Feasibility and acceptability pilot study of an online weight loss program in rural, underserved communities.

Autor:	Oliveira A; Department of Nutritional Sciences, University of Illinois at Urbana-Champaign, Urbana, Illinois, United States., Alfouzan N; Food Science and Human Nutrition, University of Illinois Urbana-Champaign, Urbana, Illinois, United States., Yu J; Food Science and Human Nutrition, University of Illinois Urbana-Champaign, Urbana, Illinois, United States., Yahya A; Department of Nutritional Sciences, University of Illinois at Urbana-Champaign, Urbana, Illinois, United States., Lammy K; Food Science and Human Nutrition, University of Illinois Urbana-Champaign, Urbana, Illinois, United States., Wright ML; University of Illinois, Marshall, Illinois, United States., Reinhold D; University of Illinois, Freeport, Illinois, United States., Peterson L; University of Illinois, Hillsboro, Illinois, United States., Brewer A; United States Department of Veteran Affairs, Bloomington, Illinois, United States., Liechty J; Department of Nutritional Sciences, University of Illinois at Urbana-Champaign, Urbana, Illinois, United States.; School of Social Work, University of Illinois at Urbana-Champaign, Urbana, IL, United States.; Carle-Illinois College of Medicine, University of Illinois, Urbana, IL, United States., Nakamura MT; Department of Nutritional Sciences, University of Illinois at Urbana-Champaign, Urbana, Illinois, United States.; Food Science and Human Nutrition, University of Illinois Urbana-Champaign, Urbana, Illinois, United States.
Jazyk:	angličtina
Zdroj:	PeerJ [PeerJ] 2024 Oct 03; Vol. 12, pp. e18268. Date of Electronic Publication: 2024 Oct 03 (Print Publication: 2024).
DOI:	10.7717/peerj.18268
Abstrakt:	Background: The purpose of this intervention was to investigate the feasibility, acceptability, and preliminary effectiveness of an online weight loss program, EMPOWER, in rural, underserved communities. Methods: Adults with a body mass index (BMI) ≥ 25 kg/m 2 living in rural counties were recruited through collaboration with University of Illinois Extension. The intervention lasted 1 year including online educations sessions, nutrition and lifestyle coaching, and diet and weight monitoring via a novel web application, MealPlot. Feasibility was measured by enrollment attainment, participant retention, online education session completion, and completion of anthropometric and dietary measures. Acceptability was measured by survey using Likert scales of satisfaction for all program components. Anthropometric measurements, 24-h dietary records, and food frequency questionnaires (FFQs) were measures of program efficacy. Additionally, two interviews were collected for program feedback. Results: Enrollment of 16 participants was attained, however due to higher than anticipated dropout (retention 62.5%, N = 10) at 3-months, 62.5% of the education sessions were completed and 75.0% of anthropometric and dietary measures. The average satisfaction rating for the comprehensive program was 4.2/5 with lowest satisfaction being the MealPlot web application 2.7/5 ( N = 11). On average a clinically significant (≥5% baseline weight) weight loss of 6.2 ± 6.0% body weight or 5.7 ± 5.3 kg and improvements to protein and fiber intake at 12 months ( N = 10) were observed. Conclusions: A novel online weight loss program showed adequate to strong feasibility and acceptability and preliminary results indicating efficacy among a pilot sample of rural residents. Future studies are required to investigate means of improving retention and reducing the burden on program collaborators. Competing Interests: The authors declare that they have no competing interests. (© 2024 Oliveira et al.)
Databáze:	MEDLINE
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