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Developing a Weight-Neutral Health Intervention in Denmark: Protocol for a Co-Design Process.

Lene Meyer1, Rasmus Køster-Rasmussen1, Ann-Kathrin Lindahl Christiansen1

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Summary

Weight-neutral health (WNH) interventions, focusing on size diversity and intuitive eating, show promise as an alternative to traditional weight loss methods. Co-design in Denmark engaged stakeholders to develop a WNH intervention, with feasibility testing planned for 2025.

Keywords:
social mediaDanishDenmarkcomplex interventiondisseminationfeasibility studyhealth interventionhuman-centered designlifestyleneutral healthobesitypatient engagementpodcastpublic healthstigmasurveillanceweight lossweight managementweight reduction

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Area of Science:

  • Public Health
  • Behavioral Science
  • Health Psychology

Background:

  • Traditional lifestyle interventions for weight loss often yield limited long-term success and can lead to adverse outcomes like weight cycling and disordered eating.
  • Weight stigma, stemming from negative attitudes towards higher body weights, contributes to psychological distress and poorer health.
  • Weight-neutral health (WNH) offers an alternative paradigm, emphasizing size diversity, intuitive eating, and joyful movement without prioritizing weight reduction.

Purpose of the Study:

  • To outline the co-design protocol for developing a complex Weight-Neutral Health (WNH) intervention.
  • To engage diverse stakeholders in Denmark throughout the intervention development process.

Main Methods:

  • Utilized a co-design approach based on the Medical Research Council's framework for complex interventions and human-centered design.
  • Employed iterative phases: discover (literature review, interviews), define (seminars, interviews), design (workshops), and validate (evaluation, feasibility planning).
  • Included health professionals and individuals with a BMI ≥ 30 kg/m² in the co-design process, with thematic analysis of collected data.

Main Results:

  • The co-design process involved 15 health professionals and 16 individuals with a BMI ≥ 30 kg/m², providing valuable insights into WNH principles within a Danish context.
  • Participants shared experiences navigating WNH, highlighting challenges in moving away from weight loss goals.
  • The project is fully funded, with the co-design phase nearing completion as of August 2024.

Conclusions:

  • A WNH complex intervention has been developed through a stakeholder-driven co-design process in Denmark.
  • Feasibility testing of the intervention is scheduled for 2025, with findings informing future randomized controlled trials.
  • The long-term objective is the free implementation of this WNH intervention in Danish municipal settings.