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Developing implementation strategies for a community-based digital weight management program: A hybrid
Han Shi Jocelyn Chew1,2, Wen Wei Ang1, Xuanming Sherman Tan1
1Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
International Journal of Nursing Sciences
|June 10, 2026
Summary
Community weight management programs face barriers. This study identified common barriers like mismatched expectations and facilitators such as incentives, mapping them to strategies for better implementation.
Area of Science:
- Public Health
- Implementation Science
- Behavioral Science
Background:
- Obesity is a significant public health concern.
- Community-based digital weight management programs show promise but face implementation challenges.
- Identifying and addressing these barriers is crucial for program success.
Purpose of the Study:
- To identify and evaluate implementation barriers and facilitators in community-based weight management services.
- To develop strategies for overcoming identified barriers.
- To inform the successful adoption and delivery of these programs.
Main Methods:
- A prospective qualitative study using workshops and interviews with stakeholders.
- Thematic analysis informed by the Consolidated Framework for Implementation Research (CFIR) and Theoretical Domains Framework (TDF).
- Barriers and facilitators were mapped to Expert Recommendations for Implementing Change (ERIC) strategies.
Main Results:
- 48 adopter and 145 implementer barriers were identified across CFIR and TDF subdomains.
- A key shared barrier was mismatched expectations regarding public awareness, implementation flexibility, and motivational support.
- Common facilitators included incentives, societal endorsement, and medical professional support.
Conclusions:
- Underlying themes linking barriers and facilitators were identified across adopters and implementers.
- Implementation strategies were mapped using the Action, Actor, Context, Target, Time (AACTT) framework.
- Policymakers and nurses play a key role in operationalizing strategies for program adoption and delivery.
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