Evidence map›Paper›PMID 39516825›Full record

ArticleBMC health services research2024

Exploring successes, barriers, and enablers in the one-year digital Healthy Weight Coaching.

Anu Joki, Aila J Ahola, Laura U Suojanen, Kirsi H Pietiläinen

Abstract read
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Anu JokiHealthy Weight Hub, Abdominal Centre, Helsinki University Hospital and University of Helsinki, Helsinki, 00290, Finland. anu.joki@helsinki.fi.ORCID http://orcid.org/0000-0002-7814-2186
Aila J AholaHealthy Weight Hub, Abdominal Centre, Helsinki University Hospital and University of Helsinki, Helsinki, 00290, Finland.ORCID http://orcid.org/0000-0001-5200-4597
Laura U SuojanenHealthy Weight Hub, Abdominal Centre, Helsinki University Hospital and University of Helsinki, Helsinki, 00290, Finland.ORCID http://orcid.org/0000-0003-0771-8026
Kirsi H PietiläinenHealthy Weight Hub, Abdominal Centre, Helsinki University Hospital and University of Helsinki, Helsinki, 00290, Finland. kirsi.pietilainen@helsinki.fi.ORCID http://orcid.org/0000-0002-8522-1288

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHealthcare professionals' perspectives are often overlooked in the evaluation of digital weight loss interventions. Thus, we examined how healthcare professionals perceive patient success in a one-year web-based weight management program, the Healthy Weight Coaching, aiming to identify key success factors and common challenges within the coaching process.

methodsThematic analysis was conducted on ten semi-structured interviews with healthcare professionals from the Healthy Weight Coaching. Interviewees included individuals of both sexes, with an average age of 41 years, ranging from 10 months to 5 years of coaching experience, and treating 90 to 500 patients.

resultsThree main themes emerged from the analysis: (1) Positive progress during the Healthy Weight Coaching, (2) Factors facilitating success, and (3) Barriers hindering progress. The coaches noted significant positive changes among patients, including increased self-compassion, reduced weight-related stress, and a shift toward holistic well-being. Improvements in eating habits, physical activity, and vegetable consumption were observed, along with reductions in binge eating behaviors. Personal factors such as internal motivation and engagement with the program were crucial for success. Additionally, aspects of the Healthy Weight Coaching program, such as its individualized and supportive environment, flexible coaching approach, and the pivotal role of coaches, were seen as facilitators of success. Patients valued being treated equally and acceptingly and fostering trust and collaboration. However, challenges such as burdensome life situations, limited resources, and inadequate support posed significant barriers to progress. Unrealistic goals and societal pressures were also observed to hinder successful weight management efforts.

conclusionA comprehensive, individualized approach addressing resource limitations and societal norms can enhance long-term success in weight management programs like the Healthy Weight Coaching, ultimately promoting overall well-being.

Indexed as

MentoringAdultFemaleHealth PersonnelHumansInterviews as TopicMaleMiddle AgedMotivationQualitative ResearchWeight Reduction ProgramsDigital coachingHealthcare professionalsHolistic well-beingIndividualized supportInternal motivationLifestyle change interventionQualitative interview studySelf-compassionSuccess factorsWeight management

Identifiers

PMID39516825
PMCPMC11549835

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Registered trials

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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.