Journal of Behavioral Medicine

, Volume 42, Issue 2, pp 353–364 | Cite as

Participant and interventionist perceptions of challenges during behavioral weight loss treatment

  • Christine C. CallEmail author
  • Leah M. Schumacher
  • Diane L. Rosenbaum
  • Alexandra D. Convertino
  • Fengqing Zhang
  • Meghan L. Butryn


No prior studies have examined how interventionists’ perceptions of participants’ weight control challenges or the agreement between participants and interventionists on these perceptions relate to outcomes during group-based behavioral weight loss treatment. This study characterized participants’ and interventionists’ perceptions of, and agreement about, weight control challenges and assessed how these factors relate to weight loss. Three months into treatment, participants and interventionists independently selected three weight control challenges believed to be most relevant for each participant. Weight was measured at baseline, 3 months, and 12 months. Interventionists and participants had “no” (κ < 0) or “slight” (0 < κ< .20) agreement on most challenges. Although endorsement of certain challenges by participants and/or interventionists was related to 3- and 12-month weight losses, agreement between participants and interventionists was unrelated to weight loss at either time point. Additional research is needed to better understand the role of perceived challenges and participant/interventionist agreement about challenges on treatment outcomes.


Obesity Weight loss Treatment Challenges Behavior therapy 



This research was funded by National Institute of Diabetes and Digestive and Kidney Diseases (Grant R01DK100345) (to Butryn).

Compliance with ethical standards

Conflict of interest

Christine C. Call, Leah M. Schumacher, Diane L. Rosenbaum, Alexandra D. Convertino, Fengqing Zhang and Meghan L. Butryn declare that they have no conflict of interests.

Human and animal rights and Informed consent

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Christine C. Call
    • 1
    Email author
  • Leah M. Schumacher
    • 1
  • Diane L. Rosenbaum
    • 2
  • Alexandra D. Convertino
    • 1
  • Fengqing Zhang
    • 1
  • Meghan L. Butryn
    • 1
  1. 1.Department of PsychologyDrexel UniversityPhiladelphiaUSA
  2. 2.Department of PsychiatryUniversity of Pennsylvania Perelman School of MedicinePhiladelphiaUSA

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