Gaining pounds by losing pounds

preferences for lifestyle interventions to reduce obesity

Mandy Ryan, Deokhee Yi, Alison Avenell, Flora Douglas, Lorna Aucott, Edwin van Teijlingen, Luke Vale

Research output: Contribution to journalArticle

10 Citations (Scopus)
6 Downloads (Pure)

Abstract

While there is evidence that weight-loss interventions reduce morbidity, indications of their acceptability are limited. Understanding preferences for lifestyle interventions will help policymakers design interventions. We used a discrete choice experiment to investigate preferences for lifestyle interventions to reduce adult obesity. Attributes focused on: the components of the programme; weight change; short-term and longer-term health gains; time spent on the intervention and financial costs incurred. Data were collected through a web-based questionnaire, with 504 UK adults responding. Despite evidence that dietary interventions are the most effective way to lose weight, respondents preferred lifestyle interventions involving physical activity. While the evidence suggests that behaviour change support improves effectiveness of interventions, its value to participants was limited. A general preference to maintain current lifestyles, together with the sensitivity of take up to financial costs, suggests financial incentives could be used to help maximise uptake of healthy lifestyle interventions. An important target group for change, men, required more compensation to take up healthier lifestyles. Those of normal weight, who will increase in weight over time if they do not change their lifestyle, required the highest compensation. Policymakers face challenges in inducing people to change their behaviour and adopt healthy lifestyles.

Original languageEnglish
Pages (from-to)161-182
Number of pages22
JournalHealth economics, policy, and law
Volume10
Issue number2
Early online date28 Oct 2014
DOIs
Publication statusPublished - Apr 2015

Fingerprint

Life Style
Obesity
Weights and Measures
Compensation and Redress
Costs and Cost Analysis
Motivation
Weight Loss
Exercise
Morbidity
Health
Healthy Lifestyle
Surveys and Questionnaires

Cite this

Gaining pounds by losing pounds : preferences for lifestyle interventions to reduce obesity. / Ryan, Mandy; Yi, Deokhee; Avenell, Alison; Douglas, Flora; Aucott, Lorna; van Teijlingen, Edwin; Vale, Luke.

In: Health economics, policy, and law, Vol. 10, No. 2, 04.2015, p. 161-182.

Research output: Contribution to journalArticle

Ryan, Mandy ; Yi, Deokhee ; Avenell, Alison ; Douglas, Flora ; Aucott, Lorna ; van Teijlingen, Edwin ; Vale, Luke. / Gaining pounds by losing pounds : preferences for lifestyle interventions to reduce obesity. In: Health economics, policy, and law. 2015 ; Vol. 10, No. 2. pp. 161-182.
@article{50a2c3af931144e3a0374af97349a54f,
title = "Gaining pounds by losing pounds: preferences for lifestyle interventions to reduce obesity",
abstract = "While there is evidence that weight-loss interventions reduce morbidity, indications of their acceptability are limited. Understanding preferences for lifestyle interventions will help policymakers design interventions. We used a discrete choice experiment to investigate preferences for lifestyle interventions to reduce adult obesity. Attributes focused on: the components of the programme; weight change; short-term and longer-term health gains; time spent on the intervention and financial costs incurred. Data were collected through a web-based questionnaire, with 504 UK adults responding. Despite evidence that dietary interventions are the most effective way to lose weight, respondents preferred lifestyle interventions involving physical activity. While the evidence suggests that behaviour change support improves effectiveness of interventions, its value to participants was limited. A general preference to maintain current lifestyles, together with the sensitivity of take up to financial costs, suggests financial incentives could be used to help maximise uptake of healthy lifestyle interventions. An important target group for change, men, required more compensation to take up healthier lifestyles. Those of normal weight, who will increase in weight over time if they do not change their lifestyle, required the highest compensation. Policymakers face challenges in inducing people to change their behaviour and adopt healthy lifestyles.",
author = "Mandy Ryan and Deokhee Yi and Alison Avenell and Flora Douglas and Lorna Aucott and {van Teijlingen}, Edwin and Luke Vale",
note = "Acknowlegement We would like to thank all respondents to the discrete choice experiment (DCE) questionnaire and Tamara Brown and Joe Greener for their contribution to the stages of the project that informed the attributes and levels for the DCE. This work was conducted as part of PROGRESS (Prevent Obesity GRowing Economic Synthesis Study) which was funded by the National Preventative Research Initiative and the Universities of Aberdeen and Melbourne. The PROGRESS group consists of the following applicants: Alison Avenell, University of Aberdeen Health Services Research Unit (HSRU), Mandy Ryan, University of Aberdeen Health Economics Research Unit (HERU), Luke Value, University of Aberdeen HERU and HSRU, Lorna Aucott and Flora Douglas, University of Aberdeen, Section of Population Health, Edwin van Teijlingen, Bournemouth University, Alison Goode and Kostas Mavromaras, University of Adelaide and Matt Sutton, University of Manchester. HERU and HSRU are core funded by the Chief Scientist’s Office of the Scottish Government Health and Social Care Directorates. AA was funded by a Career Scientist award from the Scottish Government Health Directorates.",
year = "2015",
month = "4",
doi = "10.1017/S1744133114000413",
language = "English",
volume = "10",
pages = "161--182",
journal = "Health economics, policy, and law",
issn = "1744-134X",
publisher = "Cambridge University Press",
number = "2",

}

TY - JOUR

T1 - Gaining pounds by losing pounds

T2 - preferences for lifestyle interventions to reduce obesity

AU - Ryan, Mandy

AU - Yi, Deokhee

AU - Avenell, Alison

AU - Douglas, Flora

AU - Aucott, Lorna

AU - van Teijlingen, Edwin

AU - Vale, Luke

N1 - Acknowlegement We would like to thank all respondents to the discrete choice experiment (DCE) questionnaire and Tamara Brown and Joe Greener for their contribution to the stages of the project that informed the attributes and levels for the DCE. This work was conducted as part of PROGRESS (Prevent Obesity GRowing Economic Synthesis Study) which was funded by the National Preventative Research Initiative and the Universities of Aberdeen and Melbourne. The PROGRESS group consists of the following applicants: Alison Avenell, University of Aberdeen Health Services Research Unit (HSRU), Mandy Ryan, University of Aberdeen Health Economics Research Unit (HERU), Luke Value, University of Aberdeen HERU and HSRU, Lorna Aucott and Flora Douglas, University of Aberdeen, Section of Population Health, Edwin van Teijlingen, Bournemouth University, Alison Goode and Kostas Mavromaras, University of Adelaide and Matt Sutton, University of Manchester. HERU and HSRU are core funded by the Chief Scientist’s Office of the Scottish Government Health and Social Care Directorates. AA was funded by a Career Scientist award from the Scottish Government Health Directorates.

PY - 2015/4

Y1 - 2015/4

N2 - While there is evidence that weight-loss interventions reduce morbidity, indications of their acceptability are limited. Understanding preferences for lifestyle interventions will help policymakers design interventions. We used a discrete choice experiment to investigate preferences for lifestyle interventions to reduce adult obesity. Attributes focused on: the components of the programme; weight change; short-term and longer-term health gains; time spent on the intervention and financial costs incurred. Data were collected through a web-based questionnaire, with 504 UK adults responding. Despite evidence that dietary interventions are the most effective way to lose weight, respondents preferred lifestyle interventions involving physical activity. While the evidence suggests that behaviour change support improves effectiveness of interventions, its value to participants was limited. A general preference to maintain current lifestyles, together with the sensitivity of take up to financial costs, suggests financial incentives could be used to help maximise uptake of healthy lifestyle interventions. An important target group for change, men, required more compensation to take up healthier lifestyles. Those of normal weight, who will increase in weight over time if they do not change their lifestyle, required the highest compensation. Policymakers face challenges in inducing people to change their behaviour and adopt healthy lifestyles.

AB - While there is evidence that weight-loss interventions reduce morbidity, indications of their acceptability are limited. Understanding preferences for lifestyle interventions will help policymakers design interventions. We used a discrete choice experiment to investigate preferences for lifestyle interventions to reduce adult obesity. Attributes focused on: the components of the programme; weight change; short-term and longer-term health gains; time spent on the intervention and financial costs incurred. Data were collected through a web-based questionnaire, with 504 UK adults responding. Despite evidence that dietary interventions are the most effective way to lose weight, respondents preferred lifestyle interventions involving physical activity. While the evidence suggests that behaviour change support improves effectiveness of interventions, its value to participants was limited. A general preference to maintain current lifestyles, together with the sensitivity of take up to financial costs, suggests financial incentives could be used to help maximise uptake of healthy lifestyle interventions. An important target group for change, men, required more compensation to take up healthier lifestyles. Those of normal weight, who will increase in weight over time if they do not change their lifestyle, required the highest compensation. Policymakers face challenges in inducing people to change their behaviour and adopt healthy lifestyles.

U2 - 10.1017/S1744133114000413

DO - 10.1017/S1744133114000413

M3 - Article

VL - 10

SP - 161

EP - 182

JO - Health economics, policy, and law

JF - Health economics, policy, and law

SN - 1744-134X

IS - 2

ER -