Methods-Motivational Interviewing Approach for Enhanced Retention and Attendance

Jake‐Schoffman, Danielle E.; Brown, Susan D.; Baiocchi, Michael; Oleski, Jessica L.; Daubenmier, Jennifer; Ferrara, Assiamira; Galarce, Maren; Hartogensis, Wendy; Hecht, Frederick; Hedderson, Monique M.; Moran, Patricia J.; Pagoto, Sherry L.; Tsai, Ai‐Lin; Waring, Molly E.; Kiernan, Michaela

doi:10.1016/j.amepre.2021.04.005

Cited by 35 publications

(12 citation statements)

References 31 publications

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“…In addition, participants were asked questions during the intervention and follow-up descriptions and study timeline to encourage discussion about possible barriers to participation and directly address any issues regarding time commitment. These procedures were conducted to help with retention, as outlined and discussed in a motivational interviewing approach geared toward enhanced retention [ 48 ]. A copy of the consent form was emailed to the participants before the call, and a signed copy was provided upon completion of the call.…”

Section: Methodsmentioning

confidence: 99%

A 2.5-Year Weight Management Program Using Noom Health: Protocol for a Randomized Controlled Trial

Sysko¹,

Oleski²,

Boyar³

et al. 2022

JMIR Res Protoc

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Background Overweight and obesity are serious public health concerns. As the prevalence of excess weight among individuals continues to increase, there is a parallel need for inexpensive, highly accessible, and evidence-based weight loss programs. Objective This weight loss trial will aim to examine the efficacy of the Noom weight loss program in comparison to a digital control after a 6-month intervention phase and a 24-month maintenance phase, with assessments continuing for 2 years beyond the intervention (to 30 months—after the baseline). The secondary outcomes include quality of life, psychosocial functioning, sleep quality, physical activity, diet, and health status. This trial will also examine the severity of obesity-related functional impairment, weight loss history, and demographic moderators, along with adherence and self-efficacy as mediators of the outcome. Methods A total of 600 participants were randomized in a parallel-group, controlled trial to either Noom Healthy Weight Program (intervention) or Noom Healthy Weight Control (control) for a 6-month intervention. Both intervention and control groups include diet and exercise recommendations, educational content, daily logging capabilities, and daily weigh-in entries. The Noom Healthy Weight Program also includes a coach support for weight loss. Remote follow-up assessments of eating, physical activity, psychosocial factors, app use data, and weight will be conducted at 1, 4, 6, 12, 18, 24, and 30 months after baseline. Weight is measured at each follow-up point during a Zoom call using the participants’ scales. Results Enrollment began in March 2021 and the 6-month intervention phase ended in March 2022. Data collection for the final assessment will be completed in March 2024. Conclusions This study tests commercially available digital lifestyle interventions for individuals with overweight and obesity seeking weight loss support. Data obtained from the study will evaluate whether the Noom Healthy Weight Control Program can help individuals overcome weight loss, achieve long-term maintenance, adhere to lifestyle changes, and feature use barriers that are present in other traditional weight loss treatments. Trial Registration ClinicalTrials.gov NCT04797169; https://clinicaltrials.gov/ct2/show/NCT04797169 International Registered Report Identifier (IRRID) DERR1-10.2196/37541

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Section: Methodsmentioning

confidence: 99%

A 2.5-Year Weight Management Program Using Noom Health: Protocol for a Randomized Controlled Trial

Sysko¹,

Oleski²,

Boyar³

et al. 2022

JMIR Res Protoc

View full text Add to dashboard Cite

show abstract

“…Additionally, several studies demonstrated the importance of building rapport and trust and emphasizing the importance of study visits to participants. Recently the Methods‐Motivational Interviewing (MMI) approach was proposed, which has shown promise in helping with recruitment and participant engagement (95) and has been used in a Latino population (53). MMI includes an interactive prerequisite orientation session prior to the start of the program in which participant expectations and the scientific premise of the study are discussed.…”

Section: Discussionmentioning

confidence: 99%

Recruitment and Retention Strategies for Underrepresented Populations and Adults With Arthritis in Behavioral Interventions: A Scoping Review

Pellegrini

Wilcox

DeVivo

et al. 2023

Arthritis Care & Research

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ObjectiveTo identify strategies used to recruit and retain underrepresented populations and populations with arthritis or fibromyalgia (FM) into behavioral programs targeting exercise, physical activity, or chronic disease self management.MethodsFive bibliographic databases were searched for articles published between January 2000 and May 2022. The search focused on strategies and best practices for recruiting and retaining underrepresented populations or populations with arthritis or FM into disease self‐management or physical activity/exercise programs. Abstracts and full‐text articles were screened for inclusion by 2 independent reviewers, and 2 reviewers extracted data from included articles.ResultsOf the 2,800 articles, a total of 43 publications (31 interventions, 8 reviews, 4 qualitative/descriptive studies) met criteria and were included. The majority of studies focused on physical activity/exercise (n = 36) and targeted African American (n = 17), Hispanic (n = 9), or arthritis populations (n = 7). Recruitment strategies that were frequently used included having race‐ or community‐matched team members, flyers and information sessions in areas frequented by the population, targeted emails/mailings, and word of mouth referrals. Retention strategies used included having race‐ or community‐matched team members, incentives, being flexible, and facilitating attendance. Most studies used multiple recruitment and retention strategies.ConclusionThis scoping review highlights the importance of a multifaceted recruitment and retention plan for underrepresented populations and populations with arthritis or FM in behavioral intervention programs targeting exercise, physical activity, or chronic disease self management. Additional research is needed to better understand the individual effects of different strategies and the costs associated with the various recruitment/retention methods in underrepresented populations and populations with arthritis.

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“…They also conclude that there are challenges if incentivisation is linked to a specific outcome, such as recruitment, as that may lead to re-direction of resources away from other key trial activities, such as retention. The role of the clinician in retaining participants in trials is under-researched, although there is evidence that the use of motivational interviewing techniques in initial interactions with participants does improve retention to treatment or follow-up in some trials of weight loss [ 38 ], asthma [ 39 ] and substance abuse [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

Participant retention in paediatric randomised controlled trials published in six major journals 2015–2019: systematic review and meta-analysis

Gaunt

Brooks

Pedder

et al. 2023

Trials

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Background The factors which influence participant retention in paediatric randomised controlled trials are under-researched. Retention may be more challenging due to child developmental stages, involving additional participants, and proxy-reporting of outcomes. This systematic review and meta-analysis explores the factors which may influence retention in paediatric trials. Methods Using the MEDLINE database, paediatric randomised controlled trials published between 2015 and 2019 were identified from six general and specialist high-impact factor medical journals. The review outcome was participant retention for each reviewed trial’s primary outcome. Context (e.g. population, disease) and design (e.g. length of trial) factors were extracted. Retention was examined for each context and design factor in turn, with evidence for an association being determined by a univariate random-effects meta-regression analysis. Results Ninety-four trials were included, and the median total retention was 0.92 (inter-quartile range 0.83 to 0.98). Higher estimates of retention were seen for trials with five or more follow-up assessments before the primary outcome, those less than 6 months between randomisation and primary outcome, and those that used an inactive data collection method. Trials involving children aged 11 and over had the higher estimated retention compared with those involving younger children. Those trials which did not involve other participants also had higher retention, than those where they were involved. There was also evidence that a trial which used an active or placebo control treatment had higher estimated retention, than treatment-as-usual. Retention increased if at least one engagement method was used. Unlike reviews of trials including all ages of participants, we did not find any association between retention and the number of treatment groups, size of trial, or type of treatment. Conclusions Published paediatric RCTs rarely report the use of specific modifiable factors that improve retention. Including multiple, regular follow-ups with participants before the primary outcome may reduce attrition. Retention may be highest when the primary outcome is collected up to 6 months after a participant is recruited. Our findings suggest that qualitative research into improving retention when trials involve multiple participants such as young people, and their caregivers or teachers would be worthwhile. Those designing paediatric trials also need to consider the use of appropriate engagement methods. Research on Research (RoR) registry https://ror-hub.org/study/2561

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Methods-Motivational Interviewing Approach for Enhanced Retention and Attendance

Cited by 35 publications

References 31 publications

A 2.5-Year Weight Management Program Using Noom Health: Protocol for a Randomized Controlled Trial

A 2.5-Year Weight Management Program Using Noom Health: Protocol for a Randomized Controlled Trial

Recruitment and Retention Strategies for Underrepresented Populations and Adults With Arthritis in Behavioral Interventions: A Scoping Review

Participant retention in paediatric randomised controlled trials published in six major journals 2015–2019: systematic review and meta-analysis

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