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Factors associated with early non-response within an Internet-based behavioural weight loss program
J L Unick1, K M Ross2, R R Wing1
1The Miriam Hospital's Weight Control and Diabetes Research Center, Department of Psychiatry and Human Behavior Warren Alpert Medical School of Brown University Providence RI USA.
Obesity Science & Practice
|August 28, 2019
Summary
Early non-responders in weight loss programs often struggle with mood and temptations. Identifying these differences can help tailor interventions to improve success rates for individuals not responding well initially.
Area of Science:
- Behavioral science
- Obesity research
- Digital health interventions
Background:
- Behavioral weight loss interventions show variable success.
- Early weight loss predicts long-term outcomes.
- Identifying early non-responders is crucial for improving intervention efficacy.
Purpose of the Study:
- To identify differences between early non-responders and initial responders in an internet-delivered weight loss program.
- To inform targeted interventions for individuals failing to achieve early weight loss goals.
Main Methods:
- 130 adults in a 12-week internet-delivered weight loss program were assessed at week 4.
- Participants categorized as early non-responders (<2% weight loss) or initial responders (≥2% weight loss).
- Groups compared on adherence and survey responses assessing mood and cognitions.
Main Results:
- No differences in intervention adherence between early non-responders and initial responders.
- Early non-responders reported lower positive mood.
- Early non-responders experienced greater boredom, temptation, and less goal-consistent eating.
Conclusions:
- Early non-responders exhibit distinct psychological and behavioral profiles.
- Intervention targets include improving mood, reducing boredom, and managing temptations.
- Strategies to facilitate healthier food choices are recommended for early non-responders.
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