@article{collins_mccallum_nordby_aggarwal_griffith_thomas_dunn_2023, title={Enrollment, Engagement, and Effectiveness of a Large-Scale Diabetes Prevention Program Using Synchronous Distance Technology}, volume={4}, ISSN={["2673-4540"]}, DOI={10.3390/diabetology4040051}, abstractNote={The Centers for Disease Control and Prevention (CDC) indicates that individuals with prediabetes are significantly less likely to develop type 2 diabetes if they participate in a lifestyle change program that results in at least 5% weight loss and 150 min of physical activity per week. The CDC recognizes distance learning as an effective delivery mode for lifestyle change programs to prevent type 2 diabetes. The purpose of this study was to assess enrollment, engagement, and effectiveness of a type 2 diabetes prevention program (DPP) using synchronous distance technology. Eat Smart, Move More, Prevent Diabetes (ESMMPD) is an intensive 12-month DPP delivered using synchronous distance technology. Throughout 26 lessons, participants focused on healthy eating, physical activity, and mindfulness behaviors. Study findings showed a significant decrease in A1C (−0.24 p < 0.0001). Weight loss averaged 5.66% for those who completed the program. Based on the Wilcoxon signed-rank test, participants demonstrated statistically significant changes in self-reported confidence in their ability to perform all 18 health-promoting behaviors assessed (p < 0.0001). Participation in the program also resulted in the adoption of health promoting behaviors. A DPP using synchronous distance technology is an effective delivery mode to help participants adopt healthy behaviors, increase physical activity, and achieve the weight loss necessary to prevent or delay the onset of type 2 diabetes.}, number={4}, journal={DIABETOLOGY}, author={Collins, Casey and McCallum, Erin and Nordby, Kelly and Aggarwal, Surabhi and Griffith, Emily and Thomas, Cathy and Dunn, Carolyn}, year={2023}, month={Dec}, pages={574–585} }
 @article{dunn_haubenreiser_johnson_nordby_aggarwal_myer_thomas_2018, title={Mindfulness Approaches and Weight Loss, Weight Maintenance, and Weight Regain}, volume={7}, ISSN={2162-4968}, url={http://dx.doi.org/10.1007/s13679-018-0299-6}, DOI={10.1007/s13679-018-0299-6}, abstractNote={There is an urgent need for effective weight management techniques, as more than one third of US adults are overweight or obese. Recommendations for weight loss include a combination of reducing caloric intake, increasing physical activity, and behavior modification. Behavior modification includes mindful eating or eating with awareness. The purpose of this review was to summarize the literature and examine the impact of mindful eating on weight management.The practice of mindful eating has been applied to the reduction of food cravings, portion control, body mass index, and body weight. Past reviews evaluating the relationship between mindfulness and weight management did not focus on change in mindful eating as the primary outcome or mindful eating as a measured variable. This review demonstrates strong support for inclusion of mindful eating as a component of weight management programs and may provide substantial benefit to the treatment of overweight and obesity.}, number={1}, journal={Current Obesity Reports}, publisher={Springer Nature}, author={Dunn, Carolyn and Haubenreiser, Megan and Johnson, Madison and Nordby, Kelly and Aggarwal, Surabhi and Myer, Sarah and Thomas, Cathy}, year={2018}, month={Feb}, pages={37–49} }
 @article{dunn_olabode-dada_whetstone_thomas_aggarwal_nordby_thompson_johnson_allison_2015, title={Using synchronous distance education to deliver a weight loss intervention: A randomized trial}, volume={24}, ISSN={1930-7381}, url={http://dx.doi.org/10.1002/oby.21315}, DOI={10.1002/oby.21315}, abstractNote={ObjectiveTo implement a randomized trial to evaluate the effectiveness of a weight loss program delivered using synchronous distance education compared with a wait‐list control group with 6‐month follow‐up.MethodsAdults with a body mass index (BMI) ≥25 were randomized to the intervention (n = 42) or wait‐list control group (n = 38). The intervention group participated in a synchronous, online, 15‐week weight loss program; weight loss was the primary outcome. Secondary measures included height, BMI, and confidence in ability to be physically active and eat healthy. Assessments occurred at three and four time points in the intervention and control group, respectively.ResultsParticipants who completed the program lost significantly more weight (1.8 kg) than those in the wait‐list control group (0.25 kg) at week 15 [F(1,61) = 6.19, P = 0.02] and had a greater reduction in BMI (0.71 vs. 0.14 kg/m2), [F(1,61) = 7.45, P = 0.01]. There were no significant differences between the intervention and the wait‐list control groups for change in confidence in ability to be physically active or eat healthy. Weight loss was maintained at 6 months.ConclusionsUse of synchronous distance education is a promising approach for weight loss. The results of this study will help to inform future research that employs Web‐based interventions.}, number={1}, journal={Obesity}, publisher={Wiley}, author={Dunn, Carolyn and Olabode-Dada, Olusola and Whetstone, Lauren and Thomas, Cathy and Aggarwal, Surabhi and Nordby, Kelly and Thompson, Samuel and Johnson, Madison and Allison, Christine}, year={2015}, month={Dec}, pages={44–50} }
 @article{dunn_whetstone_kolasa_jayaratne_thomas_aggarwal_nordby_riley_2014, title={Using Synchronous Distance-Education Technology to Deliver a Weight Management Intervention}, volume={46}, ISSN={1499-4046}, url={http://dx.doi.org/10.1016/j.jneb.2014.06.001}, DOI={10.1016/j.jneb.2014.06.001}, abstractNote={{"Label"=>"OBJECTIVE", "NlmCategory"=>"OBJECTIVE"} To compare the effectiveness of online delivery of a weight management program using synchronous (real-time), distance-education technology to in-person delivery. {"Label"=>"METHODS", "NlmCategory"=>"METHODS"} Synchronous, distance-education technology was used to conduct weekly sessions for participants with a live instructor. Program effectiveness was indicated by changes in weight, body mass index (BMI), waist circumference, and confidence in ability to eat healthy and be physically active. {"Label"=>"RESULTS", "NlmCategory"=>"RESULTS"} Online class participants (n = 398) had significantly greater reductions in BMI, weight, and waist circumference than in-person class participants (n = 1,313). Physical activity confidence increased more for in-person than online class participants. There was no difference for healthy eating confidence. {"Label"=>"CONCLUSIONS AND IMPLICATIONS", "NlmCategory"=>"CONCLUSIONS"} This project demonstrates the feasibility of using synchronous distance-education technology to deliver a weight management program. Synchronous online delivery could be employed with no loss to improvements in BMI, weight, and waist circumference.}, number={6}, journal={Journal of Nutrition Education and Behavior}, publisher={Elsevier BV}, author={Dunn, Carolyn and Whetstone, Lauren MacKenzie and Kolasa, Kathryn M. and Jayaratne, K.S.U. and Thomas, Cathy and Aggarwal, Surabhi and Nordby, Kelly and Riley, Kenisha E.M.}, year={2014}, month={Nov}, pages={602–609} }
 @article{dunn_whetstone_kolasa_jayaratne_thomas_aggarwal_herget_rogers_2013, title={Delivering a Behavior-Change Weight Management Program to Teachers and State Employees in North Carolina}, volume={27}, ISSN={0890-1171 2168-6602}, url={http://dx.doi.org/10.4278/ajhp.120221-QUAN-101}, DOI={10.4278/ajhp.120221-quan-101}, abstractNote={Purpose. To ascertain the effectiveness of a behavior-change weight management program offered to teachers and state employees in North Carolina (NC). Design. Fifteen-week weight management program with premeasures and postmeasures. Setting. State agencies and public K-12 schools in five NC counties. Subjects. A total of 2574 NC state employees enrolled in 141 classes. Intervention. Eat Smart, Move More, Weigh Less (ESMMWL) is a 15-week weight management program delivered by trained instructors. Lessons inform, empower, and motivate participants to live mindfully as they make choices about eating and physical activity. Measures. Height, weight, body mass index (BMI), waist circumference, blood pressure, confidence in ability to eat healthy and be physically active, changes in eating, and physical activity behaviors. Analysis. Descriptive statistics, t-tests, χ2 tests, and analyses of variance. Results. Data are reported for 1341 participants in ESMMWL who completed the program, submitted an evaluation, and had not participated in the program in the past; 89% were female and mean age was 48.8 years. Average BMI and waist circumference decreased significantly. Confidence in eating healthfully and being physically active increased significantly. The percentage of participants with a BMI < 30 kg/m2 increased from 40% to 45% and those with a normal blood pressure increased from 23% to 32.5%. Participants reported being more mindful of what and how much they ate (92%), being more mindful of how much daily physical activity they got (88%), and eating fewer calories (87.3%). Conclusion. This project demonstrated the feasibility of implementing a behavior change–based weight management program at the worksite to achieve positive outcomes related to weight, blood pressure, healthy eating, and physical activity behaviors. Programs such as this have the potential to provide health care cost savings. }, number={6}, journal={American Journal of Health Promotion}, publisher={SAGE Publications}, author={Dunn, Carolyn and Whetstone, Lauren MacKenzie and Kolasa, Kathryn M. and Jayaratne, K. S. U. (Jay) and Thomas, Cathy and Aggarwal, Surabhi and Herget, Casey and Rogers, Anne B.}, year={2013}, month={Jul}, pages={378–383} }
 @article{whetstone_kolasa_dunn_jayaratne_vodicka_schneider_thomas_staveren_aggarwal_lackey_2011, title={Effects of a behavior-based weight management program delivered through a state cooperative extension and local public health department network, North Carolina, 2008-2009}, volume={8}, number={4}, journal={Preventing Chronic Disease}, author={Whetstone, L. M. and Kolasa, K. M. and Dunn, C. and Jayaratne, K. S. U. and Vodicka, S. and Schneider, L. and Thomas, C. and Staveren, M. and Aggarwal, S. and Lackey, C.}, year={2011} }