Optimizing acceptability and feasibility of an evidence-based behavioral intervention for obese adults with obesity-related co-morbidities or additional risk factors for co-morbidities

An open-pilot intervention study in secondary care

Stephan U Dombrowski, Falko F Sniehotta, Marie Johnston, Iain Broom, Utkarsh Kulkarni, Jenny Brown, Lynne Murray, Vera Araújo-Soares

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

OBJECTIVE: To test and optimize the feasibility and acceptability of a physical activity (PA) and healthy eating behavior change intervention for obese adults with obesity-related co-morbidities or additional risk factors for co-morbidities. METHODS: Open-pilot intervention study using an uncontrolled pre and post design with ongoing measures on intervention acceptability and feasibility. Participants received 5 weekly nurse-led one-hour long group sessions. Acceptability and feasibility were assessed throughout. PA, dietary behavior and weight were measured before and after the intervention. RESULTS: Of 74 consenting participants, 61 (82%) received and 47 (64%) completed the intervention. Average ratings of intervention materials and components by participants ranged between 4.1 and 4.9 out of 5. Average facilitator satisfaction rating was 90% (range 75-100%). The intervention delivery was feasible as indicated by ratings and comments from participants and the facilitator. Participants lost -0.86kg of weight t(45)=3.84, p=0.0001, and increased PA by an additional 1.6 (SD=2.7) sessions/week, t(31)=-3.3, p=0.002. No significant dietary differences emerged. CONCLUSION: The intervention was acceptable to the facilitator and participants and feasible for delivery. Several intervention aspects were further optimized. PRACTICE IMPLICATIONS: The current study outlines a PA and dietary behavior change pilot intervention coupled with a systematic and transparent process of intervention optimization.
Original languageEnglish
Pages (from-to)108-119
Number of pages12
JournalPatient Education and Counseling
Volume87
Issue number1
DOIs
Publication statusPublished - Apr 2012

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Secondary Care
Obesity
Exercise
Morbidity
Weights and Measures
Feeding Behavior
Nurses

Keywords

  • behavior change
  • behavior change techniques
  • open-pilot
  • obesity
  • intervention development

Cite this

Optimizing acceptability and feasibility of an evidence-based behavioral intervention for obese adults with obesity-related co-morbidities or additional risk factors for co-morbidities : An open-pilot intervention study in secondary care. / Dombrowski, Stephan U; Sniehotta, Falko F; Johnston, Marie; Broom, Iain; Kulkarni, Utkarsh; Brown, Jenny; Murray, Lynne; Araújo-Soares, Vera.

In: Patient Education and Counseling, Vol. 87, No. 1, 04.2012, p. 108-119.

Research output: Contribution to journalArticle

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AU - Johnston, Marie

AU - Broom, Iain

AU - Kulkarni, Utkarsh

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AU - Murray, Lynne

AU - Araújo-Soares, Vera

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