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.
Obesity Science & Practice
|April 26, 2019
Summary
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.
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.
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