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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

Authors

Stephan U. Dombrowski

Falko F. Sniehotta

Marie Johnston

Iain Broom

Utkarsh Kulkarni

Jenny Brown

Lynne Murray

Vera Araújo-Soares



Abstract

The objective of this study was 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. This was done through an 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. 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 −0.86 kg 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. The intervention was acceptable to the facilitator and participants and feasible for delivery. Several intervention aspects were further optimized.

Citation

DOMBROWSKI, S.U., SNIEHOTTA, F.F., JOHNSTON, M., BROOM, I., KULKARNI, U., BROWN, J., MURRAY, L. and ARAƚJO-SOARES, V. 2012. 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. Patient education and counseling [online], 87(1), pages 108-119. Available from: https://doi.org/10.1016/j.pec.2011.08.003

Journal Article Type Article
Acceptance Date Aug 11, 2011
Online Publication Date Sep 9, 2011
Publication Date Apr 30, 2012
Deposit Date Dec 10, 2012
Publicly Available Date Dec 10, 2012
Journal Patient education and counseling
Print ISSN 0738-3991
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 87
Issue 1
Pages 108-119
DOI https://doi.org/10.1016/j.pec.2011.08.003
Keywords Behaviour change; Behaviour change techniques; Open pilot; Obesity; Intervention development
Public URL http://hdl.handle.net/10059/786

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