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Experiences From an Internet-Delivered Treatment Program for Individuals With Obesity: Pilot Study.

Agneta Anderzen-Carlsson1, Annika Imhagen1, Stefan Jansson1

  • 1University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro University Hospital, S-house, Örebro, 70185, Sweden, 46 196025846.

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Summary
This summary is machine-generated.

Internet-delivered treatment for obesity shows promise, with completers improving lifestyle and psychosocial factors. However, low completion rates highlight the need for further development and patient assessment in obesity interventions.

Keywords:
cognitive behavioral therapyinternet-based interventionmultimethodsobesitypilot projectssocial stigma

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Area of Science:

  • Obesity research
  • Digital health interventions
  • Behavioral medicine

Background:

  • Obesity is a significant global health issue with serious comorbidities.
  • Effective obesity treatments are crucial for improving patient health and quality of life.
  • Internet-delivered treatment (IDT) offers increased accessibility but requires pilot testing.

Purpose of the Study:

  • To assess the feasibility and user-friendliness of an internet-delivered treatment for obesity (IDT-O).
  • To evaluate changes in weight, diet, physical activity, and psychosocial functioning post-treatment.
  • To explore the experiences of both completers and dropouts of the IDT-O program.

Main Methods:

  • A 1-year prospective observational study using a multimethod design.
  • Inclusion criteria: adults (18+) with BMI ≥30 kg/m2 or BMI 28-29.9 kg/m2 with obesity-related comorbidity.
  • A 6-month therapist-assisted IDT-O program was provided, with assessments at baseline, 6, and 12 months; dropouts were interviewed qualitatively.

Main Results:

  • 20 participants started the IDT-O; 35% completed. Completers showed modest weight loss (2.0%) and improvements in diet, physical activity, and psychosocial functioning.
  • Qualitative analysis revealed mixed experiences, summarized as 'The programme was OK, but it does not suit everyone.'
  • Participants reported satisfaction with the intervention's content and design.

Conclusions:

  • The IDT-O demonstrates potential for obesity treatment, evidenced by positive outcomes in completers.
  • Low completion rates (35%) indicate a need for further program development and patient selection strategies.
  • Preliminary findings on lifestyle and psychosocial improvements require validation in larger studies.