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Sustaining eHealth engagement in a multi-year weight gain prevention intervention.

D F Tate1, M M Crane2, M A Espeland3

  • 1Gillings School of Global Public Health, Department of Health Behavior and Nutrition University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.

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Summary
This summary is machine-generated.

Offering multiple digital reporting options and periodic campaigns can improve sustained engagement in weight management for young adults. These strategies help combat declining usage common in digital health interventions.

Keywords:
eHealthengagementmHealthself‐monitoringweight management intervention

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Area of Science:

  • Digital Health
  • Behavioral Science
  • Weight Management Interventions

Background:

  • Digital tools are effective for weight management but often see declining user engagement over time.
  • Sustaining user engagement is crucial for the long-term success of digital health interventions.
  • Young adults are a key demographic for weight gain prevention studies.

Purpose of the Study:

  • To investigate strategies for promoting continued engagement in digital weight reporting among young adults.
  • To assess the impact of adding reporting modalities and conducting online campaigns on engagement frequency.
  • To identify methods to mitigate typical declines in eHealth and mHealth intervention usage.

Main Methods:

  • An observational study design was employed with 312 participants in weight gain prevention interventions.
  • Data on self-reported weights from digital tools were analyzed over a 2-year period.
  • The study examined changes in weight reporting before, during, and after the introduction of email reporting and three refresher campaigns.

Main Results:

  • Introducing an additional reporting modality (email) increased both the frequency of weight reporting and the number of reporting modes used per participant.
  • Utilizing multiple reporting modes was significantly associated with a higher number of submitted weights (p < 0.01).
  • While refresher campaigns did not increase the proportion of participants reporting, they did increase the number of weights submitted during campaign periods compared to pre-campaign weeks (p < 0.001).

Conclusions:

  • Employing multiple digital reporting modalities and periodic engagement campaigns shows potential for sustaining weight reporting in young adults.
  • These strategies may help counteract the common decline in user engagement observed in eHealth and mHealth interventions.
  • Findings suggest practical approaches for enhancing the long-term effectiveness of digital weight management tools.