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Fit4YAMs: Structuring a Lifestyle Intervention for Rural Overweight and Obese Young Adult Males Using Participatory

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Young adult males (YAMs) prefer personalized text message interventions for weight management. A highly tailored program with weekly messages and minimal direct contact is optimal for engaging this demographic in lifestyle changes.

Keywords:
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Area of Science:

  • Public Health
  • Behavioral Science

Background:

  • Young adult males (YAMs) are a demographic group with limited research on lifestyle interventions for overweight and obesity.
  • Rural YAMs present unique challenges in engagement for health programs.

Purpose of the Study:

  • To report on the participatory design of a text message-based lifestyle intervention, Fit4YAMs.
  • To determine the optimal structure and delivery of a weight loss intervention for young adult males in rural Australia.

Main Methods:

  • Two semi-structured focus group discussions were conducted with six overweight or obese YAMs.
  • Thematic analysis was performed on transcribed focus group data to identify preferences for intervention design.

Main Results:

  • Participants unanimously preferred highly personalized interventions, including goal setting, motivation, and message content.
  • An optimal frequency of 3-4 text messages per week was suggested.
  • Minimal direct contact was preferred, with clear guidance on how to seek help.

Conclusions:

  • A high degree of personalization is crucial for engaging rural YAMs in lifestyle interventions.
  • Personalized approaches, though resource-intensive, are essential for preventing and reversing weight gain in this hard-to-engage group.
  • Maximizing engagement through personalization may improve long-term health outcomes for rural YAMs.