6), only online access, not page.
21 Glynn, S. M., & Ruderman, A. J. (1986). The development and validation of an eating self-efficacy scale. Cognitive Therapy and Research, 10(4), 403-420.
22 Goessens, B. M., Visseren, F. L., Nooijer, J., Borne, H. W., Algra, A., Wierdsma, J., et al. (2008). A pilot-study to identify the feasibility of an Internet-based coaching programme for changing the vascular risk profile of high-risk patients. Patient Education Counseling, 73(1), 67-72.   DOI
23 Horvath, K., Jeitler, K., Siering, U., Stich, A. K., Skipka, G., Gratzer, T. W., et al. (2008). Long-term effects of weightreducing interventions in hypertensive patients: Systematic review and meta-analysis. Archives of Internal Medicine, 168(6), 571-580.
24 Wald, K. D., Sparrow, D., Landsberg, L., Yonung, J. B., & Weiss, S. T. (1996). Influence of insulin, sympathetic nervous system activity, and obesity on blood pressure: The Normative Aging Study. Journal of Hypertension, 14(3), 301-308.
25 World Health Organization (2005). International Physical Activity Questionnaire. Retrieved January 1, 2009, from http:// www.ipaq.ki.se
26 Power and Precision (2009). Power analysis. Retrieved November 12, 2007, From http://www.power-analysis. com.
27 Seo, N. S., Kim, Y. H., & Kang, H. Y. (2005). Effects of an obesity control program based on behavior modification and self-efficacy in obese elementary school children. Journal of Korean Academy of Nursing, 35(3), 611-620.
28 Shin, Y. H., Jang, H. J., & Pender, N. J. (2001). Psychometric evaluation of the exercise self-efficacy scale among Korean adults with chronic disease. Research in Nursing & Health, 24, 68-76.
29 Ulrich, H. K., Hampson, R., Wilson, D. K., Presnell, K., Brown, A., & O'Boyle, M. (2009). An adolescent weight loss program integrating family variables reduces energy intake. American Dietetic Association, 109, 491-496.
30 World Health Organization (2010). Global database on body mass index. Retrieved March 20, from http://apps.who.int/bmi/index.jsp