AI Article Synopsis

  • Mobile health interventions for weight loss using automated messaging have been found to have limited effectiveness and lack user feedback data, especially from systems that offer personalized guidance.
  • The study involved 40 participants who rated their experiences with automated messages over 6-12 months and shared insights on how these messages could be improved.
  • While participants appreciated goal progress summaries, they felt the messages did not reflect their individual experiences adequately, indicating the need for more interactive and personalized messaging approaches in future interventions.

Article Abstract

Background: Mobile health interventions for weight loss frequently use automated messaging. However, this intervention modality appears to have limited weight loss efficacy. Furthermore, data on users' subjective experiences while receiving automated messaging-based interventions for weight loss are scarce, especially for more advanced messaging systems providing users with individually tailored, data-informed feedback.

Objective: The purpose of this study was to characterize the experiences of individuals with overweight or obesity who received automated messages for 6-12 months as part of a behavioral weight loss trial.

Methods: Participants (n=40) provided Likert-scale ratings of messaging acceptability and completed a structured qualitative interview (n=39) focused on their experiences with the messaging system and generating suggestions for improvement. Interview data were analyzed using thematic analysis.

Results: Participants found the messages most useful for summarizing goal progress and least useful for suggesting new behavioral strategies. Overall message acceptability was moderate (2.67 out of 5). From the interviews, 2 meta-themes emerged. Participants indicated that although the messages provided useful reminders of intervention goals and skills, they did not adequately capture their lived experiences while losing weight.

Conclusions: Many participants found the automated messages insufficiently tailored to their personal weight loss experiences. Future studies should explore alternative methods for message tailoring (eg, allowing for a higher degree of participant input and interactivity) that may boost treatment engagement and efficacy.

Trial Registration: ClinicalTrials.gov NCT05231824; https://clinicaltrials.gov/study/NCT05231824.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10660236PMC
http://dx.doi.org/10.2196/50872DOI Listing

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