Response to a Novel, Weight Self-awareness Plan Used in a Multi-component Lifestyle Intervention Programme to Reduce Breast Cancer Risk Factors in Older Women-Secondary Analysis from the ActWELL Trial

Overview

Journal J Hum Nutr Diet

Date 2022 Jul 14

PMID 35833600

Authors

Suzanne M M Zaremba

Martine Stead

Jennifer McKell

Ronan E OCarroll

Nanette Mutrie

Shaun Treweek

Annie S Anderson

Affiliations

Soon will be listed here.

Abstract

Background: The ActWELL randomised controlled trial assessed the effectiveness of a weight management programme delivered by volunteer lifestyle coaches (LCs) in women attending breast clinics. The intervention focused on caloric intake and physical activity, utilising behavioural change techniques including a weight awareness plan (WAP). The current work is a secondary analysis of the ActWELL data and aims to examine the response to the weight self-awareness plan (used as part of the intervention programme).

Methods: The LCs invited participants (n = 279) to undertake an implementation intention discussion to formulate a self-weighing (SW) plan. Bodyweight scales were offered, and recording books provided. The physical activity component of the intervention focused on a walking plan assessed by accelerometers. The LCs contacted participants by telephone monthly and provided personalised feedback. Mann-Whitney tests and chi-squared analysis were used to examine the effect of SW on weight change. A qualitative evaluation utilising semi-structured interviews was also undertaken.

Results: Most participants (96.4%) agreed to set a weekly SW goal and 76 (27%) requested scales. At 12 months, 226 (81%) returned for follow up. The median (interquartile range) weight change for those who self- reported at least one weight (n = 211) was -2.3 kg (-5.0 to 0.0) compared to -1.2 kg (-5.0 to 0.03) in those who did not (n = 14). Participants who reported weights on more than eight occasions (39%) were significantly more likely (p = 0.012) to achieve 5% weight loss compared to those who weighed less often. Low numbers of accelerometers were returned that did not allow for significance testing. Qualitative data (n = 24) indicated that many participants found the WAP helpful and motivating.

Conclusions: Greater adherence to the WAP initiated by volunteer coaches is associated with achieving 5% weight loss.

Citing Articles

Response to a novel, weight self-awareness plan used in a multi-component lifestyle intervention programme to reduce breast cancer risk factors in older women-Secondary analysis from the ActWELL trial.

Zaremba S, Stead M, McKell J, OCarroll R, Mutrie N, Treweek S J Hum Nutr Diet. 2022; 36(1):266-276.

PMID: 35833600 PMC: 10087426. DOI: 10.1111/jhn.13062.

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