A randomised controlled trial to investigate the feasibility and acceptability of a small change approach to prevent weight gain.
A weight gain prevention strategy showing merit is a small change approach (increase energy expenditure and/or decrease energy intake by 100–200 kcal/day). Studies have tested a small change approach in intensive interventions involving multiple contacts, unsuitable for delivery at scale. The aim he...
| Publicado en: | Journal of Behavioral Medicine Vol. 47; no. 2; pp. 232 - 244 |
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| Autores principales: | , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Springer Nature
Apr2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176082455&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176082455 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01607715 JBM jtl: Journal of Behavioral Medicine issn: 01607715 maglogo: N pubinfo: dt: Apr2024 vid: 47 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 176082455 173451410 176082455 176082455 10.1007/s10865-023-00455-1 176082455 ppf: 232 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A randomised controlled trial to investigate the feasibility and acceptability of a small change approach to prevent weight gain. aug: au: Graham, Henrietta Madigan, Claire Daley, Amanda J. affil: https://ror.org/04vg4w365 The Centre for Lifestyle Medicine and Behaviour (CLIMB), School of Sport Exercise and Health Sciences, Loughborough University, LE11 3TU, Loughborough, UK sug: subj: Weight Gain Prevention and Control Patient Compliance Evaluation Research Subject Retention Evaluation Energy Metabolism Energy Intake Human Randomized Controlled Trials Funding Source Diet Therapeutic Exercise Life Style Weight Control Teaching Materials Random Assignment Confidence Intervals Patient Attitudes Evaluation Research Subject Recruitment ab: A weight gain prevention strategy showing merit is a small change approach (increase energy expenditure and/or decrease energy intake by 100–200 kcal/day). Studies have tested a small change approach in intensive interventions involving multiple contacts, unsuitable for delivery at scale. The aim here was to assess the feasibility and acceptability of a remote small change weight gain prevention intervention. A randomised controlled trial of 122 participants was conducted. The intervention was a remote 12-week small change weight gain prevention programme (targeting dietary and/or physical activity behaviours). The comparator group received a healthy lifestyle leaflet. Data were collected at baseline and 12-weeks. The primary outcome was the feasibility and acceptability, assessed against three stop–go traffic light criteria: retention, number of participants randomised per month and adherence to a small change approach. Participants' opinions of a small change approach and weight change were also measured. The traffic light stop–go criteria results were green for recruitment (122 participants recruited in three months) and retention (91%) and red for intervention adherence. Most participants (62%) found a small change approach helpful for weight management and the mean difference in weight was − 1.1 kg (95% CI − 1.7, − 0.4), favouring the intervention group. Excluding intervention adherence, the trial was feasible and acceptable to participants. Despite adherence being lower than expected, participants found a small change approach useful for weight management and gained less weight than comparators. With refinement to increase intervention adherence, progress to an effectiveness trial is warranted. ISRCTN18309466: 12/04/2022 (retrospectively registered). pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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