User Engagement Associated with Web-Intervention Features to Attain Clinically Meaningful Weight Loss and Weight Maintenance in Rural Women

Patricia A. Hageman, Joseph E. Mroz, Michael A. Yoerger, Carol H. Pullen

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Objective. Purely web-based weight loss and weight-loss maintenance interventions show promise to influence behavior change. Yet, little is known about user engagement with features of web-based interventions that predict clinically meaningful weight loss (≥5% bodyweight loss). This study examines level of website feature engagement with the likelihood of attaining ≥5% bodyweight loss after 6 and 18 months participation in a web-based intervention, among rural women at high risk of obesity-related diseases and disability. Methods. In this secondary analysis of clinical trial data of 201 rural women, we examined weight change and user engagement, measured as clicks on specific web-based intervention features (messaging and self-tracking), as associated with clinically meaningful weight loss (baseline to 6 months) and weight-loss maintenance (6 to 18 months). Results. Generalized estimating equations, adjusted for age, intervention group, and intervention phase, revealed high engagement with messaging predicted whether women achieved ≥5% weight loss at 6 months and at 18 months. There was no effect of self-tracking. Conclusions. Being engaged with messages was associated with attaining clinically meaningful short-term and longer-term weight loss.

Original languageEnglish (US)
Article number7932750
JournalJournal of Obesity
Volume2019
DOIs
StatePublished - 2019

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism

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