A Theory- And Evidence-Based Digital Intervention Tool for Weight Loss Maintenance (NoHoW Toolkit): Systematic Development and Refinement Study

Research output: Contribution to journalJournal articlepeer-review

Standard

A Theory- And Evidence-Based Digital Intervention Tool for Weight Loss Maintenance (NoHoW Toolkit) : Systematic Development and Refinement Study. / Marques, Marta M.; Matos, Marcela; Mattila, Elina; Encantado, Jorge; Duarte, Cristiana; Teixeira, Pedro J.; Stubbs, R. James; Sniehotta, Falko F.; Ermes, Miikka; Harjumaa, Marja; Leppänen, Juha; Välkkynen, Pasi; Silva, Marlene N.; Ferreira, Cláudia; Carvalho, Sérgio; Palmeira, Lara; Horgan, Graham; Heitmann, Berit Lilienthal; Evans, Elizabeth H.; Palmeira, António L.

In: Journal of Medical Internet Research, Vol. 23, No. 12, e25305, 2021.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Marques, MM, Matos, M, Mattila, E, Encantado, J, Duarte, C, Teixeira, PJ, Stubbs, RJ, Sniehotta, FF, Ermes, M, Harjumaa, M, Leppänen, J, Välkkynen, P, Silva, MN, Ferreira, C, Carvalho, S, Palmeira, L, Horgan, G, Heitmann, BL, Evans, EH & Palmeira, AL 2021, 'A Theory- And Evidence-Based Digital Intervention Tool for Weight Loss Maintenance (NoHoW Toolkit): Systematic Development and Refinement Study', Journal of Medical Internet Research, vol. 23, no. 12, e25305. https://doi.org/10.2196/25305

APA

Marques, M. M., Matos, M., Mattila, E., Encantado, J., Duarte, C., Teixeira, P. J., Stubbs, R. J., Sniehotta, F. F., Ermes, M., Harjumaa, M., Leppänen, J., Välkkynen, P., Silva, M. N., Ferreira, C., Carvalho, S., Palmeira, L., Horgan, G., Heitmann, B. L., Evans, E. H., & Palmeira, A. L. (2021). A Theory- And Evidence-Based Digital Intervention Tool for Weight Loss Maintenance (NoHoW Toolkit): Systematic Development and Refinement Study. Journal of Medical Internet Research, 23(12), [e25305]. https://doi.org/10.2196/25305

Vancouver

Marques MM, Matos M, Mattila E, Encantado J, Duarte C, Teixeira PJ et al. A Theory- And Evidence-Based Digital Intervention Tool for Weight Loss Maintenance (NoHoW Toolkit): Systematic Development and Refinement Study. Journal of Medical Internet Research. 2021;23(12). e25305. https://doi.org/10.2196/25305

Author

Marques, Marta M. ; Matos, Marcela ; Mattila, Elina ; Encantado, Jorge ; Duarte, Cristiana ; Teixeira, Pedro J. ; Stubbs, R. James ; Sniehotta, Falko F. ; Ermes, Miikka ; Harjumaa, Marja ; Leppänen, Juha ; Välkkynen, Pasi ; Silva, Marlene N. ; Ferreira, Cláudia ; Carvalho, Sérgio ; Palmeira, Lara ; Horgan, Graham ; Heitmann, Berit Lilienthal ; Evans, Elizabeth H. ; Palmeira, António L. / A Theory- And Evidence-Based Digital Intervention Tool for Weight Loss Maintenance (NoHoW Toolkit) : Systematic Development and Refinement Study. In: Journal of Medical Internet Research. 2021 ; Vol. 23, No. 12.

Bibtex

@article{a7470e2ef87441d9bc912377cfa69dfc,
title = "A Theory- And Evidence-Based Digital Intervention Tool for Weight Loss Maintenance (NoHoW Toolkit): Systematic Development and Refinement Study",
abstract = "Background: Many weight loss programs show short-term effectiveness, but subsequent weight loss maintenance is difficult to achieve. Digital technologies offer a promising means of delivering behavior change approaches at low costs and on a wide scale. The Navigating to a Healthy Weight (NoHoW) project, which was funded by the European Union{\textquoteright}s Horizon 2020 research and innovation program, aimed to develop, test, and evaluate a digital toolkit designed to promote successful long-term weight management. The toolkit was tested in an 18-month, large-scale, international, 2×2 factorial (motivation and self-regulation vs emotion regulation) randomized controlled trial that was conducted on adults with overweight or obesity who lost ≥5% of their body weight in the preceding 12 months before enrollment into the intervention. Objective: This paper aims to describe the development of the NoHoW Toolkit, focusing on the logic models, content, and specifications, as well as the results from user testing. Methods: The toolkit was developed by using a systematic approach, which included the development of the theory-based logic models, the selection of behavior change techniques, the translation of these techniques into a web-based app (NoHoW Toolkit components), technical development, and the user evaluation and refinement of the toolkit. Results: The toolkit included a set of web-based tools and inputs from digital tracking devices (smart scales and activity trackers) and modules that targeted weight, physical activity, and dietary behaviors. The final toolkit comprised 34 sessions that were distributed through 15 modules and provided active content over a 4-month period. The motivation and self-regulation arm consisted of 8 modules (17 sessions), the emotion regulation arm was presented with 7 modules (17 sessions), and the combined arm received the full toolkit (15 modules; 34 sessions). The sessions included a range of implementations, such as videos, testimonies, and questionnaires. Furthermore, the toolkit contained 5 specific data tiles for monitoring weight, steps, healthy eating, mood, and sleep. Conclusions: A systematic approach to the development of digital solutions based on theory, evidence, and user testing may significantly contribute to the advancement of the science of behavior change and improve current solutions for sustained weight management. Testing the toolkit by using a 2×2 design provided a unique opportunity to examine the effect of motivation and self-regulation and emotion regulation separately, as well as the effect of their interaction in weight loss maintenance.",
keywords = "Behavior change techniques, Emotion regulation, Logic models, MHealth, Motivation, Self-monitoring, Self-regulation, User testing, Weight management",
author = "Marques, {Marta M.} and Marcela Matos and Elina Mattila and Jorge Encantado and Cristiana Duarte and Teixeira, {Pedro J.} and Stubbs, {R. James} and Sniehotta, {Falko F.} and Miikka Ermes and Marja Harjumaa and Juha Lepp{\"a}nen and Pasi V{\"a}lkkynen and Silva, {Marlene N.} and Cl{\'a}udia Ferreira and S{\'e}rgio Carvalho and Lara Palmeira and Graham Horgan and Heitmann, {Berit Lilienthal} and Evans, {Elizabeth H.} and Palmeira, {Ant{\'o}nio L.}",
note = "Publisher Copyright: {\textcopyright} 2021 Journal of Medical Internet Research. All rights reserved.",
year = "2021",
doi = "10.2196/25305",
language = "English",
volume = "23",
journal = "Journal of Medical Internet Research",
issn = "1439-4456",
publisher = "JMIR Publications",
number = "12",

}

RIS

TY - JOUR

T1 - A Theory- And Evidence-Based Digital Intervention Tool for Weight Loss Maintenance (NoHoW Toolkit)

T2 - Systematic Development and Refinement Study

AU - Marques, Marta M.

AU - Matos, Marcela

AU - Mattila, Elina

AU - Encantado, Jorge

AU - Duarte, Cristiana

AU - Teixeira, Pedro J.

AU - Stubbs, R. James

AU - Sniehotta, Falko F.

AU - Ermes, Miikka

AU - Harjumaa, Marja

AU - Leppänen, Juha

AU - Välkkynen, Pasi

AU - Silva, Marlene N.

AU - Ferreira, Cláudia

AU - Carvalho, Sérgio

AU - Palmeira, Lara

AU - Horgan, Graham

AU - Heitmann, Berit Lilienthal

AU - Evans, Elizabeth H.

AU - Palmeira, António L.

N1 - Publisher Copyright: © 2021 Journal of Medical Internet Research. All rights reserved.

PY - 2021

Y1 - 2021

N2 - Background: Many weight loss programs show short-term effectiveness, but subsequent weight loss maintenance is difficult to achieve. Digital technologies offer a promising means of delivering behavior change approaches at low costs and on a wide scale. The Navigating to a Healthy Weight (NoHoW) project, which was funded by the European Union’s Horizon 2020 research and innovation program, aimed to develop, test, and evaluate a digital toolkit designed to promote successful long-term weight management. The toolkit was tested in an 18-month, large-scale, international, 2×2 factorial (motivation and self-regulation vs emotion regulation) randomized controlled trial that was conducted on adults with overweight or obesity who lost ≥5% of their body weight in the preceding 12 months before enrollment into the intervention. Objective: This paper aims to describe the development of the NoHoW Toolkit, focusing on the logic models, content, and specifications, as well as the results from user testing. Methods: The toolkit was developed by using a systematic approach, which included the development of the theory-based logic models, the selection of behavior change techniques, the translation of these techniques into a web-based app (NoHoW Toolkit components), technical development, and the user evaluation and refinement of the toolkit. Results: The toolkit included a set of web-based tools and inputs from digital tracking devices (smart scales and activity trackers) and modules that targeted weight, physical activity, and dietary behaviors. The final toolkit comprised 34 sessions that were distributed through 15 modules and provided active content over a 4-month period. The motivation and self-regulation arm consisted of 8 modules (17 sessions), the emotion regulation arm was presented with 7 modules (17 sessions), and the combined arm received the full toolkit (15 modules; 34 sessions). The sessions included a range of implementations, such as videos, testimonies, and questionnaires. Furthermore, the toolkit contained 5 specific data tiles for monitoring weight, steps, healthy eating, mood, and sleep. Conclusions: A systematic approach to the development of digital solutions based on theory, evidence, and user testing may significantly contribute to the advancement of the science of behavior change and improve current solutions for sustained weight management. Testing the toolkit by using a 2×2 design provided a unique opportunity to examine the effect of motivation and self-regulation and emotion regulation separately, as well as the effect of their interaction in weight loss maintenance.

AB - Background: Many weight loss programs show short-term effectiveness, but subsequent weight loss maintenance is difficult to achieve. Digital technologies offer a promising means of delivering behavior change approaches at low costs and on a wide scale. The Navigating to a Healthy Weight (NoHoW) project, which was funded by the European Union’s Horizon 2020 research and innovation program, aimed to develop, test, and evaluate a digital toolkit designed to promote successful long-term weight management. The toolkit was tested in an 18-month, large-scale, international, 2×2 factorial (motivation and self-regulation vs emotion regulation) randomized controlled trial that was conducted on adults with overweight or obesity who lost ≥5% of their body weight in the preceding 12 months before enrollment into the intervention. Objective: This paper aims to describe the development of the NoHoW Toolkit, focusing on the logic models, content, and specifications, as well as the results from user testing. Methods: The toolkit was developed by using a systematic approach, which included the development of the theory-based logic models, the selection of behavior change techniques, the translation of these techniques into a web-based app (NoHoW Toolkit components), technical development, and the user evaluation and refinement of the toolkit. Results: The toolkit included a set of web-based tools and inputs from digital tracking devices (smart scales and activity trackers) and modules that targeted weight, physical activity, and dietary behaviors. The final toolkit comprised 34 sessions that were distributed through 15 modules and provided active content over a 4-month period. The motivation and self-regulation arm consisted of 8 modules (17 sessions), the emotion regulation arm was presented with 7 modules (17 sessions), and the combined arm received the full toolkit (15 modules; 34 sessions). The sessions included a range of implementations, such as videos, testimonies, and questionnaires. Furthermore, the toolkit contained 5 specific data tiles for monitoring weight, steps, healthy eating, mood, and sleep. Conclusions: A systematic approach to the development of digital solutions based on theory, evidence, and user testing may significantly contribute to the advancement of the science of behavior change and improve current solutions for sustained weight management. Testing the toolkit by using a 2×2 design provided a unique opportunity to examine the effect of motivation and self-regulation and emotion regulation separately, as well as the effect of their interaction in weight loss maintenance.

KW - Behavior change techniques

KW - Emotion regulation

KW - Logic models

KW - MHealth

KW - Motivation

KW - Self-monitoring

KW - Self-regulation

KW - User testing

KW - Weight management

U2 - 10.2196/25305

DO - 10.2196/25305

M3 - Journal article

C2 - 34870602

AN - SCOPUS:85120881163

VL - 23

JO - Journal of Medical Internet Research

JF - Journal of Medical Internet Research

SN - 1439-4456

IS - 12

M1 - e25305

ER -

ID: 289451546