Recruitment and Retention of Healthy Women with Obesity for a Psychophysiological Study before and After Weight Loss: Insights, Challenges, and Suggestions.

Journal of obesity & weight loss therapy Pub Date : 2021-01-01 Epub Date: 2021-02-28
Dharini M Bhammar, Vipa Bernhardt, Jonathon L Stickford, Charles Miller, Tony G Babb
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Abstract

Objective: The objective of this paper is to present data on participant recruitment, retention, and weight loss success during a psychophysiological study in women with obesity.

Methods: Volunteers were women with obesity, 20 - 45 yr, with a BMI between 30 - 45 kg/m2. The study was approximately 20 weeks in duration, including a 12-week weight loss program.

Results: Recruitment was not completed until 8 months past the original projected date of 12 months. The study was not completed until 11 months past the original projected completion date of 14 months. On average 4.4 ± 2.1 (mean ± SD) volunteers were consented per month (N = 99) and 2.5 ± 1.1 participants started the weight loss program per month. 24% of consented volunteers were lost due to exclusion criteria, withdrawals, and unresponsive behavior before starting the weight loss program. Attrition of participants who started the weight loss program was 45%. Only 11% of those who started the program were unable to lose weight (N = 6).

Conclusion: Recruiting and/or weight loss success do not always present the most challenging aspects of completing a psychophysiological weight loss intervention. While participant attrition during a weight loss program can occur for a wide range of reasons supportive efforts in the early phases of the intervention may maximize retention.

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健康女性肥胖患者在减肥前后的心理生理研究:见解、挑战和建议
目的:本文的目的是在一项肥胖女性心理生理学研究中,提供参与者招募、保留和减肥成功的数据。方法:志愿者为肥胖女性,年龄在20 - 45岁,体重指数在30 - 45 kg/m2之间。这项研究持续了大约20周,包括一个12周的减肥计划。结果:招募工作比原计划的12个月晚了8个月。这项研究直到11个月后才完成,而原计划完成日期为14个月。平均每月有4.4±2.1 (mean±SD)名志愿者(N = 99)被同意,每月有2.5±1.1名参与者开始减肥计划。24%的同意志愿者在开始减肥计划前由于排除标准、停药和无反应行为而失去了体重。开始减肥计划的参与者的损失率为45%。只有11%的参与者无法减肥(N = 6)。结论:招募和/或减肥成功并不总是完成心理生理减肥干预的最具挑战性的方面。在减肥计划中,由于各种各样的原因,参与者的流失可能会发生,在干预的早期阶段,支持性的努力可能会最大限度地保持下去。
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