Published, Version of Record (VoR)CC BY V4.0, Open
Abstract
Endocrinology & Metabolism Life Sciences & Biomedicine Science & Technology
Objective Digital self-monitoring of eating, physical activity, and weight is increasingly prescribed in behavioural weight loss programmes. This study determined if adherence rates or associations with outcomes differed according to self-monitoring target (ie, self-monitoring of eating versus physical activity versus weight). Methods Participants in a 3-month, group-based weight loss programme were instructed to use an app to record food intake, wear a physical activity sensor, and use a wireless body weight scale. At post-treatment, weight loss was measured in clinic and moderate-to-vigorous physical activity (MVPA) was measured by research-grade accelerometer. Results Adherence to self-monitoring decreased significantly over time for eating and weight but not physical activity. Overall, adherence to self-monitoring of weight was lower than that of eating or physical activity. Greater adherence to self-monitoring of eating, physical activity, and weight each predicted greater weight loss. Only greater adherence to self-monitoring of eating was associated with greater bouted minutes of MVPA. Conclusions Findings from this study suggest that self-monitoring should be considered a target-specific behaviour rather than a unitary construct when conceptualizing adherence and association with treatment outcomes.
Digital self-monitoring: Does adherence or association with outcomes differ by self-monitoring target?
Creators
Meghan L. Butryn - Drexel University
Kathryn M. Godfrey - Drexel University
Mary K. Martinelli - Drexel University
Savannah R. Roberts - Drexel University
Evan M. Forman - Drexel University
Fengqing Zhang - Drexel University
Publication Details
Obesity science & practice, v 6(2)
Publisher
Wiley
Number of pages
8
Grant note
NIH R21DK112741 / National Institute of Diabetes and Digestive and Kidney Diseases; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK)
R21DK112741 / NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA
Resource Type
Journal article
Language
English
Academic Unit
Psychological and Brain Sciences (Psychology); Center for Weight, Eating and Lifestyle Science (WELL) [Historical]
Web of Science ID
WOS:000502557900001
Scopus ID
2-s2.0-85083618291
Other Identifier
991019168623704721
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