Hypertension

Feasibility and outcomes from using a commitment device and text message reminders to increase adherence to time-restricted eating: A randomized trial

Am Heart JPublished Randomised controlled trial

Authors' conclusion

A bidirectional texting strategy was feasible for helping patients with obesity and hypertension initiate and adhere to time-restricted eating. Adding a commitment device to bidirectional texting did not increase adherence to time-restricted eating compared with attention control, nor were there significant between group changes in blood pressure or weight, but these comparisons were underpowered.

Study context

Population
Patients with obesity and hypertension seen in cardiology clinics
Participants
37 patients
Comparison
Commitment device vs Attention control
  • Commitment devicen = 17
  • Attention controln = 20reference
Primary endpoint
Days per week adherent to time-restricted eating (daily self-report)
Follow-up
18-week study period
Methodological details12-week intervention, then 6-week follow-up
  • 12-week intervention, then 6-week follow-up

Primary result

As reported in the abstract

Days/week adherent to time-restricted eating (daily self-report)
  • Commitment device vs Attention control: P = 0.23
  • Control arm = Attention control; intervention arm = Commitment device

Further findings

SBP

Mean SBP declined from 135 to 128 mm Hg among all participants
P = 0.006
No difference between groups in change from baseline BP
P = 0.74

Weight

Weight decreased from 229 to 223 pounds among all participants
P = 0.25
No significant difference between groups in change from baseline weight
P = 0.84

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Feasibility and outcomes from using a commitment device and text message reminders to increase adherence to time-restricted eating: A randomized trial. Am Heart J. Published 11 January 2023. doi:10.1016/j.ahj.2022.12.010

Summarised from the published abstract; every number is checked against it

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