Associations between self-monitoring and weight change in behavioral weight loss interventions.

Goldstein, Stephanie P.; Goldstein, Carly M.; Bond, Dale S.; Raynor, Hollie A.; Wing, Rena R.; Thomas, J. Graham

doi:10.1037/hea0000800

Cited by 41 publications

(33 citation statements)

References 42 publications

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“…In support of this, adherence to the self-regulation steps in the intervention arm was still associated with weight loss success. We found that adherence to selfweighing was a significant predictor of weight loss success in the control arm too, and this matches other observational data (Goldstein et al, 2019;LaRose, Lanoye, Tate, & Wing, 2016;Van Wormer, French, Pereira, & Welsh, 2008). Adherence to self-weighing may reflect persistence in weight loss efforts.…”

Section: Self-regulation Is Effective For Weight Losssupporting

confidence: 88%

Effectiveness of a self‐regulation intervention for weight loss: A randomized controlled trial

Frie

Hartmann‐Boyce

Jebb

et al. 2020

British J Health Psychol

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Objectives. To evaluate effectiveness and acceptability of a novel intervention, based on self-regulation theory, for weight loss. Design. A two-arm parallel group design was employed. Methods. Adult participants with a BMI ≥ 30 kg/m 2 and the aim to lose weight were recruited and randomized to either a control or intervention group. Both groups were asked to weigh themselves daily for eight weeks. The intervention group was encouraged to use a weight tracking app, and complete daily and weekly questionnaires to prompt action planning, reflection, and evaluation of actions. Participants chose daily actions from a menu of 53 behaviours. The primary outcome was weight change after 8 weeks, assessed using linear mixed effects models. At follow-up, 20 intervention group participants were interviewed regarding their experiences in the trial. Results. 100 participants were recruited, and 98% were followed up at 8 weeks. Mean weight loss was À4.18 kg (SD = 3.84) in the intervention compared to À1.01 kg (SD = 2.67) in the control group; the adjusted difference was À3.20 kg (95% CI À4.49, À1.92). Participants rated the intervention's usefulness as 8.25 (SD = 2.04) on a scale from 1 to 10. Adherence was a significant independent predictor of weight loss success (À1.54 kg per one SD, 95% CI À2.16, À0.93), but not a mediator of the intervention effect. Participants reported that the intervention enabled them to experiment with and identify effective weight loss actions. Conclusions. Guiding participants through the self-regulation process was feasible, acceptable to participants, and led to significantly greater short-term weight loss than unguided self-weighing. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Self-regulation Is Effective For Weight Losssupporting

confidence: 88%

Effectiveness of a self‐regulation intervention for weight loss: A randomized controlled trial

Frie

Hartmann‐Boyce

Jebb

et al. 2020

British J Health Psychol

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“…We identified 4,248 records in our database and hand searches. After the deduplication and screening stages, 53 papers describing 39 unique RCTs met all inclusion criteria (32‐84).…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies assessed weight outcomes at follow‐up visits ranging from 3 to 12 months after the end of the intervention (46,50,57,59,62,73,74,77). Of the 39 trials, 20 trials had two treatment arms (34,41,42,45,46,53,57,60,70,74,76‐78,80‐84), 15 trials had three arms (35,40,44,49,50,52,54,55,59,62,66,69,73,79), 3 trials had four arms (32,33,71), and 1 trial had five arms (48). In total, there were 67 arms with digital self‐monitoring.…”

Section: Resultsmentioning

confidence: 99%

Self‐Monitoring via Digital Health in Weight Loss Interventions: A Systematic Review Among Adults with Overweight or Obesity

Patel

Wakayama

Bennett

2021

Obesity

114

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Objective: Self-monitoring is a core component of behavioral obesity treatment, but it is unknown how digital health has been used for selfmonitoring, what engagement rates are achieved in these interventions, and how self-monitoring and weight loss are related. Methods: This systematic review examined digital self-monitoring in behavioral weight loss interventions among adults with overweight or obesity. Six databases (PubMed, Embase, Scopus, PsycInfo, CINAHL, and ProQuest Dissertations & Theses) were searched for randomized controlled trials with interventions ≥ 12 weeks, weight outcomes ≥ 6 months, and outcomes on self-monitoring engagement and their relationship to weight loss. Results: Thirty-nine studies from 2009 to 2019 met inclusion criteria. Among the 67 interventions with digital self-monitoring, weight was tracked in 72% of them, diet in 81%, and physical activity in 82%. Websites were the most common self-monitoring modality, followed by mobile applications, wearables, electronic scales, and, finally, text messaging. Few interventions had digital self-monitoring engagement rates ≥ 75% of days. Rates were higher in digital-than in paper-based arms in 21 out of 34 comparisons and lower in just 2. Interventions with counseling had similar rates to standalone interventions. Greater digital self-monitoring was linked to weight loss in 74% of occurrences. Conclusions: Self-monitoring via digital health is consistently associated with weight loss in behavioral obesity treatment.

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“…Nominal groups were presented six scenarios for voting and discussion. These scenarios were written by the research team using a taxonomy of five domains of placebogenic techniques22–26 derived from experimental and clinical studies27 to create six theoretically plausible placebogenic scenarios for primary care (table 2). Techniques from the five domains22 were used to create the scenarios: (1) The patient’s beliefs and characteristics informed ‘Withholding side effects’, (2) The healthcare setting informed ‘Monitoring’, (3) The practitioner’s beliefs and characteristics informed ‘GP endorsement’, (4) The patient-practitioner interaction informed ‘Idealised consultation’ and (5) Treatment characteristics informed ‘Deceptive’/‘Open-label placebo pills’.…”

Section: Methodsmentioning

confidence: 99%

Placebos in primary care? a nominal group study explicating UK GP and patient views of six theoretically plausible models of placebo practice

Ratnapalan

Coghlan²,

Tan

et al. 2020

BMJ Open

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ObjectivesTo better understand which theoretically plausible placebogenic techniques might be acceptable in UK primary care.DesignA qualitative study using nominal group technique and thematic analysis. Participants took part in audio-recorded face-to-face nominal groups in which the researcher presented six scenarios describing the application in primary care of theoretically plausible placebogenic techniques: (1) Withholding side effects information, (2) Monitoring, (3) General practitioner (GP) endorsement, (4) Idealised consultation, (5) Deceptive placebo pills and (6) Open-label placebo pills. Participants voted on whether they thought each scenario was acceptable in practice and discussed their reasoning. Votes were tallied and discussions transcribed verbatim.SettingPrimary care in England.Participants21 GPs in four nominal groups and 20 ‘expert patients’ in five nominal groups.ResultsParticipants found it hard to decide which practices were acceptable and spoke about needing to weigh potential symptomatic benefits against the potential harms of lost trust eroding the therapeutic relationship. Primary care patients and doctors felt it was acceptable to harness placebo effects in practice by patient self-monitoring (scenario 2), by the GP expressing a strongly positive belief in a therapy (scenario 3) and by conducting patient-centred, empathic consultations (scenario 4). Deceptive placebogenic practices (scenarios 1 and 5) were unacceptable to most groups. Patient and GP groups expressed a diverse range of opinions about open-label placebo pills.ConclusionsAttempts to harness placebo effects in UK primary care are more likely to be accepted and implemented if they focus on enhancing positive patient-centred communication and empathic relationships. Using placebos deceptively is likely to be unacceptable to both GPs and patients. Open-label placebos also do not have clear support; they might be acceptable to some doctors and patients in very limited circumstances—but further evidence, clear information and guidance would be needed.

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Associations between self-monitoring and weight change in behavioral weight loss interventions.

Cited by 41 publications

References 42 publications

Effectiveness of a self‐regulation intervention for weight loss: A randomized controlled trial

Effectiveness of a self‐regulation intervention for weight loss: A randomized controlled trial

Self‐Monitoring via Digital Health in Weight Loss Interventions: A Systematic Review Among Adults with Overweight or Obesity

Placebos in primary care? a nominal group study explicating UK GP and patient views of six theoretically plausible models of placebo practice

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