Browsing by Author "Wilson, Kathryn E."
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- Informing the development and uptake of a weight management intervention for preconception: a mixed-methods investigation of patient and provider perceptionsHarden, Samantha M.; Ramalingam, NithyaPriya S.; Wilson, Kathryn E.; Evans-Hoeker, Emily (2017-02-06)Background It is recommended for women to have a healthy body mass index before conception. However, there is limited research on appropriate preconception interventions for weight loss. Furthermore, there is a lack of knowledge on providers’ willingness to refer to particular behavioral interventions and the degree to which patients would attend those interventions. Methods A cross-section of 67 patients and 21 providers completed surveys related to their demographics and willingness to refer/attend a number of interventions for weight loss. A case study of three patients from the target audience was used to elicit detailed feedback on preconception weight status and weight loss intervention. Results Overall, patients were willing to attend a variety of interventions, regardless of BMI category. Focus group participants shared that weight loss prior to conception would be beneficial for them and their child, but cited barriers such as time, location, and the way providers encourage weight loss. Providers were willing to refer to a number of behavioral interventions, and were less willing to prescribe weight loss medications than other intervention options. Conclusions A number of intervention strategies may be well received by both patients and providers in preconception care to assist with weight loss prior to conception. Future research is needed on intervention effects and sustainability.
- Uptake of a Wearable Activity Tracker in a Community-Based Weight Loss ProgramTaggart, Anna Elizabeth (Virginia Tech, 2016-06-08)The purpose of this thesis was to determine the proportion of participants enrolled in a community-based weight loss program that would accept and use a wearable device (Fitbit) if included as part of the program. A sample of 526 newly enrolled, adult, female weight loss program participants (BMI ≥ 30 kg/m2 ) were recruited. Participants were randomized to either a Fitbit experimental condition or no-Fitbit control condition, and received emailed information on program features. The experimental condition email also included a free Fitbit offer. The full sample (n=526) was 44±12.6 years old with a BMI of 37±6.2 kg/m2. The proportion of experimental sample (n=266) that accepted and synced was 50% and 23%, respectively. Twenty-two participants in the control condition (8%) also independently obtained and synced a Fitbit. Ninety-nine percent passively declined (did not respond to request for Fitbit color and size information). Those that declined were older (46±13.4 vs. 42±11.3 years of age, p=.001) and weighed less (214±38.9lbs. vs. 231±41.3lbs., p=.01) than those who accepted. Those in the experimental sample who synced were younger (42±10.0 vs. 45±13.2 years of age, p=.012), and weighed more (237±45.2lbs. vs. 217±38.1lbs., p=.002) than those who accepted but did not sync. This thesis provides preliminary support that 23% of participants will accept and sync a free wearable device. These data can be used for decision making, combined with effectiveness and cost data, and research on wearable activity trackers and community, incentive, and web-based weight loss.