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Exploring Expert Perspectives on Self-Monitoring Feedback Personalization, Content, Modality and Frequency: A Delphi
Rebecca A Krukowski1, Katherine Paulikonis1, Theresa Markwalter1
1Department of Public Health Sciences University of Virginia Charlottesville Virginia USA.
Obesity Science & Practice
|December 8, 2025
Summary
Experts recommend personalized self-monitoring feedback for weight management, prioritizing problem-solving and goal-setting. Practicality and cost remain key barriers to implementation in behavioral programs.
Area of Science:
- Behavioral Science
- Health Psychology
- Obesity Research
Background:
- Behavioral weight management programs often provide weekly self-monitoring feedback.
- Empirical evidence on optimal feedback construction is lacking.
Purpose of the Study:
- To gather expert consensus on optimal feedback characteristics for behavioral weight management.
- To identify key components and delivery methods for effective self-monitoring feedback.
Main Methods:
- Delphi method involving 67 experts.
- Directed content analysis for qualitative data.
- Descriptive statistics for quantitative data.
Main Results:
- Experts prioritized problem-solving, goal-setting, and goal attainment in feedback.
- Modality preferences varied, with participant preference and practicality being crucial.
- The "sandwich" approach was favored for participants facing challenges.
- Personalized feedback is highly valued but faces barriers like time and cost.
Conclusions:
- Personalized self-monitoring feedback is crucial for weight management programs.
- Addressing time and cost barriers is essential for effective feedback implementation.
- Further experimental studies are needed to validate expert recommendations.
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