ArticleBMJ open2018
Drivers for successful long-term lifestyle change, the role of e-health: a qualitative interview study.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04880005 (Protocol for the Digital, Individualized, and Collaborative Treatment of Type 2 Diabetes in General Practice Based on Decision Aid), which is not on this map. Cited by 28 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Protocol for the Digital, Individualized, and Collaborative Treatment of Type 2 Diabetes in General Practice Based on Decision Aid (DICTA) - A Randomized Controlled Trial
Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Barriers and facilitators to diet, physical activity and lifestyle behavior intervention adherence: a qualitative systematic review of the literature.The international journal of behavioral nutrition and physical activity · 2023Pooled it
- Barriers to and Facilitators of Technology in Cardiac Rehabilitation and Self-Management: Systematic Qualitative Grounded Theory Review.Journal of medical Internet research · 2020Pooled it
- Long-Term Weight Management Using Wearable Technology in Overweight and Obese Adults: Systematic Review.JMIR mHealth and uHealth · 2020Pooled it
- Trial
- Adoption, acceptability and sustained use of digital interventions to promote physical activity among inactive adults: a mixed-method study.Frontiers in public health · 2023Trial
- Long-term Weight Loss in a Primary Care-Anchored eHealth Lifestyle Coaching Program: Randomized Controlled Trial.Journal of medical Internet research · 2022Trial
- Reversing Type 2 Diabetes in a Primary Care-Anchored eHealth Lifestyle Coaching Programme in Denmark: A Randomised Controlled Trial.Nutrients · 2022Trial
- Usability of myfood24 Healthcare and Mathematical Diet Optimisation in Clinical Populations: A Pilot Feasibility Randomised Controlled Trial.Nutrients · 2022Trial
- Article
- Exploring successes, barriers, and enablers in the one-year digital Healthy Weight Coaching.BMC health services research · 2024Article
- Experiences of living with overweight/obesity and early type 2 diabetes in Singapore-a qualitative interview study.BMJ open · 2024Article
- Human cues in eHealth to promote lifestyle change: An experimental field study to examine adherence to self-help interventions.Internet interventions · 2024Article
- Experiences of social support by participants with morbid obesity who participate in a rehabilitation program for health-behavior change: a qualitative study.BMC nutrition · 2023Article
- Uncovering Barriers and Facilitators of Weight Loss and Weight Loss Maintenance: Insights from Qualitative Research.Nutrients · 2023Review
- Qualitative study of practices and attitudes towards physical activity among prediabetic men and women in urban and rural Malawi.BMJ open · 2023Article
- Perceptions of a Secure Cloud-Based Solution for Data Sharing During Acute Stroke Care: Qualitative Interview Study.JMIR formative research · 2022Article
- A qualitative analysis of the needs and wishes of people with type 2 diabetes and healthcare professionals for optimal diabetes care.Diabetic medicine : a journal of the British Diabetic Association · 2022Article
- Placing a Well-Designed Vegan Diet for Slovenes.Nutrients · 2021Review
- Effective psychological therapies to improve lifestyle behaviors in (pre)pregnant women: A systematic review.Preventive medicine reports · 2021Review
- Evaluation of the Low Carb Program Digital Intervention for the Self-Management of Type 2 Diabetes and Prediabetes in an NHS England General Practice: Single-Arm Prospective Study.JMIR diabetes · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAssisting patients in lifestyle change using collaborative e-health tools can be an efficient treatment for non-communicable diseases like diabetes, cardiovascular disease and chronic obstructive lung disease that are caused or aggravated by unhealthy living in the form of unhealthy diet, physical inactivity or tobacco smoking. In a prospective pilot study, we tested an online collaborative e-health tool in general practice. The aim of this study was to identify drivers of importance for long-term personal lifestyle changes from a patient perspective when using a collaborative e-health tool, including the support of peers and healthcare professionals.
settingGeneral practice clinics in the Region of Southern Denmark.
participants10 overweight patients who had previously successfully used a hybrid online collaborative e-health tool with both face-to-face and online consultations to lose weight.
resultsThe main themes identified were facilitators, barriers and support from family and peers. Establishment of a trustworthy relationship with the healthcare professionals was of paramount importance. It was important for the patients to monitor the measurable outcomes with realistic goals and feedback from a trusted person. Often, significant life events were identified as catalysts for successful long-term lifestyle changes. Dominant barriers to change were perception of insurmountable obstacles, experience of lack of self-efficacy and excess eating of high-calorie food. Finally, experiencing of trustworthy person-to-person forums, need for acknowledgement from referent others and support from family and peers were important drivers for long-term lifestyle change.
conclusionThe most important driver in long-term weight loss was a strong relationship with a healthcare professional. Collaborative e-health tools can support the relationship and behavioural changes through monitoring and providing relevant feedback. The support from family and peers also matters, and long-term success depends on the ability to establish strong, positive support on a day-to-day basis.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.