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Updated: Jan 3, 2026

Control of Eating Behavior Using a Novel Feedback System
Published on: May 8, 2018
Feedback and Strategies From People With Intellectual Disability Completing a Personalized Online Weight Loss
Nichole Guerra1, William H Neumeier1, Lauren Breslin1
1Nichole Guerra, The Resource Exchange; William H. Neumeier, University of Alabama at Birmingham and Lakeshore Foundation; Lauren Breslin, Mayo Clinic Alix School of Medicine; Betty Geer, The Resource Exchange; Mohanraj Thirumalai, University of Alabama at Birmingham; David A. Ervin, Jewish Foundation for Group Homes, Inc.; and James H. Rimmer, University of Alabama at Birmingham and The Lakeshore Foundation.
Abstract:
Coaching log notes for 15 participants from a 24-week blended online and telehealth randomized controlled trial were analyzed using thematic analysis and analyst triangulation to determine the factors that facilitated participant adherence to weight loss strategies, use of technology, and motivational interviewing. Several participants reported that restricting processed carbohydrates, limiting portion size, and maintaining healthy substitutions were effective nutritional strategies. Participants were less successful with adherence to their exercise goals, often due to time constraints and a lack of support. Results suggested consistent caregiver support improved participants' adherence to weight loss strategies and use of technology. Future programs should address obesity among people with intellectual and developmental disabilities by offering a range of interventions that are customized to their specific weight loss needs.
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