scholarly journals Body Positivity and Self-Compassion on a Publicly Available Behavior Change Weight Management Program

2021 ◽  
Vol 18 (24) ◽  
pp. 13358
Author(s):  
Meaghan McCallum ◽  
Annabell Suh Ho ◽  
Christine N. May ◽  
Heather Behr ◽  
Ellen Siobhan Mitchell ◽  
...  
Keyword(s):  
Body Image ◽  
Behavior Change ◽  
Weight Management ◽  
Dialectical Behavior Therapy ◽  
Behavioral Therapy ◽  
Management Program ◽  
Weight Management Program ◽  
Body Appreciation ◽  
Self Compassion ◽  
Over Time

According to recent research, body positivity and self-compassion are key outcomes that are tied to better psychological and physical health. To date, it is unclear whether body positivity and self-compassion improve, stay constant, or deteriorate over the course of a weight management program, particularly one that addresses the psychological roots of behavior change. Additionally, beyond controlled settings, there are no studies on body positivity and self-compassion in individuals who choose to join a commercial weight management program. Therefore, this single-arm prospective study examined changes in body positivity and self-compassion from baseline to the 16 week milestone of Noom Weight, a commercial behavior change weight management program informed by acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), and cognitive behavioral therapy (CBT). We also examined how baseline and over-time changes in body positivity and self-compassion predicted engagement in program-measured relevant behaviors (e.g., exercises logged). Participants were a random subset of individuals who had recently self-enrolled in the program (n = 133). Body positivity and self-compassion were measured via survey at baseline and end of the core program (16 weeks). Self-reported weight and program-recorded engagement were extracted from the program database. Compared to baseline, body appreciation, body image flexibility, self-compassion, and body-focused rumination significantly improved at 16 weeks (all ps < 0.007). Participants lost a statistically significant amount of weight (3.9 kg; t(128)) = 10.64, p < 0.001) by 16 weeks, which was 4.4% body weight. Greater engagement, especially messaging a coach, reading articles, and logging meals, was associated with improvements over time in body appreciation (r = 0.17, p = 0.04), body image flexibility (r = −0.23, p = 0.007), and the brooding component of rumination (r = −0.23, p = 0.007). Greater engagement was also associated with baseline total self-compassion (r = 0.19, p = 0.03) and self-judgment (r = 0.24, p = 0.006). The results suggest that individuals experience improvements in body positivity and self-compassion while learning about ACT, DBT, and CBT through curriculum and coaching in this setting. The results also have important clinical implications, such as the possibility that psychologically-oriented (i.e., ACT, DBT, and CBT-based) weight management could be important to improve body positivity or that baseline self-compassion could be used to target individuals at risk for lower engagement. Future work should investigate these possibilities as well as delineate the causal relationships between body positivity, self-compassion, engagement, and weight loss.

Delivering a Behavior-Change Weight Management Program to Teachers and State Employees in North Carolina

2013 ◽  
Vol 27 (6) ◽  
pp. 378-383 ◽  
Author(s):  
Carolyn Dunn ◽  
Lauren MacKenzie Whetstone ◽  
Kathryn M. Kolasa ◽  
K. S. U. (Jay) Jayaratne ◽  
Cathy Thomas ◽  
...  
Keyword(s):  
North Carolina ◽  
Behavior Change ◽  
Weight Management ◽  
Management Program ◽  
Weight Management Program ◽  
State Employees

What Motivates Engagement in a Community-Based Behavior Change Strategy for Overweight Children?

2020 ◽  
pp. 152483992094485
Author(s):  
Gemma Enright ◽  
Alex Gyani ◽  
Karice Hyun ◽  
Margaret Allman-Farinelli ◽  
Christine Innes-Hughes ◽  
...  
Keyword(s):  
Behavior Change ◽  
Weight Management ◽  
Social Cognitive ◽  
Controlled Trial ◽  
Demographic Data ◽  
Management Program ◽  
Cognitive Factors ◽  
Treatment Programs ◽  
Weight Management Program ◽  
Community Based

Introduction. The success of family-based community programs for childhood obesity may be increased by promoting social-cognitive factors that influence motivation and participant engagement. Incentivizing behavior can potentially enhance engagement and encourage behavior change. This research investigated motivators to engagement with a multicomponent incentive-based strategy to improve attendance and health-related behavior change in a family community-based weight management program for overweight and obese children. Method. Qualitative analysis combining; demographic data ( n = 512), survey of parents ( n = 273), and stakeholder ( n = 10) and family interviews ( n = 24). Participants were selected from program providers and families participating in an Australian community weight management program during a randomized controlled trial ( n = 512 children). Maximum variation sampling (demographics and group characteristics) and inductive thematic analysis were used. Results/Conclusion. Four factors influencing engagement were (1) personal value, (2) achievement, (3) support, and (4) overwhelm. These themes corroborated with social-cognitive factors, fostered by a combination of behavior change components in the program that increased participant accountability and intrinsic motivation. Focusing on autonomous goal planning with parental involvement, tracking of goals, and reviewing of goals may complement existing strategies in child-focused treatment programs. Low-value noncash incentives linked to goal setting for encouraging healthy eating and physical activity were well accepted and may enhance family engagement and attendance.

scholarly journals Building a Viable Weight Management Program in a Patient-Centered Medical Home

2020 ◽  
Vol 52 (6) ◽  
pp. 427-431
Author(s):  
Stephanie B. Wilhoit-Reeves ◽  
Laurel A.G. Sisler ◽  
Shannon E. Aymes ◽  
Shiara M. Ortiz-Pujols ◽  
Deborah S. Porterfield ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Weight Management ◽  
Behavioral Therapy ◽  
Blood Pressure Reduction ◽  
The United States ◽  
Management Program ◽  
Average Weight ◽  
Weight Management Program ◽  
Eligibility Criteria

Background and Objectives: The growing prevalence of obesity in the United States and globally highlights the need for innovative strategies to provide obesity treatment in primary care settings. This report describes and evaluates the Weight Management Program (WMP), an interprofessional program in an academic family medicine clinic delivering intensive behavioral therapy (IBT) following evidenced-based guidelines. Methods: We extracted WMP participant health data from the electronic health record and evaluated retrospectively. Eligible participants completed at least four WMP visits and had a baseline weight, blood pressure, and hemoglobin A1c (HbA1c) recorded within 1 year prior to their first visit. Paired t tests were used to assess changes in, weight, HbA1c and systolic and diastolic blood pressures from baseline. Results: WMP counseled 673 patients over 3,895 visits from September 2015 to June 2019. Of these, 186 met eligibility criteria (at least four visits), with a median of eight visits (mean=11.3, SD=8.1). Participants saw an average weight decrease during program participation of 9.7 lbs (P&lt;.001), an average decrease in HbA1c of 0.2 points (P=.004), and an average blood pressure reduction of 2.8 mmHg systolic (P=.002) and 1.9 mmHg diastolic (P=.03). One-third of participants (n=60) achieved clinically significant weight loss (&gt;5%) at 18 months. The program has become financially sustainable through billing for preventive counseling services and a $125 out-of-pocket enrollment fee. Conclusions: WMP provides one model for primary care practices to develop a financially sustainable and evidence-based behavioral therapy weight management program for their patients with obesity. Future work will include assessment of longer-term program benefits, quality metrics, and health care costs.

scholarly journals Development of the Systems Thinking Scale for Adolescent Behavior Change

2017 ◽  
Vol 40 (3) ◽  
pp. 375-387 ◽  
Author(s):  
Shirley M. Moore ◽  
Vilailert Komton ◽  
Clara Adegbite-Adeniyi ◽  
Mary A. Dolansky ◽  
Heather K. Hardin ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Health Behavior ◽  
Behavior Change ◽  
Weight Management ◽  
Systems Thinking ◽  
Internal Consistency ◽  
Health Behavior Change ◽  
Adolescent Behavior ◽  
Management Program ◽  
Weight Management Program

This report describes the development and psychometric testing of the Systems Thinking Scale for Adolescent Behavior Change (STS-AB). Following item development, initial assessments of understandability and stability of the STS-AB were conducted in a sample of nine adolescents enrolled in a weight management program. Exploratory factor analysis of the 16-item STS-AB and internal consistency assessments were then done with 359 adolescents enrolled in a weight management program. Test–retest reliability of the STS-AB was .71, p = .03; internal consistency reliability was .87. Factor analysis of the 16-item STS-AB indicated a one-factor solution with good factor loadings, ranging from .40 to .67. Evidence of construct validity was supported by significant correlations with established measures of variables associated with health behavior change. We provide beginning evidence of the reliability and validity of the STS-AB to measure systems thinking for health behavior change in young adolescents.

scholarly journals Association of a Self-Paid Medically Supervised Weight Management Program with Reversal of Obesity-Associated Impaired Fasting Glucose

2021 ◽  
Vol 11 (2) ◽  
pp. 386-394
Author(s):  
Vijaya Surampudi ◽  
Xinkai Zhou ◽  
Chi-Hong Tseng ◽  
David Heber ◽  
Zhaoping Li
Keyword(s):  
Weight Loss ◽  
Blood Glucose ◽  
Retrospective Analysis ◽  
Weight Management ◽  
Impaired Fasting Glucose ◽  
Fasting Glucose ◽  
Fasting Blood Glucose ◽  
Management Program ◽  
Weight Management Program ◽  
Glucose Levels

Aims: The progression of prediabetes to T2DM can be delayed through diet modification and weight management. However, the intensive lifestyle program is often not covered by medical insurance. This retrospective analysis evaluates the association of a patient self-paid weight management program on an improvement of blood sugar in overweight and obese patients with impaired fasting glucose (IFG). Methods: The medical records of 4634 patients who participated in the self-pay UCLA Weight Management Program were reviewed and 2572 patients met the criteria for this retrospective analysis to examine whether this program was associated with the reversal of IFG over 3 months among 1396 patients with normal fasting glucose (NFG) and 1176 with IFG. Results: The patients with IFG lost comparable amounts of weight (10.5 ± 1.3 kg) at three months, as did the subjects with NFG (10.1 ± 1.3 kg). Fasting blood glucose in the IFG group decreased from 108.49 ± 6.4 to 101.8 ± 9.41 mg/dL (p < 0.0001) after three months. There were also significant reductions in triglycerides, and both systolic and diastolic blood pressure in both groups in association with weight loss. Conclusion: Our medically supervised self-pay multidisciplinary weight management program was associated with reduced fasting blood glucose levels in patients with IFG over three months with comparable weight loss to patients with NFG.

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