"Choosing Health": acceptability and feasibility of a theory-based, online-delivered, tailored weight loss, and weight loss maintenance intervention

StatusPre-print
cris.lastimport.scopus2024-11-07T04:10:44Z
dc.abstract.enFew weight loss and weight loss maintenance interventions are tailored to include factors demonstrated to predict the user’s behavior. Establishing the feasibility and acceptability of such interventions is crucial. The aim of this study was to assess the acceptability and feasibility of a theory-based, tailored, online-delivered weight loss and weight loss maintenance intervention (Choosing Health). We conducted a mixed methods process evaluation of the Choosing Health tailored intervention, nested in a randomized controlled trial (N = 288) with an embedded N-of-1 study, investigating participants’ and implementers’ experiences related to intervention context, implementation, and mechanisms of impact. Measures included: (i) surveys, (ii) data-prompted interviews (DPIs) with study participants, (iii) semi-structured interviews with implementers, and (iv) intervention access and engagement data. Five themes described the acceptability of the intervention to participants: (i) monitoring behavior change and personal progress to better understand the weight management process, (ii) working collaboratively with the intervention implementers to achieve participants’ goals, (iii) perceived benefits of non-judgmental and problem-solving tone of the intervention, (iv) changes in personal perception of the weight management process due to intervention tailoring, and (v) insufficient intervention content tailoring. The intervention delivery was feasible, however, emails and text messages differed in terms of accessibility and resources required to deliver the content. The use of Ecological Momentary Assessment as a technique to gather personal data for further tailoring was acceptable, and facilitated behavior change monitoring. Personalization of the intervention content above and beyond domain-specific issues, for example, by addressing participants’ social roles may better match their needs. Support from the implementers and feedback on body composition changes may increase participants’ engagement.
dc.affiliationInstytut Psychologii
dc.affiliationWydział Psychologii we Wrocławiu
dc.contributor.authorPalacz-Poborczyk, Iga
dc.contributor.authorNaughton, Felix
dc.contributor.authorŁuszczyńska, Aleksandra
dc.contributor.authorJanuszewicz, Anna
dc.contributor.authorQuested, Eleanor
dc.contributor.authorHagger, Martin S.
dc.contributor.authorPagoto, Sherry
dc.contributor.authorVerboon, Peter
dc.contributor.authorRobinson, Suzanne
dc.contributor.authorKwaśnicka, Dominika
dc.date.access2025-05-20
dc.date.accessioned2024-11-06T10:39:07Z
dc.date.available2024-11-06T10:39:07Z
dc.date.created2024-04-22
dc.date.issued2024-05-20
dc.description.abstract<jats:title>Abstract</jats:title> <jats:p>Few weight loss and weight loss maintenance interventions are tailored to include factors demonstrated to predict the user’s behavior. Establishing the feasibility and acceptability of such interventions is crucial. The aim of this study was to assess the acceptability and feasibility of a theory-based, tailored, online-delivered weight loss and weight loss maintenance intervention (Choosing Health). We conducted a mixed methods process evaluation of the Choosing Health tailored intervention, nested in a randomized controlled trial (N = 288) with an embedded N-of-1 study, investigating participants’ and implementers’ experiences related to intervention context, implementation, and mechanisms of impact. Measures included: (i) surveys, (ii) data-prompted interviews (DPIs) with study participants, (iii) semi-structured interviews with implementers, and (iv) intervention access and engagement data. Five themes described the acceptability of the intervention to participants: (i) monitoring behavior change and personal progress to better understand the weight management process, (ii) working collaboratively with the intervention implementers to achieve participants’ goals, (iii) perceived benefits of non-judgmental and problem-solving tone of the intervention, (iv) changes in personal perception of the weight management process due to intervention tailoring, and (v) insufficient intervention content tailoring. The intervention delivery was feasible, however, emails and text messages differed in terms of accessibility and resources required to deliver the content. The use of Ecological Momentary Assessment as a technique to gather personal data for further tailoring was acceptable, and facilitated behavior change monitoring. Personalization of the intervention content above and beyond domain-specific issues, for example, by addressing participants’ social roles may better match their needs. Support from the implementers and feedback on body composition changes may increase participants’ engagement.</jats:p>
dc.description.accesstimeafter_publication
dc.description.grantnumberPOIR.04.04.00-00-5CF3/18-00
dc.description.granttitle"Wybieramy Zdrowie"
dc.description.issue7
dc.description.physical434–443
dc.description.versionoriginal_author
dc.description.volume14
dc.identifier.doi10.1093/tbm/ibae023
dc.identifier.eissn1613-9860
dc.identifier.issn1869-6716
dc.identifier.urihttps://share.swps.edu.pl/handle/swps/1063
dc.identifier.weblinkhttps://academic.oup.com/tbm/article-abstract/14/7/434/7676730?redirectedFrom=fulltext
dc.languageen
dc.pbn.affiliationpsychologia
dc.rightsCC-BY
dc.rights.questionYes_rights
dc.share.articleOPEN_REPOSITORY
dc.subject.enweight loss
dc.subject.enoverweight
dc.subject.enobesity
dc.subject.endigital health
dc.subject.enprocess evaluation
dc.subject.enecological momentary assessment
dc.swps.sciencecloudnosend
dc.title"Choosing Health": acceptability and feasibility of a theory-based, online-delivered, tailored weight loss, and weight loss maintenance intervention
dc.title.journalTranslational Behavioral Medicine
dc.typeJournalArticle
dspace.entity.typeArticle