Systematic development of a self-regulation weight-management intervention for overweight adults

Lenneke van Genugten · Pepijn van Empelen · Ilse Johanna Elisabeth Flink · Anke Oenema

31 citations0/0 files storedBMC Public Health

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Behavioral Health and Interventions Obesity, Physical Activity, Diet Mobile Health and mHealth Applications

Abstract

BACKGROUND: This paper describes the systematic development of an intervention for the prevention of obesity among overweight adults. Its development was guided by the six steps of Intervention Mapping (IM), in which the establishment of program needs, objectives and methods is followed by development of the intervention and an implementation and evaluation plan. METHODS: Weight gain prevention can be achieved by making small changes in dietary intake (DI) or physical activity (PA). The intervention objectives, derived from self-regulation theory, were to establish goal-oriented behaviour. They were translated into a computer-tailored Internet-delivered intervention consisting of four modules. The intervention includes strategies to target the main determinants of self-regulation, such as feedback and action planning.The first module is intended to ensure adults' commitment to preventing weight gain, choosing behaviour change and action initiation. The second and third modules are intended to evaluate behaviour change, and to adapt action and coping plans. The fourth module is intended to maintain self-regulation of body weight without use of the program.The intervention is being evaluated for its efficacy in an RCT, whose protocol is described in this paper. Primary outcomes are weight, waist circumference and skin-fold thickness. Other outcomes are DI, PA, cognitive mediators and self-regulation skills. DISCUSSION: The IM protocol helped us integrating insights from various theories. The performance objectives and methods were guided by self-regulation theory but empirical evidence with regard to the effectiveness of theoretical methods was limited. Sometimes, feasibility issues made it necessary to deviate from the original, theory-based plans. With this paper, we provide transparency with regard to intervention development and evaluation. TRIAL REGISTRATION: NTR1862.

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References

1991The theory of planned behavior 2000Intrinsic and Extrinsic Motivations: Classic Definitions and New Directions 2002Building a practically useful theory of goal setting and task motivation: A 35-year odyssey.1991Social cognitive theory of self-regulation 2006Implementation Intentions and Goal Achievement: A Meta‐analysis of Effects and Processes 2008Modeling Health Behavior Change: How to Predict and Modify the Adoption and Maintenance of Health Behaviors 2008A taxonomy of behavior change techniques used in interventions.1994Stages of change and decisional balance for 12 problem behaviors.

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2016Evaluation of a Serious Self-Regulation Game Intervention for Overweight-Related Behaviors (“Balance It”): A Pilot Study 2016How a Fully Automated eHealth Program Simulates Three Therapeutic Processes: A Case Study 2016The use and evaluation of self-regulation techniques can predict health goal attainment in adults: an explorative study 2014Intervention Use and Action Planning in a Web-Based Computer-Tailored Weight Management Program for Overweight Adults: Randomized Controlled Trial

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