Changes in Health-Promoting Behaviors and Their Association with Weight Loss, Retention, and Engagement on a Digital Program: Prospective Study
Health-promoting lifestyle behaviors (e.g., as measured by the HPLP-II) are associated with reductions in lifestyle disease mortality, as well as improved well-being, mental health, and quality of life. However, it is unclear how a weight-management program relates to a broad range of these behavior...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-11-01
|
| Series: | Nutrients |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6643/14/22/4812 |
| _version_ | 1797464272686546944 |
|---|---|
| author | Heather Behr Sydney Earl Annabell Suh Ho Jihye Lee Ellen Siobhan Mitchell Meaghan McCallum Christine N. May Andreas Michaelides |
| author_facet | Heather Behr Sydney Earl Annabell Suh Ho Jihye Lee Ellen Siobhan Mitchell Meaghan McCallum Christine N. May Andreas Michaelides |
| author_sort | Heather Behr |
| collection | DOAJ |
| description | Health-promoting lifestyle behaviors (e.g., as measured by the HPLP-II) are associated with reductions in lifestyle disease mortality, as well as improved well-being, mental health, and quality of life. However, it is unclear how a weight-management program relates to a broad range of these behaviors (i.e., health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management), especially a fully digital program on which individuals have to self-manage their own behaviors in their daily lives (with assistance from a virtual human coach). In the context of a digital setting, this study examined the changes in health-promoting behaviors over 12 months, as well as the associations between health-promoting behaviors and weight loss, retention, and engagement, among participants who self-enrolled in a mobile CBT-based nutritionally focused behavior change weight management program (<i>n</i> = 242). Participants lost a statistically significant amount of weight (M = 6.7 kg; SD = 12.7 kg; t(80) = 9.26, <i>p</i> < 0.001) and reported significantly improved overall health-promoting lifestyle behaviors (i.e., HPLP-II summary scores), as well as, specifically, health responsibility, physical activity, nutrition, spiritual growth, stress management, and interpersonal relations behaviors from baseline to 6 months and from 6 months to 12 months (all <i>p</i>s < 0.008). Health-promoting behaviors at 6 months (i.e., learned health-promoting behaviors) compared to baseline were better predictors of retention and program engagement. A fully digital, mobile weight management intervention can improve HPLP-II scores, which, in turn, has implications for improved retention, program engagement, and better understanding the comprehensive effects of weight management programs, particularly in a digital setting. |
| first_indexed | 2024-03-09T18:05:47Z |
| format | Article |
| id | doaj.art-2c7852f1fa2b41d4a46509d54e343779 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-09T18:05:47Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-2c7852f1fa2b41d4a46509d54e3437792023-11-24T09:31:31ZengMDPI AGNutrients2072-66432022-11-011422481210.3390/nu14224812Changes in Health-Promoting Behaviors and Their Association with Weight Loss, Retention, and Engagement on a Digital Program: Prospective StudyHeather Behr0Sydney Earl1Annabell Suh Ho2Jihye Lee3Ellen Siobhan Mitchell4Meaghan McCallum5Christine N. May6Andreas Michaelides7Department of Integrative Health, Saybrook University, 55 W Eureka St., Pasadena, CA 91103, USADepartment of Psychology, North Carolina State University, Poe Hall, 2310 Stinson Dr., Raleigh, NC 27695, USAAcademic Research, Noom, 450 W 33rd St., New York, NY 10001, USAMoody College of Communication, The University of Texas at Austin, 300 W Dean Keeton St., Austin, TX 78712, USAAcademic Research, Noom, 450 W 33rd St., New York, NY 10001, USAAcademic Research, Noom, 450 W 33rd St., New York, NY 10001, USAAcademic Research, Noom, 450 W 33rd St., New York, NY 10001, USAAcademic Research, Noom, 450 W 33rd St., New York, NY 10001, USAHealth-promoting lifestyle behaviors (e.g., as measured by the HPLP-II) are associated with reductions in lifestyle disease mortality, as well as improved well-being, mental health, and quality of life. However, it is unclear how a weight-management program relates to a broad range of these behaviors (i.e., health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management), especially a fully digital program on which individuals have to self-manage their own behaviors in their daily lives (with assistance from a virtual human coach). In the context of a digital setting, this study examined the changes in health-promoting behaviors over 12 months, as well as the associations between health-promoting behaviors and weight loss, retention, and engagement, among participants who self-enrolled in a mobile CBT-based nutritionally focused behavior change weight management program (<i>n</i> = 242). Participants lost a statistically significant amount of weight (M = 6.7 kg; SD = 12.7 kg; t(80) = 9.26, <i>p</i> < 0.001) and reported significantly improved overall health-promoting lifestyle behaviors (i.e., HPLP-II summary scores), as well as, specifically, health responsibility, physical activity, nutrition, spiritual growth, stress management, and interpersonal relations behaviors from baseline to 6 months and from 6 months to 12 months (all <i>p</i>s < 0.008). Health-promoting behaviors at 6 months (i.e., learned health-promoting behaviors) compared to baseline were better predictors of retention and program engagement. A fully digital, mobile weight management intervention can improve HPLP-II scores, which, in turn, has implications for improved retention, program engagement, and better understanding the comprehensive effects of weight management programs, particularly in a digital setting.https://www.mdpi.com/2072-6643/14/22/4812mHealthobesityweight managementhealth-promoting behaviors |
| spellingShingle | Heather Behr Sydney Earl Annabell Suh Ho Jihye Lee Ellen Siobhan Mitchell Meaghan McCallum Christine N. May Andreas Michaelides Changes in Health-Promoting Behaviors and Their Association with Weight Loss, Retention, and Engagement on a Digital Program: Prospective Study Nutrients mHealth obesity weight management health-promoting behaviors |
| title | Changes in Health-Promoting Behaviors and Their Association with Weight Loss, Retention, and Engagement on a Digital Program: Prospective Study |
| title_full | Changes in Health-Promoting Behaviors and Their Association with Weight Loss, Retention, and Engagement on a Digital Program: Prospective Study |
| title_fullStr | Changes in Health-Promoting Behaviors and Their Association with Weight Loss, Retention, and Engagement on a Digital Program: Prospective Study |
| title_full_unstemmed | Changes in Health-Promoting Behaviors and Their Association with Weight Loss, Retention, and Engagement on a Digital Program: Prospective Study |
| title_short | Changes in Health-Promoting Behaviors and Their Association with Weight Loss, Retention, and Engagement on a Digital Program: Prospective Study |
| title_sort | changes in health promoting behaviors and their association with weight loss retention and engagement on a digital program prospective study |
| topic | mHealth obesity weight management health-promoting behaviors |
| url | https://www.mdpi.com/2072-6643/14/22/4812 |
| work_keys_str_mv | AT heatherbehr changesinhealthpromotingbehaviorsandtheirassociationwithweightlossretentionandengagementonadigitalprogramprospectivestudy AT sydneyearl changesinhealthpromotingbehaviorsandtheirassociationwithweightlossretentionandengagementonadigitalprogramprospectivestudy AT annabellsuhho changesinhealthpromotingbehaviorsandtheirassociationwithweightlossretentionandengagementonadigitalprogramprospectivestudy AT jihyelee changesinhealthpromotingbehaviorsandtheirassociationwithweightlossretentionandengagementonadigitalprogramprospectivestudy AT ellensiobhanmitchell changesinhealthpromotingbehaviorsandtheirassociationwithweightlossretentionandengagementonadigitalprogramprospectivestudy AT meaghanmccallum changesinhealthpromotingbehaviorsandtheirassociationwithweightlossretentionandengagementonadigitalprogramprospectivestudy AT christinenmay changesinhealthpromotingbehaviorsandtheirassociationwithweightlossretentionandengagementonadigitalprogramprospectivestudy AT andreasmichaelides changesinhealthpromotingbehaviorsandtheirassociationwithweightlossretentionandengagementonadigitalprogramprospectivestudy |