دورية أكاديمية
The impact of participant mental health on attendance and engagement in a trial of behavioural weight management programmes: secondary analysis of the WRAP randomised controlled trial
| العنوان: | The impact of participant mental health on attendance and engagement in a trial of behavioural weight management programmes: secondary analysis of the WRAP randomised controlled trial |
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| المؤلفون: | Rebecca A. Jones, Julia Mueller, Stephen J. Sharp, Ann Vincent, Robbie Duschinsky, Simon J. Griffin, Amy L. Ahern |
| المصدر: | International Journal of Behavioral Nutrition and Physical Activity, Vol 18, Iss 1, Pp 1-13 (2021) |
| بيانات النشر: | BMC, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Nutritional diseases. Deficiency diseases LCC:Public aspects of medicine |
| مصطلحات موضوعية: | Obesity, Prevention, Weight loss, Mental health, Engagement, Nutritional diseases. Deficiency diseases, RC620-627, Public aspects of medicine, RA1-1270 |
| الوصف: | Abstract Background Low attendance and engagement in behavioural weight management trials are common. Mental health may play an important role, however previous research exploring this association is limited with inconsistent findings. We aimed to investigate whether mental health was associated with attendance and engagement in a trial of behavioural weight management programmes. Methods This is a secondary data analysis of the Weight loss referrals for adults in primary care (WRAP) trial, which randomised 1267 adults with overweight or obesity to brief intervention, WW (formerly Weight Watchers) for 12-weeks, or WW for 52-weeks. We used regression analyses to assess the association of baseline mental health (depression and anxiety (by Hospital Anxiety and Depression Scale), quality of life (by EQ5D), satisfaction with life (by Satisfaction with Life Questionnaire)) with programme attendance and engagement in WW groups, and trial attendance in all randomised groups. Results Every one unit of baseline depression score was associated with a 1% relative reduction in rate of WW session attendance in the first 12 weeks (Incidence rate ratio [IRR] 0.99; 95% CI 0.98, 0.999). Higher baseline anxiety was associated with 4% lower odds to report high engagement with WW digital tools (Odds ratio [OR] 0.96; 95% CI 0.94, 0.99). Every one unit of global quality of life was associated with 69% lower odds of reporting high engagement with the WW mobile app (OR 0.31; 95% CI 0.15, 0.64). Greater symptoms of depression and anxiety and lower satisfaction with life at baseline were consistently associated with lower odds of attending study visits at 3-, 12-, 24-, and 60-months. Conclusions Participants were less likely to attend programme sessions, engage with resources, and attend study assessments when reporting poorer baseline mental health. Differences in attendance and engagement were small, however changes may still have a meaningful effect on programme effectiveness and trial completion. Future research should investigate strategies to maximise attendance and engagement in those reporting poorer mental health. Trial registration The original trial ( ISRCTN82857232 ) and five year follow up ( ISRCTN64986150 ) were prospectively registered with Current Controlled Trials on 15/10/2012 and 01/02/2018. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1479-5868 |
| العلاقة: | https://doaj.org/toc/1479-5868Test |
| DOI: | 10.1186/s12966-021-01216-6 |
| الوصول الحر: | https://doaj.org/article/76d4262d016d4cc3abaebed77986c429Test |
| رقم الانضمام: | edsdoj.76d4262d016d4cc3abaebed77986c429 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 14795868 |
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| DOI: | 10.1186/s12966-021-01216-6 |