scholarly journals Structural social support predicts functional social support in an online weight loss programme

2012 ◽  
Vol 17 (3) ◽  
pp. 345-352 ◽  
Author(s):  
Kevin O. Hwang ◽  
Jason M. Etchegaray ◽  
Christopher N. Sciamanna ◽  
Elmer V. Bernstam ◽  
Eric J. Thomas
Keyword(s):  
Social Support ◽  
Weight Loss ◽  
Functional Social Support ◽  
Weight Loss Programme

scholarly journals What a weight loss programme should contain if people with obesity were asked - A qualitative analysis within the DO:IT study

2020 ◽  
Author(s):  
Christina Jessen-Winge ◽  
Pia Maria Ilvig ◽  
Heather Fritz ◽  
Carl J. Brandt ◽  
Kim Lee ◽  
...  
Keyword(s):  
Social Support ◽  
Weight Loss ◽  
Success Rates ◽  
Individual Interviews ◽  
Specialized Hospital ◽  
Diet And Exercise ◽  
Weight Loss Programme ◽  
Positive Meaning ◽  
Clinically Significant ◽  
Structured Approach

Abstract Background Currently 1.9 billion adults worldwide are estimated to be overweight or obese. In Denmark the municipalities hold the responsibility to deliver weight loss programmes to overweight and obese citizens. There has been a tendency to assume that obesity reduction programmes that work in specialized hospital settings are directly transferrable to the municipalities. However, municipality-based weight loss programmes have not produced clinically significant reductions in body weight. Differential success rates between hospital and municipal settings may be due to a discrepancy between research evidence and needs of people with obesity. The first step in developing a weight loss programme designed for the municipalities is to understand what a programme should contain, if people with obesity were asked. The aim of this study was to examine what people with obesity find important in a weight loss programme to make the weight loss successful and maintained. Methods We used a qualitative, explorative, descriptive design drawing on hermeneutical reflection with individual interviews. We included men and women age 17 and older with a BMI≥25 kg/m2. Participants were recruited from the wait lists of 13 municipality programmes and through Facebook posts. Data were analyzed using content analysis. Results Thirty-four participants with overweight or obesity were individually interviewed (age between 19 – 74). Findings suggest that weight loss programmes should support the participants in structuring days, not with restrictions but with replacement activities. Programmes should also aide individuals with taking one thing at a time and facilitating social support from friends, health professionals and peers. Diet and exercise were expressed as important content in a weight loss programme, but as having a negative meaning. Conclusion People with obesity wish to have a structured approach to weight loss that focuses on habits, social support and preserving the positive meaning of activities.

scholarly journals CC2-01: A Telephone-Based Diabetes Prevention Program and Social Support for Weight Loss: the Call-2-Health Study

2012 ◽  
Vol 10 (3) ◽  
pp. 143-143
Author(s):  
S. Fuller ◽  
E. Ludman ◽  
A. Mohelnitzky ◽  
G. Gundersen ◽  
R. Wellman ◽  
...  
Keyword(s):  
Social Support ◽  
Weight Loss ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Diabetes Prevention Program ◽  
Health Study

scholarly journals Patient disease knowledge, attitudes and behaviours related to non-alcoholic fatty liver disease: a qualitative study

2021 ◽  
Vol 8 (1) ◽  
pp. e000634
Author(s):  
Monica A Tincopa ◽  
Jane Wong ◽  
Michael Fetters ◽  
Anna S Lok
Keyword(s):  
Social Support ◽  
Weight Loss ◽  
Liver Disease ◽  
Fatty Liver ◽  
Health Behaviour ◽  
Fatty Liver Disease ◽  
Primary Therapy ◽  
Alcoholic Fatty Liver ◽  
Medical Comorbidities ◽  
Alcoholic Fatty Liver Disease

ObjectiveDespite clear evidence that weight loss via nutritional and physical activity changes improves histological outcomes in non-alcoholic fatty liver disease (NAFLD), many patients struggle to implement and maintain these health behaviour changes. The aim of this study was to characterise disease knowledge, attitudes and behaviours among persons with NAFLD and to identify the factors driving these health behaviours and perceptions.DesignWe conducted semistructured interviews among patients with NAFLD. We used purposeful sampling to enroll equivalent percentages based on age and sex, and enrolled approximately one-third of patients with cirrhosis to capture those perspectives. Interviews were conducted until thematic saturation was achieved. Transcripts were coded using NVivo software to identify themes and subthemes.ResultsA total of 29 patient interviews were completed. Ambiguity about the diagnosis and aetiology of their liver disease was a key theme, though the vast majority of patients were aware that weight loss via nutrition and exercise was the primary therapy. Most patients were asymptomatic, diagnosed incidentally, and reported low level of concern regarding their diagnosis. The primary barriers and facilitators to health behaviour change were the presence of social support, competing medical comorbidities and low motivation to change behaviours.ConclusionsAlthough patients are aware that lifestyle interventions are the primary therapy for NAFLD, there is a gap in knowledge about the condition. The presence of social support and competing medical comorbidities were the most consistent facilitators and barriers to lifestyle change. Tailoring treatment recommendations to provide relevant disease education, specific nutrition and exercise regimens, and personalised approaches based on specific individual barriers and facilitators will likely aid in uptake and maintenance of first-line therapy for NAFLD.

scholarly journals Evaluating differences in the clinical impact of a free online weight loss programme, a resource-intensive commercial weight loss programme and an active control condition: a parallel randomised controlled trial

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Aidan Q. Innes ◽  
Greig Thomson ◽  
Mary Cotter ◽  
James A. King ◽  
Niels B. J. Vollaard ◽  
...  
Keyword(s):  
Weight Loss ◽  
Randomised Controlled Trial ◽  
Active Control ◽  
Body Mass ◽  
Controlled Trial ◽  
Free Access ◽  
Healthy Weight ◽  
Supervised Exercise ◽  
Weight Loss Programme ◽  
Randomised Controlled

Abstract Background Finding effective intervention strategies to combat rising obesity levels could significantly reduce the burden that obesity and associated non-communicable diseases places on both individuals and the National Health Service. Methods In this parallel randomised-controlled trial, 76 participants who are overweight or obese (50 female) were given free access to a fitness centre for the duration of the 12-week intervention and randomised to one of three interventions. The commercial intervention, the Healthy Weight Programme, (HWP, n = 25, 10/15 men/women) consisted of twelve 1-h nutrition coaching sessions with a nutritionist delivered as a mixture of group and 1 to 1 sessions. In addition, twice-weekly exercise sessions (24 in total) were delivered by personal trainers for 12 weeks. The NHS intervention (n = 25, 8/17 men/women) consisted of following an entirely self-managed 12-week online NHS resource. The GYM intervention (n = 26, 8/18 men/women) received no guidance or formal intervention. All participants were provided with a gym induction for safety and both the NHS and GYM participants were familiarised with ACSM physical activity guidelines by way of a hand-out. Results The overall follow-up rate was 83%. Body mass was significantly reduced at post-intervention in all groups (HWP: N = 18, − 5.17 ± 4.22 kg, NHS: N = 21–4.19 ± 5.49 kg; GYM: N = 24–1.17 ± 3.00 kg; p < 0.001) with greater reductions observed in HWP and NHS groups compared to GYM (p < 0.05). Out with body mass and BMI, there were no additional statistically significant time x intervention interaction effects. Conclusions This is the first study to evaluate the efficacy of both a free online NHS self-help weight-loss tool and a commercial weight loss programme that provides face-to-face nutritional support and supervised exercise. The findings suggest that both interventions are superior to an active control condition with regard to eliciting short-term weight-loss. Trial registration ISRCTN Registry - ISRCTN31489026. Prospectively registered: 27/07/16.

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