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QUESTION: In patients at risk of type 2 diabetes mellitus, is an internet behavioural counselling weight loss programme better than a basic internet weight loss programme for reducing weight?
Design
Randomised {allocation concealed*}†, {unblinded*}†, controlled trial with 12 months of follow up.
Setting
A research centre in Providence, Rhode Island, USA.
Patients
92 overweight or obese (body mass index [BMI] 27–40 kg/m2) patients (mean age 48 y, 90% women) with ≥1 other risk factor for type 2 diabetes, and access to a computer. Exclusion criteria were major health or psychiatric disease, pregnancy, or recent weight loss ≥4.5 kg. Follow up was 84% at 12 months; all patients were included in the analysis.
Intervention
All patients received a 1 hour internet tutorial; a written guide; and a standard behavioural weight control instruction on diet, exercise, and behaviour change. Patients were allocated to …
Footnotes
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Source of funding: American Diabetes Association.
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For correspondence: Dr D F Tate, Brown University School of Medicine/Miriam Hospital, Providence, RI, USA. dtate{at}lifespan.org
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↵† Information provided by author.