The role of nurse support within an Internet-delivered weight management intervention: A qualitative study

This qualitative study explored patients’ experiences of nurse support for an Internet-delivered weight management intervention. Eighteen patients who had received either basic or regular nurse support (three or seven contacts, respectively) for the Internet intervention were interviewed. The data were analysed using thematic analysis. The findings suggest that more regular support for Internet interventions may have the potential to inhibit the development of autonomous motivation for weight loss, which might lead to problems in sustaining losses after support ends. Further research is now needed to confirm whether motivation is influenced by frequency of nurse support in Internet interventions in order to inform the development of optimal support which promotes sustained weight loss.

[1]  B. Glaser.  The Constant Comparative Method of Qualitative Analysis , 1965 .

[2]  Laura Johnson,et al.  How Many Interviews Are Enough? , 2006 .

[3]  Martin S. Hagger,et al.  The Effects of Social Identity and Perceived Autonomy Support on Health Behaviour Within the Theory of Planned Behaviour , 2009 .

[4]  E. Deci,et al.  Motivational predictors of weight loss and weight-loss maintenance. , 1996, Journal of personality and social psychology.

[5]  Jean Harvey-Berino,et al.  Effect of internet support on the long-term maintenance of weight loss. , 2004, Obesity research.

[6]  A. Arntz,et al.  Improving adherence and effectiveness of computerised cognitive behavioural therapy without support for depression: a qualitative study on patient experiences. , 2011, Journal of Affective Disorders.

[7]  Lucy Yardley,et al.  Randomised controlled feasibility trial of a web-based weight management intervention with nurse support for obese patients in primary care , 2014, International Journal of Behavioral Nutrition and Physical Activity.

[8]  E. Deci,et al.  Facilitating health behaviour change and its maintenance: Interventions based on Self-Determination Theory , 2008 .

[9]  Edward L. Deci,et al.  Intrinsic Motivation and Self-Determination in Human Behavior , 1975, Perspectives in Social Psychology.

[10]  B. Fridlund,et al.  Out of the wave: The meaning of suffering and relief from suffering as described in autobiographies by survivors of the 2004 Indian Ocean tsunami , 2010, International journal of qualitative studies on health and well-being.

[11]  Madhavi Bajekal,et al.  Health Survey for England , 2004 .

[12]  C. Todd,et al.  Patient Perception , Preference and Participation The influence of primary health care professionals in encouraging exercise and physical activity uptake among White and South Asian older adults : Experiences of young older adults , 2009 .

[13]  E. Deci,et al.  Facilitating internalization: the self-determination theory perspective. , 1994, Journal of personality.

[14]  Jean Harvey-Berino,et al.  Minimal in-person support as an adjunct to internet obesity treatment , 2007, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[15]  Jan Flowers,et al.  Qualitative evaluation of a mobile phone and web-based collaborative care intervention for patients with type 2 diabetes. , 2011, Diabetes technology & therapeutics.

[16]  Claire Glenton,et al.  Use of qualitative methods alongside randomised controlled trials of complex healthcare interventions: methodological study , 2009, BMJ : British Medical Journal.

[17]  R. Callister,et al.  12‐Month Outcomes and Process Evaluation of the SHED‐IT RCT: An Internet‐Based Weight Loss Program Targeting Men , 2011, Obesity.

[18]  P. Cuijpers,et al.  Supportive Accountability: A Model for Providing Human Support to Enhance Adherence to eHealth Interventions , 2011, Journal of medical Internet research.

[19]  Per Carlbring,et al.  Experiences of guided Internet-based cognitive-behavioural treatment for depression: A qualitative study , 2011, BMC psychiatry.

[20]  G. Engelsrud,et al.  Dilemmas in the process of weight reduction: Exploring how women experience training as a means of losing weight , 2010, International journal of qualitative studies on health and well-being.

[21]  V. Braun,et al.  Using thematic analysis in psychology , 2006 .

[22]  L. Yardley,et al.  A synthesis of qualitative research on overweight and obese people's views and experiences of weight management , 2011, Clinical obesity.

[23]  Darrin Hodgetts.  Male Bodies: Health, Culture and Identity , 2001, Journal of health psychology.

[24]  M. Råheim,et al.  “My quality of life is worse compared to my earlier life” , 2010, International journal of qualitative studies on health and well-being.

[25]  Christine M. Daley,et al.  Support needs of overweight African American women for weight loss. , 2009, American journal of health behavior.

[26]  Y. Ohashi,et al.  Effect of web-based lifestyle modification on weight control: a meta-analysis , 2012, International Journal of Obesity.

[27]  E. Deci,et al.  Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. , 2000, The American psychologist.

[28]  P. Tetlock,et al.  Accounting for the effects of accountability. , 1999, Psychological bulletin.

[29]  F. Griffiths,et al.  Why Are Health Care Interventions Delivered Over the Internet? A Systematic Review of the Published Literature , 2006, Journal of medical Internet research.