Evidence-Based Digital Tools for Weight Loss Maintenance: The NoHoW Project.

Journal article


Stubbs R.J., Duarte, C., Palmeira, A. L., Sniehotta, F. F., Horgan, G., Larsen, S. C., Marques, M.M., Evans, E. H., Ermes, M., Harjumaa, M., Turicchi, J, O’Driscoll, R., Scott, S. E., Pearson, B., Ramsey, L., Mattila, E., Matos, P., Sacher, P., Woodward, E., Mikkelsen, M., Sainsbury, K., Santos, I., Encantado, J., Teixeira, P. J, Stalker, C. and Heitmann, B. L. 2021. Evidence-Based Digital Tools for Weight Loss Maintenance: The NoHoW Project. Obesity Facts. 14 (3), pp. 320-333. https://doi.org/10.1159/000515663
AuthorsStubbs R.J., Duarte, C., Palmeira, A. L., Sniehotta, F. F., Horgan, G., Larsen, S. C., Marques, M.M., Evans, E. H., Ermes, M., Harjumaa, M., Turicchi, J, O’Driscoll, R., Scott, S. E., Pearson, B., Ramsey, L., Mattila, E., Matos, P., Sacher, P., Woodward, E., Mikkelsen, M., Sainsbury, K., Santos, I., Encantado, J., Teixeira, P. J, Stalker, C. and Heitmann, B. L.
Abstract

Background: Effective interventions and commercial programmes for weight loss (WL) are widely available, but most people regain weight. Few effective WL maintenance (WLM) solutions exist. The most promising evidence-based behaviour change techniques for WLM are self-monitoring, goal setting, action planning and control, building self-efficacy, and techniques that promote autonomous motivation (e.g., provide choice). Stress management and emotion regulation techniques show potential for prevention of relapse and weight regain. Digital technologies (including networked-wireless tracking technologies, online tools and smartphone apps, multimedia resources, and internet-based support) offer attractive tools for teaching and supporting long-term behaviour change techniques. However, many digital offerings for weight management tend not to include evidence-based content and the evidence base is still limited. The Project: First, the project examined why, when, and how many European citizens make WL and WLM attempts and how successful they are. Second, the project employed the most up-to-date behavioural science research to develop a digital toolkit for WLM based on 2 key conditions, i.e., self-management (self-regulation and motivation) of behaviour and self-management of emotional responses for WLM. Then, the NoHoW trial tested the efficacy of this digital toolkit in adults who achieved clinically significant (≥5%) WL in the previous 12 months (initial BMI ≥25). The primary outcome was change in weight (kg) at 12 months from baseline. Secondary outcomes included biological, psychological, and behavioural moderators and mediators of long-term energy balance (EB) behaviours, and user experience, acceptability, and cost-effectiveness. Impact: The project will directly feed results from studies on European consumer behaviour, design and evaluation of digital toolkits self-management of EB behaviours into development of new products and services for WLM and digital health. The project has developed a framework and digital architecture for interventions in the context of EB tracking and will generate results that will help inform the next generation of personalised interventions for effective self-management of weight and health.

KeywordsEmotion regulation; Information and communication technologies; Motivation; Obesity; Self-regulation; Weight loss maintenance
Year2021
JournalObesity Facts
Journal citation14 (3), pp. 320-333
PublisherKarger
ISSN1662-4033
Digital Object Identifier (DOI)https://doi.org/10.1159/000515663
Web address (URL)https://karger.com/ofa/article/14/3/320/239672
Output statusPublished
Publication dates
Online29 Apr 2021
Publication process dates
Accepted04 Mar 2021
Deposited12 Jul 2023
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