scholarly journals Examining Social Influence on Participation and Outcomes among a Network of Behavioral Weight-Loss Intervention Enrollees

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
T. L. Carson ◽  
K. E. Eddings ◽  
R. A. Krukowski ◽  
S. J. Love ◽  
J. R. Harvey-Berino ◽  
...  

Research suggests that social networks, social support, and social influence are associated with weight trajectories among treatment- and non-treatment-seeking individuals. This study examined the impact of having a social contact who participated in the same group behavioral weight-control intervention in the absence of specific social support training on women engaged in a weight-loss program. Participants (n=92; 100% female; 54% black; mean age:46±10years; mean BMI:38±6) were grouped based upon whether or not they reported a social contact enrolled previously/concurrently in our behavioral weight-control studies. Primary outcomes were 6-month weight change and treatment adherence (session attendance and self-monitoring). Half of the participants (53%) indicated that they had a social contact; black women were more likely to report a social contact than white women (67.3% versus 39.5%;P<0.01). Among participants with a social contact, 67% reported at least one contact as instrumental in the decision to enroll in the program. Those with a contact lost more weight (5.9 versus 3.7 kg;P=0.04), attended more group sessions (74% versus 54%;P<0.01), and submitted more self-monitoring journals (69% versus 54%;P=0.01) than those without a contact. Participants' weight change was inversely associated with social contacts' weight change (P=0.04). There was no association between participant and contact’s group attendance or self-monitoring. Social networks may be a promising vehicle for recruiting and engaging women in a behavioral weight-loss program, particularly black women. The role of a natural social contact deserves further investigation.

2021 ◽  
Vol 11 (4) ◽  
pp. 1006-1014
Author(s):  
Michael P Berry ◽  
Elisabeth M Seburg ◽  
Meghan L Butryn ◽  
Robert W Jeffery ◽  
Melissa M Crane ◽  
...  

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 &lt; 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.


2013 ◽  
Vol 32 (4) ◽  
pp. 439-446 ◽  
Author(s):  
Charles Swencionis ◽  
Judith Wylie-Rosett ◽  
Michelle R. Lent ◽  
Mindy Ginsberg ◽  
Christopher Cimino ◽  
...  

2016 ◽  
Vol 7 (2) ◽  
pp. 320-329 ◽  
Author(s):  
Tiffany L. Carson ◽  
Bradford E. Jackson ◽  
Timiya S. Nolan ◽  
Angela Williams ◽  
Monica L. Baskin

2019 ◽  
Vol 38 (12) ◽  
pp. 1128-1136 ◽  
Author(s):  
Stephanie P. Goldstein ◽  
Carly M. Goldstein ◽  
Dale S. Bond ◽  
Hollie A. Raynor ◽  
Rena R. Wing ◽  
...  

Author(s):  
Carly M. Goldstein ◽  
Stephanie P. Goldstein ◽  
Diana M. Thomas ◽  
Adam Hoover ◽  
Dale S. Bond ◽  
...  

AbstractThis study evaluated feasibility and acceptability of adding energy balance modeling displayed on weight graphs combined with a wrist-worn bite counting sensor against a traditional online behavioral weight loss program. Adults with a BMI of 27–45 kg/m2 (83.3% women) were randomized to receive a 12-week online behavioral weight loss program with 12 weeks of continued contact (n = 9; base program), the base program plus a graph of their actual and predicted weight change based on individualized physiological parameters (n = 7), or the base program, graph, and a Bite Counter device for monitoring and limiting eating (n = 8). Participants attended weekly clinic weigh-ins plus baseline, midway (12 weeks), and study culmination (24 weeks) assessments of feasibility, acceptability, weight, and behavioral outcomes. In terms of feasibility, participants completed online lessons (M = 7.04 of 12 possible lessons, SD = 4.02) and attended weigh-ins (M = 16.81 visits, SD = 7.24). Six-month retention appears highest among nomogram participants, and weigh-in attendance and lesson completion appear highest in Bite Counter participants. Acceptability was sufficient across groups. Bite Counter use (days with ≥ 2 eating episodes) was moderate (47.8%) and comparable to other studies. Participants lost 4.6% ± 4.5 of their initial body weight at 12 weeks and 4.5% ± 5.8 at 24 weeks. All conditions increased their total physical activity minutes and use of weight control strategies (behavioral outcomes). Although all groups lost weight and the study procedures were feasible, acceptability can be improved with advances in the technology. Participants were satisfied with the online program and nomograms, and future research on engagement, adherence, and integration with other owned devices is needed. ClinicalTrials.gov Identifier: NCT02857595


2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Kathryn M. Ross ◽  
Rena R. Wing

Background.Worksite wellness programs typically produce modest weight losses. We examined whether an efficacious Internet behavioral weight loss program could be successfully implemented in a worksite setting.Methods.Participants were 75 overweight or obese employees/dependents of a large healthcare system who were given access to a 12-week Internet-based, multicomponent behavioral weight loss program. Assessments occurred at baseline, Month 3 (end of intervention), and Month 6 (follow-up).Results.Retention was excellent (93% at Month 3 and 89% at Month 6). Intent-to-treat analyses demonstrated that participants lost an average (±SE) of-5.8±.60 kg from baseline to Month 3 and regained1.1±.31 kg from Month 3 to Month 6; overall, weight loss from baseline to Month 6 was-4.7±.71 kg,p<.001. Men lost more weight than women,p=.022, and individuals who had a college degree or higher lost more weight than those with less education,p=.005. Adherence to viewing lessons (8 of 12) and self-monitoring (83% of days) was excellent and significantly associated with weight loss,ps<.05.Conclusions.An Internet-based behavioral weight management intervention can be successfully implemented in a worksite setting and can lead to clinically significant weight losses. Given the low costs of offering this program, it could easily be widely disseminated.


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