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dc.contributor.authorLawlor, Emma
dc.contributor.authorHughes, Carly A
dc.contributor.authorDuschinsky, Robbie
dc.contributor.authorPountain, Gillian D
dc.contributor.authorHill, Andrew J
dc.contributor.authorGriffin, Simon
dc.contributor.authorAhern, Amy
dc.date.accessioned2020-07-16T23:30:32Z
dc.date.available2020-07-16T23:30:32Z
dc.date.issued2020-10
dc.identifier.issn1758-8103
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/308032
dc.description.abstractWhile many behavioural weight management programmes are effective in the short-term, post-programme weight regain is common. Overcoming "lapses" and preventing "relapse" has been highlighted as important in weight-loss maintenance, but little is known on how this is achieved. This study aimed to compare the cognitive and behavioural strategies employed to overcome "lapses" and prevent "relapse" by people who had regained weight or maintained weight-loss after participating in a weight management programme. By investigating differences between groups, we intended to identify strategies associated with better weight-loss maintenance. Semi-structured interviews were conducted with 26 participants (58% female) recruited from the 5-year follow-up of the Weight Loss Referrals for Adults in Primary Care (WRAP) trial (evaluation of a commercial weight-loss programme). Participants who had lost ≥5% baseline weight during the active intervention were purposively sampled according to 5-year weight trajectories (n = 16 'Regainers', n = 10 'Maintainers'). Interviews were audio-recorded, transcribed verbatim, and analysed thematically. Key differences in strategies were that Maintainers continued to pay attention to their dietary intake, anticipated and planned for potential lapses in high-risk situations, and managed impulses using distraction techniques. Regainers did not report making plans, used relaxed dietary monitoring, found distraction techniques to be ineffective and appeared to have difficulty navigating food within interpersonal relationships. This study is one of the longest qualitative follow-ups of a weight loss trial to date, offering unique insights into long-term maintenance. Future programmes should emphasize strategies focusing on self-monitoring, planning and managing interpersonal relationships to help participants successfully maintain weight-loss in the longer-term.
dc.description.sponsorshipThis study is funded by the National Institute for Health Research (NIHR) Programme Grants for Applied Research RP-PG-0216-20010. The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care. ALA and SJG are supported by the Medical Research Council (MC_UU_12015/4). SJG is an NIHR senior investigator. The University of Cambridge has received salary support in respect of SJG from the National Health Service in the East of England through the Clinical Academic Reserve.
dc.format.mediumPrint-Electronic
dc.languageeng
dc.publisherWiley
dc.rightsAll rights reserved
dc.subjectHumans
dc.subjectObesity
dc.subjectRecurrence
dc.subjectBehavior Therapy
dc.subjectQualitative Research
dc.subjectAdult
dc.subjectAged
dc.subjectMiddle Aged
dc.subjectFemale
dc.subjectMale
dc.subjectRandomized Controlled Trials as Topic
dc.subjectSecondary Prevention
dc.subjectWeight Reduction Programs
dc.subjectBody Weight Maintenance
dc.subjectBody-Weight Trajectory
dc.titleCognitive and behavioural strategies employed to overcome "lapses" and prevent "relapse" among weight-loss maintainers and regainers: A qualitative study.
dc.typeArticle
prism.issueIdentifier5
prism.publicationDate2020
prism.publicationNameClin Obes
prism.startingPagee12395
prism.volume10
dc.identifier.doi10.17863/CAM.55127
dcterms.dateAccepted2020-07-10
rioxxterms.versionofrecord10.1111/cob.12395
rioxxterms.versionAM
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2020-10
dc.contributor.orcidLawlor, Emma [0000-0002-0742-0476]
dc.contributor.orcidHughes, Carly A [0000-0001-9560-7873]
dc.contributor.orcidDuschinsky, Robbie [0000-0003-2023-5328]
dc.contributor.orcidGriffin, Simon [0000-0002-2157-4797]
dc.contributor.orcidAhern, Amy [0000-0001-5069-4758]
dc.identifier.eissn1758-8111
rioxxterms.typeJournal Article/Review
pubs.funder-project-idMedical Research Council (MC_UU_12015/4)
pubs.funder-project-idDepartment of Health (via National Institute for Health Research (NIHR)) (RP-PG-0216-20010)
pubs.funder-project-idMRC (unknown)
pubs.funder-project-idMRC (MC_UU_00006/6)
cam.issuedOnline2020-08-07
cam.orpheus.successWed Aug 19 08:05:32 BST 2020 - Embargo updated
cam.orpheus.counter4
rioxxterms.freetoread.startdate2021-08-07


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