Text messages with financial rewards boost weight loss in obese men, study finds

By Dr. Priyom Bose, Ph.D.May 16 2024Reviewed by Benedette Cuffari, M.Sc. A recent JAMA Network study investigates whether text messages with or without financial incentives promote weight loss in men with obesity.

Men are less likely than women to participate in weight loss programs; therefore, an effective strategy is needed to motivate this group to participate in weight reduction interventions. The current assessor-blind and superiority multicenter trial was conducted in three U.K. regions, including Belfast, Glasgow, and Bristol. Study participants were recruited between July 2021 and May 2022, whereas the final follow-up visit occurred in June 2023.

All study participants assigned to the financial incentives group were told that they would receive £400 at the end of the clinical trial. These participants were also informed that they would not receive the financial incentive if they failed to reach the weight loss goals. A total of 1,073 men were enrolled in the current study, 585 individuals met the eligbility criteria and were randomized into the three intervention groups. 196 participants were assigned to text messaging with the financial incentives group, 194 to text messaging alone group, and 195 to the control group.

Study limitations The study cohort was limited to men and did not consider diverse ethnic groups, women, people with low literacy, and those with poor vision, thus limiting the generalizability of the findings. Furthermore, people without a mobile phone were excluded.

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