. >> reporter: for doug howard, the decision to lose weight shortly after the scale revealed he weighed 280 pounds. >> i found out i was diabetic. >> reporter: he enrolled in a trial program at john's hopkins. some were offered telephone counsel eming sessions, while others had both phone and group counselling. >> most people know what to do, the key is sustaining behavior. a lot of the counselling was focused on the behaviors that are necessary to sustain weight loss. >> both the phone and group counselling participants lost at least 5% of their body weight and kept it off for two years. the doctors were most excited to learn phone counselling helps just as much as groups. because of its convenience, it has the potential to reach more people. >> it's difficult to go to a facility on a regular basis week after week, it's much easier to schedule an appointment, do it over the phone and schedule again for the following week. >> doug participated in both phone and group counselling sessions and weighed himself every day to track his progress online. he says all the support motivated him to