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Multidisciplinary Approach to Obesity Management: A Case Report

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Published on: May 30, 2025

The Influence of Relationships Within Behavioral Weight Management Interventions: An Overview.

Claire E Torrens¹, Pauline Campbell², Scott Findlay³

¹Centre of Health and Community Research (CHeCR Formerly NMAHP-Research Unit), Faculty of Health Sciences and Sport, University of Stirling, Stirling, UK.

Obesity Reviews : an Official Journal of the International Association for the Study of Obesity

|June 17, 2026

Summary

Improving user-provider relationships is key for successful behavioral weight management programs. Strong relationships enhance participant engagement and retention, overcoming common challenges in research and healthcare settings.

Keywords:

obesity relationships retention weight loss

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Area of Science:

Behavioral Science
Health Services Research
Psychology

Background:

Behavioral weight management interventions are effective but struggle with participant engagement and retention.
User-provider relationships are critical factors in maintaining engagement throughout weight management programs.

Purpose of the Study:

To understand the nature of user-provider relationships in behavioral weight management interventions.
To identify how these relationships influence retention and explore associated barriers and facilitators.

Main Methods:

Systematic overview of 20 reviews (27 reports) from six databases.
Qualitative and quantitative data synthesis guided by the Theoretical Domains Framework.
Confidence in findings assessed using GRADE CER-Qual methodology.

Main Results:

Key domains influencing relationships include knowledge, skills, role/identity, context/resources, and behavioral regulation.
Social influences were central to retention, with weight stigma identified as a pervasive issue.
Theoretical lens application revealed relationships as a mechanism driving or deterring retention behaviors.

Conclusions:

User-provider relationships significantly impact retention in weight management interventions.
Addressing relationship dynamics, including weight stigma, is crucial for program success.
Enhancing user-provider relationships should be a core retention strategy in weight management programs.