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A mixed methods approach to improving recruitment and engagement of emerging adults in behavioural weight loss programs
OBJECTIVE: Emerging adults ages 18–25 are at high risk for obesity, but are markedly underrepresented in behavioural weight loss (BWL) programs and experience lower engagement and retention relative to older adults. PURPOSE: To utilize a mixed methods approach to inform future efforts to effectively...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5192532/ https://www.ncbi.nlm.nih.gov/pubmed/28090339 http://dx.doi.org/10.1002/osp4.71 |
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author | LaRose, J. G. Guthrie, K. M. Lanoye, A. Tate, D. F. Robichaud, E. Caccavale, L. J. Wing, R. R. |
author_facet | LaRose, J. G. Guthrie, K. M. Lanoye, A. Tate, D. F. Robichaud, E. Caccavale, L. J. Wing, R. R. |
author_sort | LaRose, J. G. |
collection | PubMed |
description | OBJECTIVE: Emerging adults ages 18–25 are at high risk for obesity, but are markedly underrepresented in behavioural weight loss (BWL) programs and experience lower engagement and retention relative to older adults. PURPOSE: To utilize a mixed methods approach to inform future efforts to effectively recruit and engage this high‐risk population in BWL programs. METHODS: We used a convergent parallel design in which quantitative and qualitative data were given equal priority. Study 1 (N = 137, age = 21.8 + 2.2, BMI = 30.1 + 4.7) was a quantitative survey, conducted online to reduce known barriers and minimize bias. Study 2 (N = 7 groups, age = 22.3 + 2.2, BMI = 31.5 + 4.6) was a qualitative study, consisting of in person focus groups to gain greater depth and identify contextual factors unable to be captured in Study 1. RESULTS: Weight loss was of interest, but weight itself was not a central motivation; an emphasis on overall lifestyle, self‐improvement and fitness emerged as driving factors. Key barriers were time, motivation and money. Recruitment processes should be primarily online with messages tailored specifically to motivations and preferences of this age group. Preferences for a program were reduced intensity and brief, hybrid format with some in‐person contact, individual level coaching, experiential learning and peer support. Key methods of promoting engagement and retention were autonomy and choice, money and creating an optimal default. CONCLUSIONS: An individually tailored lifestyle intervention that addresses a spectrum of health behaviours, promotes autonomy and emphasizes activity and fitness may facilitate recruitment and engagement in this population better than traditional BWL protocols. |
format | Online Article Text |
id | pubmed-5192532 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-51925322017-01-12 A mixed methods approach to improving recruitment and engagement of emerging adults in behavioural weight loss programs LaRose, J. G. Guthrie, K. M. Lanoye, A. Tate, D. F. Robichaud, E. Caccavale, L. J. Wing, R. R. Obes Sci Pract Original Articles OBJECTIVE: Emerging adults ages 18–25 are at high risk for obesity, but are markedly underrepresented in behavioural weight loss (BWL) programs and experience lower engagement and retention relative to older adults. PURPOSE: To utilize a mixed methods approach to inform future efforts to effectively recruit and engage this high‐risk population in BWL programs. METHODS: We used a convergent parallel design in which quantitative and qualitative data were given equal priority. Study 1 (N = 137, age = 21.8 + 2.2, BMI = 30.1 + 4.7) was a quantitative survey, conducted online to reduce known barriers and minimize bias. Study 2 (N = 7 groups, age = 22.3 + 2.2, BMI = 31.5 + 4.6) was a qualitative study, consisting of in person focus groups to gain greater depth and identify contextual factors unable to be captured in Study 1. RESULTS: Weight loss was of interest, but weight itself was not a central motivation; an emphasis on overall lifestyle, self‐improvement and fitness emerged as driving factors. Key barriers were time, motivation and money. Recruitment processes should be primarily online with messages tailored specifically to motivations and preferences of this age group. Preferences for a program were reduced intensity and brief, hybrid format with some in‐person contact, individual level coaching, experiential learning and peer support. Key methods of promoting engagement and retention were autonomy and choice, money and creating an optimal default. CONCLUSIONS: An individually tailored lifestyle intervention that addresses a spectrum of health behaviours, promotes autonomy and emphasizes activity and fitness may facilitate recruitment and engagement in this population better than traditional BWL protocols. John Wiley and Sons Inc. 2016-10-06 /pmc/articles/PMC5192532/ /pubmed/28090339 http://dx.doi.org/10.1002/osp4.71 Text en © 2016 The Authors. Obesity Science & Practice published by John Wiley & Sons Ltd, World Obesity and The Obesity Society. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Articles LaRose, J. G. Guthrie, K. M. Lanoye, A. Tate, D. F. Robichaud, E. Caccavale, L. J. Wing, R. R. A mixed methods approach to improving recruitment and engagement of emerging adults in behavioural weight loss programs |
title | A mixed methods approach to improving recruitment and engagement of emerging adults in behavioural weight loss programs |
title_full | A mixed methods approach to improving recruitment and engagement of emerging adults in behavioural weight loss programs |
title_fullStr | A mixed methods approach to improving recruitment and engagement of emerging adults in behavioural weight loss programs |
title_full_unstemmed | A mixed methods approach to improving recruitment and engagement of emerging adults in behavioural weight loss programs |
title_short | A mixed methods approach to improving recruitment and engagement of emerging adults in behavioural weight loss programs |
title_sort | mixed methods approach to improving recruitment and engagement of emerging adults in behavioural weight loss programs |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5192532/ https://www.ncbi.nlm.nih.gov/pubmed/28090339 http://dx.doi.org/10.1002/osp4.71 |
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