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Adapting evidence-based behavioral weight loss programs for emerging adults: A pilot randomized controlled trial.

ABSTRACT: Emerging adults are at high risk of obesity but behavioral weight loss programs do not meet their needs. Emerging adults ( N?=?52, age?=?22.3?±?2?years, body mass index?=?34.2?±?5.5?kg/m2, 46.2% non-Hispanic White) were randomly assigned to one of three behavioral weight loss programs adapted based on formative work: face-to-face behavioral weight loss, web-based behavioral weight loss, or web plus optional community sessions (Hybrid). Assessments occurred at 0 and 3?months. Engagement and self-monitoring were highest in Hybrid. Intent-to-treat weight losses were -2.8?±?2.9?percent in face-to-face behavioral weight loss, -2.2?±?4.5?percent in web-based behavioral weight loss, and 4.8?±?4.9?percent in Hybrid. Percent achieving ?5?percent weight loss was highest in Hybrid (63%). Findings suggest potential for adapted behavioral weight loss to promote engagement and weight loss in emerging adults.

SUBMITTER: LaRose JG

PROVIDER: S-EPMC5623115 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature

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Adapting evidence-based behavioral weight loss programs for emerging adults: A pilot randomized controlled trial.

LaRose Jessica Gokee JG Tate Deborah F DF Lanoye Autumn A Fava Joseph L JL Jelalian Elissa E Blumenthal Megan M Caccavale Laura J LJ Wing Rena R RR

Journal of health psychology 20170129 7

Emerging adults are at high risk of obesity but behavioral weight loss programs do not meet their needs. Emerging adults ( N = 52, age = 22.3 ± 2 years, body mass index = 34.2 ± 5.5 kg/m<sup>2</sup>, 46.2% non-Hispanic White) were randomly assigned to one of three behavioral weight loss programs adapted based on formative work: face-to-face behavioral weight loss, web-based behavioral weight loss, or web plus optional community sessions (Hybrid). Assessments occurred at 0 and 3 months. Engagemen ...[more]

PMID: 28810394

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Project description: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.

Dataset Information

Adapting evidence-based behavioral weight loss programs for emerging adults: A pilot randomized controlled trial.

Publications

Adapting evidence-based behavioral weight loss programs for emerging adults: A pilot randomized controlled trial.

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