Short and long-term lifestyle coaching approaches used to address diverse participant barriers to weight loss and physical activity adherence
BACKGROUND: Individual barriers to weight loss and physical activity goals in the Diabetes Prevention Program, a randomized trial with 3.2 years average treatment duration, have not been previously reported. Evaluating barriers and the lifestyle coaching approaches used to improve adherence in a lar...
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| creator | Venditti, Elizabeth M Wylie-Rosett, Judith Delahanty, Linda M Mele, Lisa Hoskin, Mary A Edelstein, Sharon L |
| description | BACKGROUND: Individual barriers to weight loss and physical activity goals in the Diabetes Prevention Program, a randomized trial with 3.2 years average treatment duration, have not been previously reported. Evaluating barriers and the lifestyle coaching approaches used to improve adherence in a large, diverse participant cohort can inform dissemination efforts. METHODS: Lifestyle coaches documented barriers and approaches after each session (mean session attendance = 50.3 ± 21.8). Subjects were 1076 intensive lifestyle participants (mean age = 50.6 years; mean BMI = 33.9 kg/m²; 68% female, 48% non-Caucasian). Barriers and approaches used to improve adherence were ranked by the percentage of the cohort for whom they applied. Barrier groupings were also analyzed in relation to baseline demographic characteristics. RESULTS: Top weight loss barriers reported were problems with self-monitoring (58%); social cues (58%); holidays (54%); low activity (48%); and internal cues (thought/mood) (44%). Top activity barriers were holidays (51%); time management (50%); internal cues (30%); illness (29%), and motivation (26%). The percentage of the cohort having any type of barrier increased over the long-term intervention period. A majority of the weight loss barriers were significantly associated with younger age, greater obesity, and non-Caucasian race/ethnicity (p-values vary). Physical activity barriers, particularly thought and mood cues, social cues and time management, physical injury or illness and access/weather, were most significantly associated with being female and obese (p 90% long term) and regularly reviewed self-monitoring skills. More costly approaches were used infrequently during the first 16 sessions (≤10%) but increased over 3.2 years. CONCLUSION: Behavioral problem solving approaches have short and long term dissemination potential for many kinds of participant barriers. Given minimal resources, increased attention to training lifestyle coaches in the consistent use of these approaches appears warranted. |
| doi_str_mv | 10.1186/1479-5868-11-16 |
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Evaluating barriers and the lifestyle coaching approaches used to improve adherence in a large, diverse participant cohort can inform dissemination efforts. METHODS: Lifestyle coaches documented barriers and approaches after each session (mean session attendance = 50.3 ± 21.8). Subjects were 1076 intensive lifestyle participants (mean age = 50.6 years; mean BMI = 33.9 kg/m²; 68% female, 48% non-Caucasian). Barriers and approaches used to improve adherence were ranked by the percentage of the cohort for whom they applied. Barrier groupings were also analyzed in relation to baseline demographic characteristics. RESULTS: Top weight loss barriers reported were problems with self-monitoring (58%); social cues (58%); holidays (54%); low activity (48%); and internal cues (thought/mood) (44%). Top activity barriers were holidays (51%); time management (50%); internal cues (30%); illness (29%), and motivation (26%). The percentage of the cohort having any type of barrier increased over the long-term intervention period. A majority of the weight loss barriers were significantly associated with younger age, greater obesity, and non-Caucasian race/ethnicity (p-values vary). Physical activity barriers, particularly thought and mood cues, social cues and time management, physical injury or illness and access/weather, were most significantly associated with being female and obese (p < 0.001 for all). Lifestyle coaches used problem-solving with most participants (≥75% short-term; > 90% long term) and regularly reviewed self-monitoring skills. More costly approaches were used infrequently during the first 16 sessions (≤10%) but increased over 3.2 years. CONCLUSION: Behavioral problem solving approaches have short and long term dissemination potential for many kinds of participant barriers. Given minimal resources, increased attention to training lifestyle coaches in the consistent use of these approaches appears warranted.</description><identifier>ISSN: 1479-5868</identifier><identifier>EISSN: 1479-5868</identifier><identifier>DOI: 10.1186/1479-5868-11-16</identifier><identifier>PMID: 24521153</identifier><language>eng</language><publisher>England: BioMed Central</publisher><subject>Adult ; Behavior modification ; Body Mass Index ; Design ; Diabetes ; Diabetes Mellitus - prevention & control ; Disease control ; disease control programs ; emotions ; Female ; females ; Health Promotion - methods ; Health services ; Hospitals ; Humans ; Intervention ; Life Style ; lifestyle ; Lifestyles ; Male ; Methods ; Middle Aged ; Motivation ; Motor Activity ; nationalities and ethnic groups ; obesity ; Obesity - prevention & control ; Patient Compliance ; physical activity ; Prevention programs ; Problem solving ; sociodemographic characteristics ; Socioeconomic Factors ; time management ; weather ; Weight Loss ; Womens health</subject><ispartof>The international journal of behavioral nutrition and physical activity, 2014-02, Vol.11 (1), p.16-16, Article 16</ispartof><rights>2014 Venditti et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2014 Venditti et al.; licensee BioMed Central Ltd. 2014 Venditti et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b570t-9aabbefaec4228df3c39b12862140f06923b814ce14d3225e101199c4c0d84fd3</citedby><cites>FETCH-LOGICAL-b570t-9aabbefaec4228df3c39b12862140f06923b814ce14d3225e101199c4c0d84fd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4015875/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4015875/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24521153$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Venditti, Elizabeth M</creatorcontrib><creatorcontrib>Wylie-Rosett, Judith</creatorcontrib><creatorcontrib>Delahanty, Linda M</creatorcontrib><creatorcontrib>Mele, Lisa</creatorcontrib><creatorcontrib>Hoskin, Mary A</creatorcontrib><creatorcontrib>Edelstein, Sharon L</creatorcontrib><creatorcontrib>for the Diabetes Prevention Program Research Group</creatorcontrib><creatorcontrib>Diabetes Prevention Program Research Group</creatorcontrib><title>Short and long-term lifestyle coaching approaches used to address diverse participant barriers to weight loss and physical activity adherence</title><title>The international journal of behavioral nutrition and physical activity</title><addtitle>Int J Behav Nutr Phys Act</addtitle><description>BACKGROUND: Individual barriers to weight loss and physical activity goals in the Diabetes Prevention Program, a randomized trial with 3.2 years average treatment duration, have not been previously reported. Evaluating barriers and the lifestyle coaching approaches used to improve adherence in a large, diverse participant cohort can inform dissemination efforts. METHODS: Lifestyle coaches documented barriers and approaches after each session (mean session attendance = 50.3 ± 21.8). Subjects were 1076 intensive lifestyle participants (mean age = 50.6 years; mean BMI = 33.9 kg/m²; 68% female, 48% non-Caucasian). Barriers and approaches used to improve adherence were ranked by the percentage of the cohort for whom they applied. Barrier groupings were also analyzed in relation to baseline demographic characteristics. RESULTS: Top weight loss barriers reported were problems with self-monitoring (58%); social cues (58%); holidays (54%); low activity (48%); and internal cues (thought/mood) (44%). Top activity barriers were holidays (51%); time management (50%); internal cues (30%); illness (29%), and motivation (26%). The percentage of the cohort having any type of barrier increased over the long-term intervention period. A majority of the weight loss barriers were significantly associated with younger age, greater obesity, and non-Caucasian race/ethnicity (p-values vary). Physical activity barriers, particularly thought and mood cues, social cues and time management, physical injury or illness and access/weather, were most significantly associated with being female and obese (p < 0.001 for all). Lifestyle coaches used problem-solving with most participants (≥75% short-term; > 90% long term) and regularly reviewed self-monitoring skills. More costly approaches were used infrequently during the first 16 sessions (≤10%) but increased over 3.2 years. CONCLUSION: Behavioral problem solving approaches have short and long term dissemination potential for many kinds of participant barriers. Given minimal resources, increased attention to training lifestyle coaches in the consistent use of these approaches appears warranted.</description><subject>Adult</subject><subject>Behavior modification</subject><subject>Body Mass Index</subject><subject>Design</subject><subject>Diabetes</subject><subject>Diabetes Mellitus - prevention & control</subject><subject>Disease control</subject><subject>disease control programs</subject><subject>emotions</subject><subject>Female</subject><subject>females</subject><subject>Health Promotion - methods</subject><subject>Health services</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intervention</subject><subject>Life Style</subject><subject>lifestyle</subject><subject>Lifestyles</subject><subject>Male</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Motivation</subject><subject>Motor Activity</subject><subject>nationalities and ethnic groups</subject><subject>obesity</subject><subject>Obesity - prevention & control</subject><subject>Patient Compliance</subject><subject>physical activity</subject><subject>Prevention programs</subject><subject>Problem solving</subject><subject>sociodemographic characteristics</subject><subject>Socioeconomic Factors</subject><subject>time management</subject><subject>weather</subject><subject>Weight Loss</subject><subject>Womens health</subject><issn>1479-5868</issn><issn>1479-5868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkk1v1DAQhiMEoqVw5gaWuPQS6vFH1rkgQVU-pEocSs-W40w2rrJxsJ1F-yP4zzhsWbUIBCePZh6945l3iuI50NcAqjoDsapLqSpVApRQPSiOD5mHd-Kj4kmMN5RyUFQ-Lo6YkAxA8uPi-1XvQyJmbMngx3WZMGzI4DqMaTcgsd7Y3o1rYqYpLDFGMkdsSfLEtG3AGEnrthgiksmE5KybzJhIY0JwObtw39Ct-5TlM7v0mfpddNYMxNjkti7tslKPAUeLT4tHnRkiPrt9T4rr9xdfzj-Wl58_fDp_e1k2ckVTWRvTNNgZtIIx1Xbc8roBpioGgna0qhlvFAiLIFrOmESgAHVthaWtEl3LT4o3e91pbjbYWhxTMIOegtuYsNPeOH2_Mrper_1WCwpSrWQWeLcXaJz_i8D9ivUbvdihFzs0gIYqi5ze_iL4r3PeuN64aHEYzIh-jjqbxQGArep_o5JKLlRdy_9Bga-kkiqjr35Db_wcxrz5haJKVPLnrGd7yoZsYcDuMCZQvVzhHwZ7cXe9B_7X2WXg5R7ojNdmHVzU11eMQkVz14oLxn8Ax5Tj7w</recordid><startdate>20140212</startdate><enddate>20140212</enddate><creator>Venditti, Elizabeth M</creator><creator>Wylie-Rosett, Judith</creator><creator>Delahanty, Linda M</creator><creator>Mele, Lisa</creator><creator>Hoskin, Mary A</creator><creator>Edelstein, Sharon L</creator><general>BioMed Central</general><general>BioMed Central Ltd</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope><scope>5PM</scope></search><sort><creationdate>20140212</creationdate><title>Short and long-term lifestyle coaching approaches used to address diverse participant barriers to weight loss and physical activity adherence</title><author>Venditti, Elizabeth M ; Wylie-Rosett, Judith ; Delahanty, Linda M ; Mele, Lisa ; Hoskin, Mary A ; Edelstein, Sharon L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b570t-9aabbefaec4228df3c39b12862140f06923b814ce14d3225e101199c4c0d84fd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Behavior modification</topic><topic>Body Mass Index</topic><topic>Design</topic><topic>Diabetes</topic><topic>Diabetes Mellitus - prevention & control</topic><topic>Disease control</topic><topic>disease control programs</topic><topic>emotions</topic><topic>Female</topic><topic>females</topic><topic>Health Promotion - methods</topic><topic>Health services</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intervention</topic><topic>Life Style</topic><topic>lifestyle</topic><topic>Lifestyles</topic><topic>Male</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Motivation</topic><topic>Motor Activity</topic><topic>nationalities and ethnic groups</topic><topic>obesity</topic><topic>Obesity - prevention & control</topic><topic>Patient Compliance</topic><topic>physical activity</topic><topic>Prevention programs</topic><topic>Problem solving</topic><topic>sociodemographic characteristics</topic><topic>Socioeconomic Factors</topic><topic>time management</topic><topic>weather</topic><topic>Weight Loss</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Venditti, Elizabeth M</creatorcontrib><creatorcontrib>Wylie-Rosett, Judith</creatorcontrib><creatorcontrib>Delahanty, Linda M</creatorcontrib><creatorcontrib>Mele, Lisa</creatorcontrib><creatorcontrib>Hoskin, Mary A</creatorcontrib><creatorcontrib>Edelstein, Sharon L</creatorcontrib><creatorcontrib>for the Diabetes Prevention Program Research Group</creatorcontrib><creatorcontrib>Diabetes Prevention Program Research Group</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The international journal of behavioral nutrition and physical activity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Venditti, Elizabeth M</au><au>Wylie-Rosett, Judith</au><au>Delahanty, Linda M</au><au>Mele, Lisa</au><au>Hoskin, Mary A</au><au>Edelstein, Sharon L</au><aucorp>for the Diabetes Prevention Program Research Group</aucorp><aucorp>Diabetes Prevention Program Research Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Short and long-term lifestyle coaching approaches used to address diverse participant barriers to weight loss and physical activity adherence</atitle><jtitle>The international journal of behavioral nutrition and physical activity</jtitle><addtitle>Int J Behav Nutr Phys Act</addtitle><date>2014-02-12</date><risdate>2014</risdate><volume>11</volume><issue>1</issue><spage>16</spage><epage>16</epage><pages>16-16</pages><artnum>16</artnum><issn>1479-5868</issn><eissn>1479-5868</eissn><abstract>BACKGROUND: Individual barriers to weight loss and physical activity goals in the Diabetes Prevention Program, a randomized trial with 3.2 years average treatment duration, have not been previously reported. Evaluating barriers and the lifestyle coaching approaches used to improve adherence in a large, diverse participant cohort can inform dissemination efforts. METHODS: Lifestyle coaches documented barriers and approaches after each session (mean session attendance = 50.3 ± 21.8). Subjects were 1076 intensive lifestyle participants (mean age = 50.6 years; mean BMI = 33.9 kg/m²; 68% female, 48% non-Caucasian). Barriers and approaches used to improve adherence were ranked by the percentage of the cohort for whom they applied. Barrier groupings were also analyzed in relation to baseline demographic characteristics. RESULTS: Top weight loss barriers reported were problems with self-monitoring (58%); social cues (58%); holidays (54%); low activity (48%); and internal cues (thought/mood) (44%). Top activity barriers were holidays (51%); time management (50%); internal cues (30%); illness (29%), and motivation (26%). The percentage of the cohort having any type of barrier increased over the long-term intervention period. A majority of the weight loss barriers were significantly associated with younger age, greater obesity, and non-Caucasian race/ethnicity (p-values vary). Physical activity barriers, particularly thought and mood cues, social cues and time management, physical injury or illness and access/weather, were most significantly associated with being female and obese (p < 0.001 for all). Lifestyle coaches used problem-solving with most participants (≥75% short-term; > 90% long term) and regularly reviewed self-monitoring skills. More costly approaches were used infrequently during the first 16 sessions (≤10%) but increased over 3.2 years. CONCLUSION: Behavioral problem solving approaches have short and long term dissemination potential for many kinds of participant barriers. Given minimal resources, increased attention to training lifestyle coaches in the consistent use of these approaches appears warranted.</abstract><cop>England</cop><pub>BioMed Central</pub><pmid>24521153</pmid><doi>10.1186/1479-5868-11-16</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; SpringerLink Journals - AutoHoldings; PubMed Central Open Access; Springer Nature OA Free Journals |
| subjects | Adult Behavior modification Body Mass Index Design Diabetes Diabetes Mellitus - prevention & control Disease control disease control programs emotions Female females Health Promotion - methods Health services Hospitals Humans Intervention Life Style lifestyle Lifestyles Male Methods Middle Aged Motivation Motor Activity nationalities and ethnic groups obesity Obesity - prevention & control Patient Compliance physical activity Prevention programs Problem solving sociodemographic characteristics Socioeconomic Factors time management weather Weight Loss Womens health |
| title | Short and long-term lifestyle coaching approaches used to address diverse participant barriers to weight loss and physical activity adherence |
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