Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/22061
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dc.contributor.authorStead, Martineen_UK
dc.contributor.authorCraigie, Angelaen_UK
dc.contributor.authorMacleod, Maureenen_UK
dc.contributor.authorMcKell, Jenniferen_UK
dc.contributor.authorCaswell, Stephenen_UK
dc.contributor.authorSteele, Roberten_UK
dc.contributor.authorAnderson, Annie Sen_UK
dc.date.accessioned2016-12-24T00:50:37Z-
dc.date.available2016-12-24T00:50:37Z-
dc.date.issued2015en_UK
dc.identifier.other87en_UK
dc.identifier.urihttp://hdl.handle.net/1893/22061-
dc.description.abstractBackground: The BeWEL (BodyWEight and physicaL activity) randomised controlled trial demonstrated that a weight management programme offered in the colorectal cancer screening setting was effective. However, the differential responses of participants to the programme were notable. This study aimed to explore the factors associated with success and to identify implications for future programme design. Methods: Analyses were conducted of quantitative data (n = 148) from the BeWEL intervention group to compare demographic and psychosocial characteristics and lifestyle changes in those who met and exceeded the target 7 % weight loss ("super-achievers") with those who achieved only "moderate" or "low" amounts of weight loss (2-7 % loss, or < 2 % loss, respectively). In-depth qualitative interviews (n = 24) explored in detail the motivations, actions, pathways to weight loss and circumstances of study participants. Results: Over the 12 month intervention period, mean percentage weight loss of super-achievers (n = 33) was 11.5 %, compared with moderate-achievers (n = 58) who lost 4.2 %, and low-achievers (n = 57) who gained 0.8 %. Compared to other groups, super- achievers increased their fruit and vegetable intake (p < 0.01) and physical activity (step count, p < 0.01). "Super-achievers" did not differ in baseline demographic characteristics from other participants. However, significantly fewer reported that their activities were limited by physical and emotional health and they were more likely to perceive their current diet as harmful. Qualitative analyses found no consistent patterns among super-achievers in relation to some factors identified as important in previous studies, such as social support. However, super-achievers shared several characteristics such as determination and consistency in their engagement with the intervention, receptivity to new information and prompts, previous positive experience of changing health behaviours, being motivated by early success, making changes routine, and an ability to devise and apply strategies for dealing with setback and "relapse" triggers. Conclusions: Successful lifestyle change depends on active engagement as well as effective intervention ingredients. Weight loss interventions are likely to be more effective where they can adapt to participants" differing characteristics and needs, while also providing core elements likely to build success.en_UK
dc.language.isoenen_UK
dc.publisherBioMed Centralen_UK
dc.relationStead M, Craigie A, Macleod M, McKell J, Caswell S, Steele R & Anderson AS (2015) Why are some people more successful at lifestyle change than others? Factors associated with successful weight loss in the BeWEL randomised controlled trial of adults at risk of colorectal cancer. International Journal of Behavioral Nutrition and Physical Activity, 12, Art. No.: 87. https://doi.org/10.1186/s12966-015-0240-2en_UK
dc.rights© 2015 Stead et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_UK
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_UK
dc.subjectLifestyle changeen_UK
dc.subjectInterventionen_UK
dc.subjectDieten_UK
dc.subjectPhysical activityen_UK
dc.subjectWeight lossen_UK
dc.subjectColorectal cancer screeningen_UK
dc.subjectFactorsen_UK
dc.subjectQualitativeen_UK
dc.subjectQuantitativeen_UK
dc.titleWhy are some people more successful at lifestyle change than others? Factors associated with successful weight loss in the BeWEL randomised controlled trial of adults at risk of colorectal canceren_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1186/s12966-015-0240-2en_UK
dc.identifier.pmid26112014en_UK
dc.citation.jtitleInternational Journal of Behavioral Nutrition and Physical Activityen_UK
dc.citation.issn1479-5868en_UK
dc.citation.volume12en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.author.emailmartine.stead@stir.ac.uken_UK
dc.citation.date26/06/2015en_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
dc.contributor.affiliationInstitute for Social Marketingen_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
dc.identifier.isiWOS:000357078400001en_UK
dc.identifier.scopusid2-s2.0-84934295506en_UK
dc.identifier.wtid594453en_UK
dc.contributor.orcid0000-0002-3066-4604en_UK
dc.contributor.orcid0000-0002-2912-0837en_UK
dc.date.accepted2015-06-12en_UK
dcterms.dateAccepted2015-06-12en_UK
dc.date.filedepositdate2015-07-21en_UK
rioxxterms.apcpaiden_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorStead, Martine|0000-0002-3066-4604en_UK
local.rioxx.authorCraigie, Angela|en_UK
local.rioxx.authorMacleod, Maureen|en_UK
local.rioxx.authorMcKell, Jennifer|0000-0002-2912-0837en_UK
local.rioxx.authorCaswell, Stephen|en_UK
local.rioxx.authorSteele, Robert|en_UK
local.rioxx.authorAnderson, Annie S|en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate2015-07-21en_UK
local.rioxx.licencehttp://creativecommons.org/licenses/by/4.0/|2015-07-21|en_UK
local.rioxx.filenameStead et al_IJBNPA_2015.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source1479-5868en_UK
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