Affiliations: [a] College of Nursing, Medical University of South Carolina, Charleston, SC, USA
| [b] Wellness Center, Medical University of South Carolina, Charleston, SC, USA
| [c] Graduate School of Nursing, Uniformed Services University of Health Sciences, Bethesda, MD, USA
Correspondence:
[*]
Address for correspondence: Mathew J. Gregoski, PhD., MUSC College of Nursing, 99 Jonathan Lucas Street, MSC 160, Charleston, SC 29425, USA. Tel.: +1 843 792 9558; Fax: +1 843 792 1741; E-mail: gregoski@musc.edu.
Abstract: BACKGROUND/OBJECTIVE: This pilot study investigated the effectiveness of a distance-based e-health program delivered across multiple rural Federal Credit Union worksites that focused on physical activity and dietary education. Program design and implementation were based on the premises of Social Impact Theory (SIT). METHODS: A sample of fifty-four participants (47 white. 7 black) aged 24 to 58 across different worksite locations completed 10 weeks of e-health delivered physical activity and dietary intervention. Pre to post weight changes were examined as a primary outcome. RESULTS: The findings showed that regardless of worksite location, participants on average reduced their weight by 10.13 lbs if they completed both the exercise and lunch and learn components of the study compared to a decrease of 2.73 lbs for participants who chose not to engage in the exercise related activities. Participant dropout from either group was less than four percent. CONCLUSIONS: The results of this study show the beneficial influence of physical activity integration using SIT upon distance programs targeting weight loss. In addition, the high adherence and weight loss success show promise and demonstrates the potential for e-health delivered exercise and lifestyle interventions. Further replication of results via additional randomized controlled trials is needed.
Keywords: e-health, weight loss, worksite, social impact theory, m-health
