A systematic review of influences on engagement with remote health interventions targeting weight management for individuals living with excess weight

The search identified 36,561 titles and abstracts. After removing duplicates, the remaining 29,036 titles and abstracts were screened for potential inclusion. Following initial screening there were 656 full-texts reviewed, which identified a total of 39 studies [42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80] which met the inclusion criteria (see Fig. 1).

Study characteristics

Fifteen of the included studies (41%) were randomised controlled trials [44, 50, 56, 57, 59, 61,62,63,64,65,66,67, 74, 77, 80] with the other quantitative designs including non-randomised experimental [60, 69], pre-post [67, 75, 78, 79], cohort, cross-sectional [42, 43, 71] and feasibility/pilot studies [45, 47, 49, 52,53,54, 58]. Seven studies (19%) utilised only qualitative designs, including focus groups [70, 72], interviews [51, 55, 76], and a mixture of both [46, 48]. Seventy per cent (n = 27) of all studies were conducted in the United States [43,44,45, 47,48,49,50, 54, 56,57,58,59,60,61,62,63,64, 66, 67, 71,72,73, 75, 77,78,79,80] with the remaining undertaken in England [42, 65, 76], Australia [67, 70], Norway [46, 55], Scotland [52, 74], Wales [51], Finland [69] and Switzerland [53]. Within the studies, the intervention sample sizes ranged from 10 to 2818. The mean age ranged from 31.5 to 72.9 years. Intervention studies mostly included participants with a mean age between 40 and 49 years (n = 14) [42, 44, 56, 59, 62,63,64, 68, 69, 73,74,75, 77, 80] and 50 and 64 years (n = 12) [45, 50, 54, 57, 58, 60, 61, 65,66,67, 78] with a few studies targeting younger (mean age 20–40 years) [79] and older (mean age of >65 years) cohorts [47, 49, 52].

Participants’ ethnicity varied across studies; however, it is important to note that ethnicity was not reported for eleven (30%) of the articles included [46, 48,

Comments (0)

No login
gif