scholarly journals Adapting a Behavioral Weight Loss Intervention for Delivery via Facebook: A Pilot Series Among Low-Income Postpartum Women (Preprint)

2017 ◽  
Author(s):  
Valerie J. Silfee ◽  
Andrea Lopez-Cepero ◽  
Stephenie C. Lemon ◽  
Barbara Estabrook ◽  
Oanh Nguyen ◽  
...  
Keyword(s):  
Weight Loss ◽  
Low Income ◽  
Retention Rate ◽  
Future Research ◽  
Postpartum Women ◽  
Evidence Based ◽  
Weight Loss Intervention ◽  
Behavioral Weight Loss ◽  
Weight Loss Interventions

BACKGROUND Efforts to translate evidence-based weight loss interventions, such as the Diabetes Prevention Program (DPP), to low-income postpartum women have resulted in poor intervention attendance and high attrition. Strategies that improve engagement and retention in this population are needed to maximize the reach of evidence-based weight loss interventions. OBJECTIVE The objective of this study was to adapt a DPP-based weight loss intervention (Fresh Start) for Facebook delivery and to evaluate its feasibility among low-income postpartum women. METHODS This study comprised 3 single-group pilot studies where feasibility outcomes iteratively informed changes from one pilot to the next. We paralleled the in-person program for Facebook delivery by translating the protocol to a content library of Facebook posts with additional posts from lifestyle coaches. Low-income postpartum women were recruited from Women, Infants, and Children (WIC) clinics in Worcester, Massachusetts. Participants were enrolled into a 16-week weight loss intervention delivered via Facebook. During the first 8 weeks, Facebook intervention posts were delivered 2 times per day, with additional posts from coaches aiming to stimulate interaction among participants or respond to participants’ questions and challenges. For the following 8 weeks, posts were delivered once per day without additional coaching. Feasibility outcomes were engagement (defined by number of likes, comments, and posts measured throughout intervention delivery), acceptability, and retention (survey at follow-up and assessment completion rate, respectively). Changes in weight were also assessed at baseline and follow-up. RESULTS Pilot 1 had a retention rate of 89% (24/27), and on average, 62% (17/27) of women actively engaged with the group each week during the 8-week coached phase. Mean weight loss was 2.6 (SD 8.64) pounds, and 79% (19/27) would recommend the program to a friend. Pilot 2 had a retention rate of 83% (20/24), and on average, 55% (13/24) of women actively engaged with the group weekly during the 8-week coached phase. Mean weight loss was 2.5 (SD 9.23) pounds, and 80% (16/24) would recommend the program to a friend. Pilot 3 had a retention rate of 88% (14/16), and on average, 67% (11/16) of women actively engaged with the group weekly during the 8-week coached phase. Mean weight loss was 7.0 (SD 11.6) pounds, and 100% (16/16) would recommend the program to a friend. CONCLUSIONS Our findings demonstrated that a Facebook-delivered intervention was acceptable and could be feasibly delivered to low-income postpartum women. Future research is needed to evaluate the efficacy of a Facebook-delivered weight loss intervention.

scholarly journals Adapting a Behavioral Weight Loss Intervention for Delivery via Facebook: A Pilot Series Among Low-Income Postpartum Women

2018 ◽  
Vol 2 (2) ◽  
pp. e18 ◽  
Author(s):  
Valerie J Silfee ◽  
Andrea Lopez-Cepero ◽  
Stephenie C Lemon ◽  
Barbara Estabrook ◽  
Oanh Nguyen ◽  
...  
Keyword(s):  
Weight Loss ◽  
Low Income ◽  
Postpartum Women ◽  
Weight Loss Intervention ◽  
Behavioral Weight Loss ◽  
Behavioral Weight Loss Intervention

scholarly journals Long-Term Evaluation of Counselor Efficiency at Providing Feedback in a Technology-Based Behavioral Weight Loss Intervention (Preprint)

2020 ◽  
Author(s):  
Margaret Fahey ◽  
Robert C. Klesges ◽  
Mehmet Kocak ◽  
Leslie Gladney ◽  
Gerald W. Talcott ◽  
...  
Keyword(s):  
Weight Loss ◽  
Electronic Mail ◽  
Detailed Examination ◽  
Monitoring Data ◽  
Weight Loss Intervention ◽  
Behavioral Weight Loss ◽  
Self Monitoring ◽  
Future Technology ◽  
Study Implementation ◽  
Weight Loss Interventions

BACKGROUND Feedback for participants’ self-monitoring is a crucial, and costly, component of technology-based weight loss interventions. Detailed examination of interventionist time when reviewing and providing feedback for online self-monitoring data is unknown. OBJECTIVE Study purpose was to longitudinally examine time counselors spent providing feedback on participant self-monitoring data (i.e., diet, physical activity, weight) in a 12-month technology-based weight loss intervention. We hypothesized that counselors would deliver feedback to participants more quickly over time. METHODS Time counselors (N=10) spent reviewing and providing feedback to participants via electronic mail (e-email) was longitudinally examined for all counselors across the three years of study implementation. Descriptives were observed for counselor feedback duration across counselors by 12 annual quarters (i.e., three-month periods). Differences in overall duration times by each consecutive annual quarter were analyzed using Wilcoxon-Mann-Whitney tests. RESULTS There was a decrease in counselor feedback duration from first to second quarter [Mean (M) = 53 to 46 minutes], and from second to third (M= 46 to 30). A trend suggested a decrease from third to fourth quarters (M = 30 to 26), but no changes were found in subsequent quarters. Consistent with hypothesis, counselors increased their efficiency in providing feedback. Across 12-months, mean time counselors needed to review participant self-monitoring and provide feedback decreased from 53 to 26 minutes. CONCLUSIONS Counselors needed increasingly less time to review online self-monitoring data and provide feedback after the initial nine months of study implementation. Results inform counselor costs for future technology-based behavioral weight loss interventions. For example, regardless of increasing counselor efficiency, 25-30 minutes per feedback message is a high cost for interventions. One possibility for reducing costs would be generating computer-automated feedback. CLINICALTRIAL NCT02063178

scholarly journals Translation of a behavioral weight loss intervention for mid-life, low-income women in local health departments

Obesity ◽  
2013 ◽  
pp. n/a-n/a ◽  
Author(s):  
Carmen D. Samuel-Hodge ◽  
Beverly A. Garcia ◽  
Larry F. Johnston ◽  
Ziya Gizlice ◽  
Andy Ni ◽  
...  
Keyword(s):  
Weight Loss ◽  
Low Income ◽  
Local Health ◽  
Weight Loss Intervention ◽  
Health Departments ◽  
Local Health Departments ◽  
Behavioral Weight Loss ◽  
Behavioral Weight Loss Intervention ◽  
Low Income Women

scholarly journals Recruiting low-income postpartum women into two weight loss interventions: in-person versus Facebook delivery

2018 ◽  
Vol 9 (1) ◽  
pp. 129-134 ◽  
Author(s):  
Valerie J Silfee ◽  
Andrea Lopez-Cepero ◽  
Stephenie C Lemon ◽  
Barbara Estabrook ◽  
Oanh Nguyen ◽  
...  
Keyword(s):  
Weight Loss ◽  
Low Income ◽  
Postpartum Women ◽  
Weight Loss Interventions

Abstract P202: Is There a Relationship Between the Psychological Influence of the Highly Palatable Food Environment and Weight Loss Attempts?

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Molly Matthews-Ewald ◽  
Phillip J Brantley ◽  
Melissa N Harris ◽  
Valerie Myers ◽  
Robert Newton ◽  
...  
Keyword(s):  
Weight Loss ◽  
Weight Maintenance ◽  
Future Research ◽  
Linear Regression Models ◽  
Behavioral Weight Loss ◽  
Hedonic Hunger ◽  
Successful Weight Loss ◽  
Maintain Weight Loss ◽  
Power Of Food Scale ◽  
Weight Loss Interventions

Background: Research suggests that the degree of food desirability may have an impact on successful weight loss. Defined as susceptibility to eating when presented with environmental stimuli, hedonic hunger is related to increased food consumption. Individuals with higher hedonic hunger may be less able to successfully maintain weight loss and, therefore, may have more weight loss attempts (WLA). The purpose was to examine associations between the number of WLA and the PFS total scale and subscale scores, controlling for race, sex, BMI, and age. Methods: Participants were obese adults enrolled in Heads Up, an insurance-sponsored observational study examining surgical and non-surgical weight loss techniques. Individuals completed the Power of Food Scale (PFS) and demographic information, including the number of WLA. The PFS was developed to assess hedonic hunger when food is: 1) available, 2) present, and 3) tasted. Results: Of the 705 participants, 409 (57.8%) were Caucasian, 597 (84.3%) were female, and had attempted to lose weight 9.13 (SD=9.8) times. The number of WLA significantly predicted PFS total scores and subscale scores except for the “Food Tasted” subscale. The full linear regression models accounted for 4.7%, 4.1%, and 6.2% of the variance in the total PFS, Food Available subscale, and Food Present subscale scores, respectively. Conclusions: Results demonstrate that hedonic hunger may be a factor in repeated WLA. Future research should examine the temporal sequence to fully explain this relationship to provide additional tailoring of behavioral weight loss interventions to address hedonic hunger as a hindrance to successful weight maintenance.

Cost-effectiveness of a behavioral weight loss intervention for low-income women: The Weight-Wise Program

2009 ◽  
Vol 49 (5) ◽  
pp. 390-395 ◽  
Author(s):  
Alison Gustafson ◽  
Olga Khavjou ◽  
Sally C. Stearns ◽  
Thomas C. Keyserling ◽  
Ziya Gizlice ◽  
...  
Keyword(s):  
Weight Loss ◽  
Cost Effectiveness ◽  
Low Income ◽  
Weight Loss Intervention ◽  
Behavioral Weight Loss ◽  
Behavioral Weight Loss Intervention ◽  
Low Income Women

Ethnic-Specific Weight-Loss Interventions for Low-Income Postpartum Women

2011 ◽  
Vol 34 (5) ◽  
pp. 654-676 ◽  
Author(s):  
Lorraine O. Walker ◽  
Bobbie Sue Sterling ◽  
Lara Latimer ◽  
Sung-Hun Kim ◽  
Alexandra A. Garcia ◽  
...  
Keyword(s):  
Weight Loss ◽  
Low Income ◽  
Specific Weight ◽  
Postpartum Women ◽  
Weight Loss Interventions

scholarly journals Do Outcomes From a Behavioral Weight Loss Intervention Differ in Alabama vs Colorado

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 1205-1205
Author(s):  
Julianne Clina ◽  
R Drew Sayer ◽  
Caroline Cohen ◽  
James Hill
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Weight Loss ◽  
Body Weight ◽  
Regional Differences ◽  
Management Program ◽  
Future Research ◽  
Weight Loss Intervention ◽  
Obesity Prevalence ◽  
Behavioral Weight Loss

Abstract Objectives There are well-established regional differences in obesity prevalence in the U.S., but relatively little is known about whether these differences impact efforts for weight loss. The objective of the study was to determine whether changes in body weight, engagement in physical activity (PA), and psychosocial factors differed in Colorado (CO) vs Alabama (AL) in response to a 16-week standardized behavioral weight management program. We hypothesized that weight loss would be greater in Colorado due to a more favorable physical and social environment. Methods This is an ancillary study to a weight loss intervention being conducted simultaneously in AL and CO with identical intervention content and delivery. Study participants (n = 70, 39 CO, 31 AL) were randomized to either a high protein (HP) or normal protein (NP) diet for 16 weeks and attended weekly group classes led by a trained coach targeting diet, mindset, and physical activity. Body weight, objective (accelerometry) and self-reported (International Physical Activity Questionnaire) PA, and responses to psychosocial questionnaires were collected at baseline and week 16. Psychosocial constructs included executive function, hedonic eating, stress, and social support. Results Both states lost a significant amount of weight (CO 13.2 ± 4.9 kg P = 0.0067; AL 12.5 ± 5.6 kg P = 0.0262) with no differences between states (P = 0.9315). Both states improved in all PA outcomes over time, with AL increasing significantly more in objective PA measures when compared to CO. AL had more favorable scores for hedonic eating at baseline (23.2 ± 2.4 vs 32.5 ± 1.8, P = 0.0017), which persisted to week 16 (19.0 ± 2.7 vs 29.7 ± 2.2, P = 0.0021). Finally, AL improved in several social support factors while CO did not. Conclusions While weight loss did not differ between states, AL experienced greater improvements in some factors known to improve long-term weight loss maintenance. Results from this study provide a strong rationale for investigating potential regional differences in the maintenance of lost weight that may not be apparent during the active weight loss phase of interventions. Future research in this area will require effective methods for tracking participants beyond the conclusion of most clinical trials. Funding Sources The parent clinical trial is supported by The Beef Checkoff.

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