In a 24-week behavioural study, researchers from Brigham Young University (BYU) in the US combined traditional weight control intervention with smartphone-assisted helps.
The study took place during two consecutive 12-week periods, the first of which combined electronic (smartphone) intervention and traditional in-person treatment.
During this period, each of the 16 participants met weekly with a clinician and other participants to share their experiences and discuss topics like adopting healthy eating patterns, reading food labels and increasing physical activity throughout the day.
They also received text messages from the researchers three times each day to encourage healthy behaviour and pose thought-provoking questions about motivations.
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Study participants achieved modest weight loss during this period, decreasing their BMI by 0.08 points on average.
However, the in-person meetings were removed for the second 12 weeks of the study, so the only interventions helping the teens stay motivated were the daily texts and self-monitoring on the Daily Burn app.
During this period, self-monitoring rates dropped from nearly 50 per cent to 16.8 per cent and the teens regained their lost weight.
"The Daily Burn app does not include all the things we know are successful for weight control, like social support and the accountability that comes with it," said Jensen.
"That support existed when the teens were meeting with other teens and sharing their experiences. And that was taken away," said Jensen.
These results emphasise the importance of social support in creating lasting change and motivating healthy behaviour.
"We know that self-monitoring is really important for weight control as it helps people be mindful about the foods they are eating, but very few teens do it because it is so laborious," Jensen said.
The study was published in the Journal of Medical Research.