ArticleJournal of behavioral medicine2021
Impact of income and perceived stress on engagement and weight loss outcomes in an online behavioral weight loss program.
Article in Journal of behavioral medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 10 citations in OpenAlex.
- Socio-economic factors, mood, primary care utilization, and quality of life as predictors of intervention cessation and chronic stress in a type 2 diabetes prevention intervention (PREVIEW Study).BMC public health · 2023Trial
- A Scoping Review of the Mechanisms Influencing Socioeconomic Disparities in Outcomes of Digital Interventions for Weight-Related Behaviors.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026Article
- Effectiveness of a behavioral weight management intervention by race, ethnicity, income, and education: a meta-analysis.Communications medicine · 2026Article
- Does Weight Loss Translate to Workplace Gains? Results of an Employment Questionnaire in Adults With Prediabetes and Overweight or Obesity.Diabetes, obesity & metabolism · 2026Article
- Health Disparities in Obesity Treatment Outcomes, Access, and Utilization.Current obesity reports · 2025Review
- Experiences of recent weight-management attempts: insights from a web-based cross-sectional study.Frontiers in public health · 2025Article
- Article
- Design of Project STAR: A randomized controlled trial evaluating the impact of an adaptive intervention on long-term weight-loss maintenance.Contemporary clinical trials · 2024Article
- Why more successful? An analysis of participants' self-monitoring data in an online weight loss intervention.BMC public health · 2024Article
- Health-Related Social Control and Perceived Stress Among High-Risk Latina Mothers with Type 2 Diabetes and Their At-Risk Adult Daughters.International journal of behavioral medicine · 2023Article
- Changes in Health-Promoting Behaviors and Their Association with Weight Loss, Retention, and Engagement on a Digital Program: Prospective Study.Nutrients · 2022Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
Lower income is associated with greater stress, and stress has been shown to undermine treatment engagement and weight loss outcomes in face-to-face interventions. The present study examined whether lower income predicts treatment engagement and weight loss outcomes during an online behavioral weight loss (BWL) intervention. A total of N = 260 participants (79.2% female; 50.7 ± 11.9 years of age; 60.3% non-Hispanic White) were enrolled into an online BWL program and had their income, stress, program engagement, and weight measured. Results showed that stress fully mediated the effect of income on engagement in the online program. Further, lower income predicted poorer weight loss outcomes, and this effect was partially mediated by perceived stress. This is the first study to demonstrate that lower income is associated with poorer engagement and weight loss outcomes in an online weight loss program, underscoring the need for systems-level stress reduction programs and individual level stress management tools, particularly for individuals with lower income.
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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.