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Multidisciplinary Approach to Obesity Management: A Case Report
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Multiple Health Behavior Change for Weight Loss: A Scoping Review
Megan S Maisano1, Eleanor T Shonkoff2, Sara C Folta3
1Center for Human Nutrition, Cleveland Clinic, Cleveland, OH;,
American Journal of Health Behavior
|October 30, 2020
Summary
Multiple health behavior change (MHBC) interventions show promise for long-term weight loss compared to single health behavior change (SHBC). Further research is needed on MHBC timing, predictors, and theoretical frameworks.
Area of Science:
- Behavioral Science
- Public Health
- Weight Management
Background:
- Weight-related health behaviors are complex and often interconnected.
- Single health behavior change (SHBC) interventions may not fully address multifactorial weight gain.
- Multiple health behavior change (MHBC) interventions offer a potential alternative approach.
Purpose of the Study:
- To conduct a scoping review of literature on weight-related MHBC.
- To compare MHBC with SHBC interventions.
- To examine simultaneous versus sequential MHBC approaches, predictive attributes, and theoretical frameworks.
Main Methods:
- Scoping review methodology.
- Literature search conducted in PubMed, Web of Science, and Google Scholar.
- Inclusion of studies published between 2000 and 2018.
Main Results:
- MHBC interventions demonstrated superiority over SHBC for long-term weight loss, though literature is limited.
- Simultaneous and sequential MHBC approaches yielded mixed results.
- Key predictors of MHBC success include adherence, risk level, self-efficacy, and social support.
- Theoretical frameworks, particularly the Transtheoretical Model and Social Cognitive Theory, show promise but require further investigation.
Conclusions:
- MHBC approaches may enhance weight loss efforts.
- Further research is essential to optimize MHBC interventions by understanding behavior change sequencing, participant/intervention predictors, and theoretical underpinnings.
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