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Digital self-monitoring: Does adherence or association with outcomes differ by self-monitoring target?
Journal article   Open access   Peer reviewed

Digital self-monitoring: Does adherence or association with outcomes differ by self-monitoring target?

Meghan L. Butryn, Kathryn M. Godfrey, Mary K. Martinelli, Savannah R. Roberts, Evan M. Forman and Fengqing Zhang
Obesity science & practice, v 6(2)
01 Apr 2020
PMID: 32313670
url
https://doi.org/10.1002/osp4.391View
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.

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31 citations in Scopus

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Web of Science research areas
Endocrinology & Metabolism
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