N-of-1 study of weight loss maintenance assessing predictors of physical activity, adherence to weight loss plan and weight change

© 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. Objective: Behaviour change interventions are effective in supporting individuals to achieve clinically significant weight loss, but weight loss maintenance (WLM) is less often attained. This study examin...

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Main Authors: Kwasnicka, Dominika, Dombrowski, S., White, M., Sniehotta, F.
Format: Journal Article
Published: Routledge 2017
Online Access:http://hdl.handle.net/20.500.11937/56202
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author Kwasnicka, Dominika
Dombrowski, S.
White, M.
Sniehotta, F.
author_facet Kwasnicka, Dominika
Dombrowski, S.
White, M.
Sniehotta, F.
author_sort Kwasnicka, Dominika
building Curtin Institutional Repository
collection Online Access
description © 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. Objective: Behaviour change interventions are effective in supporting individuals to achieve clinically significant weight loss, but weight loss maintenance (WLM) is less often attained. This study examined predictive variables associated with WLM. Design: N-of-1 study with daily ecological momentary assessment combined with objective measurement of weight and physical activity, collected with wireless devices (Fitbit™) for six months. Eight previously obese adults who had lost over 5% of their body weight in the past year took part. Data were analysed using time series methods. Main outcomes measures: Predictor variables were based on five theoretical themes: maintenance motives, self-regulation, personal resources, habits, and environmental influences. Dependent variables were: objectively estimated step count and weight, and self-reported WLM plan adherence. Results: For all participants, daily fluctuations in self-reported adherence to their WLM plan were significantly associated with most of the explanatory variables, including maintenance motivation and satisfaction with outcomes, self-regulation, habit, and stable environment. Personal resources were not a consistent predictor of plan adherence. Conclusion: This is the first study to assess theoretical predictions of WLM within individuals. WLM is a dynamic process including the interplay of motivation, self-regulation, habit, resources, and perceptions of environmental context. Individuals maintaining their weight have unique psychological profiles which could be accounted for in interventions.
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spelling curtin-20.500.11937-562022017-09-13T16:10:51Z N-of-1 study of weight loss maintenance assessing predictors of physical activity, adherence to weight loss plan and weight change Kwasnicka, Dominika Dombrowski, S. White, M. Sniehotta, F. © 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. Objective: Behaviour change interventions are effective in supporting individuals to achieve clinically significant weight loss, but weight loss maintenance (WLM) is less often attained. This study examined predictive variables associated with WLM. Design: N-of-1 study with daily ecological momentary assessment combined with objective measurement of weight and physical activity, collected with wireless devices (Fitbit™) for six months. Eight previously obese adults who had lost over 5% of their body weight in the past year took part. Data were analysed using time series methods. Main outcomes measures: Predictor variables were based on five theoretical themes: maintenance motives, self-regulation, personal resources, habits, and environmental influences. Dependent variables were: objectively estimated step count and weight, and self-reported WLM plan adherence. Results: For all participants, daily fluctuations in self-reported adherence to their WLM plan were significantly associated with most of the explanatory variables, including maintenance motivation and satisfaction with outcomes, self-regulation, habit, and stable environment. Personal resources were not a consistent predictor of plan adherence. Conclusion: This is the first study to assess theoretical predictions of WLM within individuals. WLM is a dynamic process including the interplay of motivation, self-regulation, habit, resources, and perceptions of environmental context. Individuals maintaining their weight have unique psychological profiles which could be accounted for in interventions. 2017 Journal Article http://hdl.handle.net/20.500.11937/56202 10.1080/08870446.2017.1293057 Routledge unknown
spellingShingle Kwasnicka, Dominika
Dombrowski, S.
White, M.
Sniehotta, F.
N-of-1 study of weight loss maintenance assessing predictors of physical activity, adherence to weight loss plan and weight change
title N-of-1 study of weight loss maintenance assessing predictors of physical activity, adherence to weight loss plan and weight change
title_full N-of-1 study of weight loss maintenance assessing predictors of physical activity, adherence to weight loss plan and weight change
title_fullStr N-of-1 study of weight loss maintenance assessing predictors of physical activity, adherence to weight loss plan and weight change
title_full_unstemmed N-of-1 study of weight loss maintenance assessing predictors of physical activity, adherence to weight loss plan and weight change
title_short N-of-1 study of weight loss maintenance assessing predictors of physical activity, adherence to weight loss plan and weight change
title_sort n-of-1 study of weight loss maintenance assessing predictors of physical activity, adherence to weight loss plan and weight change
url http://hdl.handle.net/20.500.11937/56202