scholarly journals Gaining pounds by losing pounds: preferences for lifestyle interventions to reduce obesity

2014 ◽  
Vol 10 (2) ◽  
pp. 161-182 ◽  
Author(s):  
Mandy Ryan ◽  
Deokhee Yi ◽  
Alison Avenell ◽  
Flora Douglas ◽  
Lorna Aucott ◽  
...  
Keyword(s):  
Financial Incentives ◽  
Healthy Lifestyle ◽  
Normal Weight ◽  
Lifestyle Interventions ◽  
Dietary Interventions ◽  
Web Based ◽  
Financial Costs ◽  
Health Gains ◽  
Healthy Lifestyle Interventions ◽  
Weight Loss Interventions

AbstractWhile there is evidence that weight-loss interventions reduce morbidity, indications of their acceptability are limited. Understanding preferences for lifestyle interventions will help policymakers design interventions. We used a discrete choice experiment to investigate preferences for lifestyle interventions to reduce adult obesity. Attributes focused on: the components of the programme; weight change; short-term and longer-term health gains; time spent on the intervention and financial costs incurred. Data were collected through a web-based questionnaire, with 504 UK adults responding. Despite evidence that dietary interventions are the most effective way to lose weight, respondents preferred lifestyle interventions involving physical activity. While the evidence suggests that behaviour change support improves effectiveness of interventions, its value to participants was limited. A general preference to maintain current lifestyles, together with the sensitivity of take up to financial costs, suggests financial incentives could be used to help maximise uptake of healthy lifestyle interventions. An important target group for change, men, required more compensation to take up healthier lifestyles. Those of normal weight, who will increase in weight over time if they do not change their lifestyle, required the highest compensation. Policymakers face challenges in inducing people to change their behaviour and adopt healthy lifestyles.

What Features Do Older Cancer Survivors Want in Web-based Healthy Lifestyle Interventions? A Qualitative Descriptive Study (Preprint)

2020 ◽  
Author(s):  
Nataliya Ivankova ◽  
Laura Rogers ◽  
Ivan Herbey ◽  
Michelle Martin ◽  
Maria Pisu ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Healthy Lifestyle ◽  
Exercise Program ◽  
Lifestyle Interventions ◽  
Program Participation ◽  
Urban Residence ◽  
Web Based ◽  
Diet And Exercise ◽  
Qualitative Descriptive ◽  
Healthy Lifestyle Interventions

BACKGROUND With the growing number of older cancer survivors, it is imperative to optimize the reach of interventions that promote healthy lifestyles. Because internet use is growing rapidly among older adults, web-based delivery holds considerable promise for increasing the reach of such interventions. However, few studies have explored the views of older cancer survivors on this approach and potential variations in these views by gender and/or rural and urban residence. Objectives: Explore older cancer survivors’ views regarding features of web-based healthy lifestyle interventions based on gender and rural/urban residence to inform the design of the web-based Aim, Plan, and Act on Lifestyles (AMPLIFY) Survivor Health diet and exercise program. OBJECTIVE Explore older cancer survivors’ views regarding features of web-based healthy lifestyle interventions based on gender and rural/urban residence to inform the design of the web-based Aim, Plan, and Act on Lifestyles (AMPLIFY) Survivor Health diet and exercise program. METHODS Using a qualitative descriptive approach, we conducted 10 focus groups with 57 cancer survivors recruited from hospital cancer registries in one southeastern U.S. state. Data were analyzed using inductive thematic and content analyses with NVivo 12.5. RESULTS 29 male and 28 female urban and rural dwelling Black and White survivors, mean age 65 years, shared their views about a web-based healthy lifestyle program for cancer survivors. Five themes emerged related to program content, design, delivery, participation, technology training, and receiving feedback. Cancer survivors felt that web-based healthy lifestyle programs for cancer survivors must deliver credible, high quality, and individually-tailored information as recommended by health care professionals or content experts. Urban survivors were more concerned about information reliability, while women were more likely to trust physicians’ recommendations. Male and rural survivors wanted the information to be tailored on cancer type and age group. Privacy, usability, interaction frequency, and session length were noted as important for engaging older cancer survivors with a web-based program. Female and rural participants liked the interactive nature and visual appeal of e-learning sessions. Learning from experts, an attractive design, flexible schedule and opportunity to interact with other survivors in Facebook closed groups emerged as factors promoting program participation. Low computer literacy, lack of experience with web program features, and concerns about Facebook group privacy were important concerns influencing older cancer survivors’ potential participation. Participants noted importance of technology training preferring individualized help to standardized computer classes. More rural survivors acknowledged the need to learn how to use a computer. The receipt of regular feedback about progress was noted as encouragement toward goal achievement, while women were particularly interested in receiving immediate feedback to stay motivated. CONCLUSIONS Important considerations for designing web-based healthy lifestyle interventions for older cancer survivors include program quality, participants’ privacy, ease of use, attractive design, and a prominent role of a health care provider and content expert. Cancer survivors’ preferences based on gender and residence should be considered to promote program participation.

scholarly journals Healthy lifestyle interventions in general practice

2008 ◽  
Vol 50 (6) ◽  
pp. 6-14 ◽  
Author(s):  
MP Schwellnus ◽  
DN Patel ◽  
C Nossel ◽  
M Dreyer ◽  
S Whitesman ◽  
...  
Keyword(s):  
General Practice ◽  
Healthy Lifestyle ◽  
Lifestyle Interventions ◽  
Healthy Lifestyle Interventions

scholarly journals Healthy lifestyle interventions in general practice

2008 ◽  
Vol 50 (4) ◽  
pp. 6-12 ◽  
Author(s):  
EW Derman ◽  
D N Patel ◽  
CJ Nossel ◽  
MP Schwellnus
Keyword(s):  
General Practice ◽  
Healthy Lifestyle ◽  
Lifestyle Interventions ◽  
Healthy Lifestyle Interventions

The OptimalMe healthy lifestyle in preconception, pregnancy and postpartum (HiPPP) intervention: Trial protocol for a randomised controlled implementation effectiveness trial (Preprint)

2021 ◽  
Author(s):  
Cheryce L Harrison ◽  
Bonnie R Chivers ◽  
Rhonda Garad ◽  
Helena Teede
Keyword(s):  
Health Outcomes ◽  
Lifestyle Intervention ◽  
Study Design ◽  
Implementation Research ◽  
Healthy Lifestyle ◽  
Lifestyle Interventions ◽  
Implementation Effectiveness ◽  
Pregnancy And Postpartum ◽  
Healthy Lifestyle Interventions ◽  
Randomised Controlled

BACKGROUND Reproductive aged women are a high-risk population group for accelerated weight gain and obesity development, with pregnancy recognised as a critical contributory life-phase. Healthy lifestyle interventions during the antenatal period improve maternal and infant health outcomes, yet translation and implementation into real-world healthcare settings remains limited. OBJECTIVE OptimalMe is a randomised, hybrid implementation effectiveness study of an evidence based healthy lifestyle intervention. Which will evaluate intervention penetration and reach and the feasibility, acceptability, adoption and fidelity of the intervention implemented into, and in partnership with, private healthcare. Secondary outcomes include evaluation of individual health outcomes associated with implementation delivery mode, including knowledge, risk perception, health literacy, self-management and health behaviours. METHODS The study design is a parallel, two arm, randomised trial at the level of the individual. Three hundred participants aged 18-44, who are not pregnant, but wish to conceive within the next 12 months at point of recruitment and with access to the internet will be recruited. All participants will receive the same digital lifestyle intervention, OptimalMe, which is supported by health coaching and ongoing text messages across preconception, pregnancy and postpartum. Implementation delivery will be tested comparing two remote delivery methods for health coaching including telephone or video conferencing. All methods are theoretically underpinned by the Consolidated Framework for Implementation Research (CFIR) and outcomes based on the Reach, Engagement, Adaptation, Implementation and Maintenance (RE-AIM) and the Penetration, Implementation, Participation, Effectiveness (PIPE) frameworks. RESULTS The Monash Health Human Research and Ethics Committee has approved the study (reference: RES-19-0000291A, approved: 16 August 2019) which has been registered on the Australian and New Zealand Clinical Trial Registry (ACTRN12620001053910). The project is supported with funding from Medibank Private Ltd. Recruitment commenced in July 2020 with results expected to be published in 2022. CONCLUSIONS Our study design aligns with best practice implementation research, informed by evidence from across efficacy trials, integrated into systematic reviews, meta-analyses and guidelines. Results generated will inform translation of evidence from randomised controlled trials on healthy lifestyle interventions into practice targeting women across preconception, pregnancy and postpartum. Learnings will target consumers, program facilitators, health professionals, services and policy makers to inform future scale-up to ultimately benefit the health of women across these life-phases.ults expected to be published in 2022. CLINICALTRIAL ACTRN12620001053910

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