scholarly journals Examining Weekly Facilitated Group Sessions and Counselor‐Crafted Self‐Monitoring Feedback on Treatment Outcome in Digital Weight Control: A Pilot Factorial Study

2021 ◽  
Author(s):  
Delia S. West ◽  
Rebecca A. Krukowski ◽  
Melissa L. Stansbury ◽  
Doris Ogden ◽  
Janna Borden ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Weight Control ◽  
Self Monitoring ◽  
Group Sessions

Discrepancies Between Clinician and Participant Intervention Adherence Ratings Predict Percent Weight Change During a Six-Month Behavioral Weight Loss Intervention

2021 ◽  
Vol 11 (4) ◽  
pp. 1006-1014
Author(s):  
Michael P Berry ◽  
Elisabeth M Seburg ◽  
Meghan L Butryn ◽  
Robert W Jeffery ◽  
Melissa M Crane ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Change ◽  
Weight Control ◽  
Calorie Intake ◽  
Behavioral Weight Loss ◽  
Weight Loss Treatment ◽  
Self Monitoring ◽  
Weight Control Behaviors ◽  
Behavioral Weight Loss Intervention ◽  
Behavioral Weight Loss Treatment

Abstract Background Individuals receiving behavioral weight loss treatment frequently fail to adhere to prescribed dietary and self-monitoring instructions, resulting in weight loss clinicians often needing to assess and intervene in these important weight control behaviors. A significant obstacle to improving adherence is that clinicians and clients sometimes disagree on the degree to which clients are actually adherent. However, prior research has not examined how clinicians and clients differ in their perceptions of client adherence to weight control behaviors, nor the implications for treatment outcomes. Purpose In the context of a 6-month weight-loss treatment, we examined differences between participants and clinicians when rating adherence to weight control behaviors (dietary self-monitoring; limiting calorie intake) and evaluated the hypothesis that rating one’s own adherence more highly than one’s clinician would predict less weight loss during treatment. Methods Using clinician and participant-reported measures of self-monitoring and calorie intake adherence, each assessed using a single item with a 7- or 8-point scale, we characterized discrepancies between participant and clinician adherence and examined associations with percent weight change over 6 months using linear mixed-effects models. Results Results indicated that ratings of adherence were higher when reported by participants and supported the hypothesis that participants who provided higher adherence ratings relative to their clinicians lost less weight during treatment (p < 0.001). Conclusions These findings suggest that participants in weight loss treatment frequently appraise their own adherence more highly than their clinicians and that participants who do so to a greater degree tend to lose less weight.

Session 23: Maintaining Motivation

2016 ◽  
pp. 139-144
Author(s):  
Evan M. Forman ◽  
Meghan L. Butryn
Keyword(s):  
Weight Loss ◽  
Weight Control ◽  
Hard Work ◽  
Short Term ◽  
Self Monitoring ◽  
Healthy Behaviors ◽  
Weight Control Behaviors ◽  
Motivate Behavior ◽  
Do So

This chapter (Session 23) discusses how to maintain long-term motivation for weight control by focusing on the importance of values to motivate behavior, even if short-term reward of weight control behaviors is decreasing (e.g., weight loss is slowing, self-monitoring is becoming tiresome). Clients are encouraged to view the hard work of weight control as working toward their values and to use the skill of willingness to continue to engage in healthy behaviors, even when it is difficult uncomfortable to do so.

scholarly journals Feasibility of using a peer coach to deliver a behavioral intervention for promoting postpartum weight loss in Black and Latina mothers

2020 ◽  
Author(s):  
Sharon J Herring ◽  
Veronica M Bersani ◽  
Christine Santoro ◽  
Saleemah J McNeil ◽  
Linda M Kilby ◽  
...  
Keyword(s):  
Weight Loss ◽  
Ethnic Minority ◽  
Weight Control ◽  
Peer Coaching ◽  
Minority Women ◽  
Weight Loss Intervention ◽  
Self Monitoring ◽  
Latina Mothers ◽  
Ethnic Minority Women ◽  
Postpartum Weight

Abstract Peer coaching may provide a culturally relevant and potentially scalable approach for delivering postpartum obesity treatment. We aimed to evaluate the feasibility of peer coaching to promote postpartum weight loss among ethnic minority women with obesity. This pilot study was a prospective, parallel-arm, randomized controlled trial. Twenty-two obese, Black or Latina mothers ≤6 months postpartum were recruited from the Philadelphia Special Supplemental Nutrition Education Program for Women, Infants and Children (WIC) and randomly assigned to either: (a) a peer-led weight loss intervention (n = 11) or (b) usual WIC care (n = 11). The intervention provided skills training and problem solving via six calls and two in-person visits with a Black mother trained in behavioral weight control strategies. Text messaging and Facebook served as platforms for self-monitoring, additional content, and interpersonal support. Both arms completed baseline and 14 week follow-up assessments. All participants were retained in the trial. Intervention engagement was high; the majority (55%) responded to at least 50% of the self-monitoring text prompts, and an average of 3.4 peer calls and 1.7 visits were completed. Mean weight loss among intervention participants was −1.4 ± 4.2 kg compared to a mean weight gain of 3.5 ± 6.0 kg in usual WIC care. Most intervention participants strongly agreed that the skills they learned were extremely useful (90%) and that the coach calls were extremely helpful for weight control (80%). Results suggest the feasibility of incorporating peer coaching into a postpartum weight loss intervention for ethnic minority women with obesity. Future research should examine the sustained impact in a larger trial.

scholarly journals Reducing Excessive Gestational Weight Gain: Lessons from the Weight Control Literature and Avenues for Future Research

2011 ◽  
Vol 7 (6) ◽  
pp. 641-661 ◽  
Author(s):  
Suzanne Phelan ◽  
Kris Jankovitz ◽  
Todd Hagobian ◽  
Barbara Abrams
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Weight Control ◽  
Future Research ◽  
Self Monitoring ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain ◽  
Daily Diet ◽  
Potential Applications ◽  
In Pregnancy

Excessive gestational weight gain is a prevalent problem and an independent predictor of future obesity in both mothers and offspring. Intervention research to prevent excessive gestational weight gain is still in its infancy but results to date have been quite modest. Research in weight control outside of pregnancy over the past 30 years has been more robust and identified several key components of effective programs, including use of caloric restriction, daily diet self-monitoring, self-weighing, behavior therapy and ongoing patient–provider contact. The aim of this article is to summarize intervention components shown to be effective in promoting successful weight control outside of pregnancy and explore potential applications in pregnancy. Available evidence suggests that the strategies shown to be effective for weight control outside of pregnancy may also promote better weight control in pregnancy, but several lines for future investigation remain.

Session 23: Maintaining Motivation

2016 ◽  
pp. 199-204
Author(s):  
Evan M. Forman ◽  
Meghan L. Butryn
Keyword(s):  
Weight Loss ◽  
Weight Control ◽  
Hard Work ◽  
Short Term ◽  
Self Monitoring ◽  
Healthy Behaviors ◽  
Weight Control Behaviors ◽  
Motivate Behavior ◽  
Do So

This chapter (Session 23) discusses how to maintain long-term motivation for weight control by focusing on the importance of values to motivate behavior, even if short-term reward of weight control behaviors is decreasing (e.g., weight loss is slowing, self-monitoring is becoming tiresome). Clients are encouraged to view the hard work of weight control as working toward their values and to use the skill of willingness to continue to engage in healthy behaviors, even when it is difficult uncomfortable to do so.

Self-reward, self-monitoring, and self-punishment as feedback in weight control

1980 ◽  
Vol 11 (1) ◽  
pp. 38-48 ◽  
Author(s):  
Leonidas Castro ◽  
Howard Rachlin
Keyword(s):  
Weight Control ◽  
Self Monitoring

scholarly journals Short group psychoeducation followed by daily electronic self-monitoring in the long-term treatment of bipolar disorders: a multicenter, rater-blind, randomized controlled trial

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Johannes Petzold ◽  
René Mayer-Pelinski ◽  
Maximilian Pilhatsch ◽  
Susan Luthe ◽  
Thomas Barth ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Bipolar Disorders ◽  
Control Group ◽  
Self Monitoring ◽  
Randomized Controlled ◽  
Long Term Treatment ◽  
Group Psychoeducation ◽  
Computer Based ◽  
Group Sessions

Abstract Background Despite various pharmacological and psychological treatment interventions, bipolar disorders rank among the leading causes of global disease burden. Group psychoeducation has been demonstrated an effective add-on to pharmacotherapy, but it may be difficult to implement in practice depending on the clinical setting and available human resources. Methods Multicenter, rater-blind, randomized controlled trial to investigate the efficacy of a new intervention program consisting of an initial 6-week psychoeducation protocol plus a subsequent structured daily computer-based self-charting program (ChronoRecord) over 54 weeks in remitted patients with bipolar disorders. The control condition included non-structured group sessions followed by daily computer-based self-reports (unstructured like a diary). Both groups received treatment-as-usual. Results Over 2 years, 41 mood episodes occurred in the experimental group (n = 39) compared to 27 in the control group (n = 34), without reaching statistical significance. Time to recurrence did not significantly differ between the experimental and control group (25% relapsed after 112 and 273 days, respectively). There were no significant group-by-time interactions in mood symptoms, quality of life, self-efficacy expectations or perceived involvement in care. Conclusions Six weekly psychoeducational group sessions followed by daily self-monitoring via ChronoRecord for 54 weeks may not be superior to non-structured group meetings followed by unstructured self-reporting. Other psychotherapeutic interventions may be needed to optimize the treatment of patients with bipolar disorders, especially for those at later disease stages. Trial registration Retrospectively registered at German Clinical Trials Register on May 24, 2019; DRKS00017319

scholarly journals Selected health behaviours of type 2 diabetes patients

2017 ◽  
Vol 127 (4) ◽  
pp. 155-158
Author(s):  
Wioletta Samolińska ◽  
Bożena Kiczorowska ◽  
Edyta Kowalczuk-Vasilev ◽  
Renata Klebaniuk ◽  
Ewelina Jakubczak
Keyword(s):  
Type 2 Diabetes ◽  
Body Weight ◽  
Weight Control ◽  
Age Groups ◽  
Health Behaviours ◽  
Diet Therapy ◽  
Self Monitoring ◽  
Fat Deposits ◽  
Diabetes Patients

Abstract Introduction. Type 2 diabetes is a chronic disease with an epidemic character. Its prevalence is associated with lifestyle, many environmental factors, and genetic determinants. Implementation of diet therapy is the basis for treatment of the disease. Aim. The aim of the study was to assess health behaviours and differences in these behaviours in type 2 diabetes patients taking their age into consideration. Material and methods. The questionnaire survey was carried out among 120 subjects diagnosed with type 2 diabetes. The original questionnaire comprised questions on selected pro-health behaviours, e.g. prophylactic behaviour or self-monitoring in the disease. The statistical analysis was performed on 111 properly completed surveys. The respondents were divided into three age groups: subjects under 60 (n=24), between 60 and 75 (n=64), and over 75 years old (n=23). Results. Regardless of their age, the patients with type 2 diabetes indicated mainly arteriel hypertension as a coexisting complication. The basic element of patients’ self-monitoring was checking the blood pressure and glycaemia. Half of the patients declared body weight control, however, a majority were characterised by excessive body weight and abdominal fat deposits, irrespective of their age. Walking was the most popular form of physical activity chosen by the respondents. Regardless of their age, the type 2 diabetes patients exhibited similar readiness for self-education related to their disease. Conclusions. The surveyed respondents exhibited similar behaviours undertaken to keep healthy. The increase in the regularity of doctor appointments and in the use of pharmacotherapy was closely related to age of the respondents. The advanced age of the respondents had an impact on the regularity of foot inspection. Respondents over 75 years of age adhered to recommendations on the schedule of food and medicine intake, but used diet therapy less frequently.

scholarly journals Acceptability and feasibility of the ‘DASH for Asthma’ intervention in a randomized controlled trial pilot study

2015 ◽  
Vol 19 (11) ◽  
pp. 2049-2059 ◽  
Author(s):  
Andrea C Blonstein ◽  
Nan Lv ◽  
Carlos A Camargo ◽  
Sandra R Wilson ◽  
A Sonia Buist ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Cognitive Theory ◽  
Controlled Trial ◽  
Self Regulation ◽  
Behavioural Intervention ◽  
Uncontrolled Asthma ◽  
Self Monitoring ◽  
Participant Engagement ◽  
Randomized Controlled ◽  
Group Sessions

AbstractObjective‘DASH for Asthma’ (n90) was a 6-month randomized controlled trial that demonstrated potential benefits of a DASH (Dietary Approaches to Stop Hypertension) behavioural intervention for improving diet quality and asthma control by comparing intervention to usual care in adults with uncontrolled asthma. The present study examined acceptability and feasibility of the intervention from the perspective of intervention participants and lifestyle coaches.DesignGrounded in Social Cognitive Theory, the 3-month intensive stage, including three individual and eight group sessions, focused on diet modifications and behavioural self-regulation. The 3-month maintenance stage contained telephone consultations. Participants and lifestyle coaches completed surveys including 5-point Likert scales and open-ended questions. We analysed data using descriptive and inductive content analyses.SubjectsForty-six intervention participants (survey response rate was 65–72 %) and two lifestyle coaches.ResultsParticipants and lifestyle coaches were highly satisfied (all mean ratings >4) with individual and group sessions. Participants identified mastery of knowledge and skills (awareness, goal setting, self-monitoring, problem solving), social learning (class members sharing experiences and ideas) and good coaching skills (reflective listening, empathy, motivational counselling) as important contributors to self-efficacy and programme satisfaction. Participants also valued personalized feedback received in individual sessions. Lifestyle coaches viewed participant engagement as a facilitator to effective sessions. Finally, participants and lifestyle coaches identified food tasting as beneficial for observational learning and facilitation of participant engagement. High class attendance and self-monitoring rate also reflected the high engagement among participants.ConclusionsThe DASH behavioural intervention was feasible and highly acceptable to participants with uncontrolled asthma and lifestyle coaches.

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