Computer Supported Cooperative Work (CSCW)

, Volume 24, Issue 4, pp 353–384 | Cite as

Life After Weight Loss: Design Implications for Community-based Long-term Weight Management

Article

Abstract

The pervasiveness of online health communities and recent exponential growth of health tracking technologies provide new possibilities for weight management, an important health issue that remains prevalent. To enhance the understanding of how to support them to succeed, we investigate people’s practices and experiences over the course of weight management, interviewing users from a well-established online peer-to-peer weight management community that integrates a calorie tracking tool. We find that support for weight loss maintenance was surprisingly overlooked, which we identify as a missed opportunity both for recognizing and leveraging individual member’s success and for enhancing community development. Our findings further characterize the changes people experience when they have transited from weight loss to weight loss maintenance. These changes of experience converge onto four facets, including motivation, goal recognition, social support, and social presence. We discuss the specific challenges and associated design opportunities these changes of experience afford for supporting long-term success of weight management.

Keywords

Design Online health communities Health tracking technology Weight loss maintenance Weight management 

References

  1. Bandura, Albert (1986). Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
  2. Bandura, Albert (1998). Health Promotion from the Perspective of Social Cognitive Theory. Psychology and Health, vol. 13, no. 4, pp. 623–649.CrossRefGoogle Scholar
  3. Brown, Alyssa (2013). Americans’ desire to shed pounds outweighs effort. November 2013. http://www.gallup.com/poll/166082/americans-desire-shed-pounds-outweighs-effort.aspx. Accessed 18 May 2015.
  4. Byrne, S., Z. Cooper, and C. Fairburn (2003). Weight Maintenance and Relapse in Obesity: A Qualitative Study. International Journal of Obesity, vol. 27, no. 8, pp. 955–962.CrossRefGoogle Scholar
  5. Chambers, Julie A., and Vivien Swanson (2012). Stories of Weight Management: Factors Associated with Successful and Unsuccessful Weight Maintenance. British Journal of Health Psychology, vol. 17, no. 2, pp. 223–243.CrossRefGoogle Scholar
  6. Cohen, Sheldon, and S. Leonard Syme (1985). Social Support and Health. Orlando, FL: Academic Press.Google Scholar
  7. Consolvo, Sunny, David W. McDonald, and James A. Landay (2009). Theory-driven Design Strategies for Technologies that Support Behavior Change in Everyday Life. In CHI 2009. Proceedings of the 27th International Conference on Human Factors in Computing Systems, Boston, MA, USA, 4 April – 9 April 2009. New York: ACM Press, pp. 405–414.Google Scholar
  8. Consolvo, Sunny, Katherine Everitt, Ian Smith, and James A. Landay (2006). Design Requirements for Technologies that Encourage Physical Activity. In CHI 2006. Proceedings of the 24th International Conference on Human Factors in Computing Systems, Montréal, Québec, Canada, 22 April −27 April 2006. New York: ACM Press, pp. 457–466.Google Scholar
  9. Consolvo, Sunny, David W. McDonald, Tammy Toscos, Mike Y. Chen, Jon Froehlich, Beverly Harrison, Predrag Klasnja, Anthony LaMarca, Louis LeGrand, and Ryan Libby (2008). Activity Sensing in the Wild: a Field Trial of Ubifit Garden. In CHI 2008. Proceedings of the 26th International Conference on Human Factors in Computing Systems, Florence, Italy, 5 April – 10 April 2008. New York: ACM Press, pp. 1797–1806.Google Scholar
  10. Consolvo, Sunny, Predrag Klasnja, David W. McDonald, and James A. Landay (2009). Goal-setting Considerations for Persuasive Technologies that Encourage Physical Activity. In Pervasive’09. Proceedings of the 4th International Conference on Persuasive Technology, Claremont, California, USA, 26 April −29 April 2009. New York: ACM Press, Article 8.Google Scholar
  11. Coulson, Neil S., Heather Buchanan, and Aimee Aubeeluck (2007). Social Support in Cyberspace: A Content Analysis of Communication within a Huntington’s Disease Online Support Group. Patient Education & Counseling, vol. 68, no. 2, pp. 173–178.CrossRefGoogle Scholar
  12. Elfhag, K., and S. Rössner (2005). Who Succeeds in Maintaining Weight Loss? A Conceptual Review of Factors Associated with Weight Loss Maintenance and Weight Regain. Obesity Reviews, vol. 6, no. 1, pp. 67–85.CrossRefGoogle Scholar
  13. Eysenbach, Gunther, John Powell, Marina Englesakis, Carlos Rizo, and Anita Stern (2004). Health Related Virtual Communities and Electronic Support Groups: Systematic Review of the Effects of Online Peer to Peer Interactions. BMJ: British Medical Journal, vol. 328, no. 7449, pp. 1166–1170.CrossRefGoogle Scholar
  14. Festinger, Leon (1954). A Theory of Social Comparison Processes. Human Relations, vol. 7, no. 2, pp. 117–140.CrossRefGoogle Scholar
  15. Fjeldsoe, Brianna, Maike Neuhaus, Elisabeth Winkler, and Elizabeth Eakin (2011). Systematic Review of Maintenance of Behavior Change Following Physical Activity and Dietary Interventions. Health Psychology, vol. 30, no. 1, pp. 99–109.CrossRefGoogle Scholar
  16. Fox, Jesse, and Jeremy N. Bailenson (2009). Virtual Self-modeling: The Effects of Vicarious Reinforcement and Identification on Exercise Behaviors. Media Psychology, vol. 12, no. 1, pp. 1–25.CrossRefGoogle Scholar
  17. Frost, Jeana H., and Michael P. Massagli (2008). Social Uses of Personal Health Information within PatientsLikeMe, an Online Patient Community: What can Happen when Patients Have Access to One Another’s Data. Journal of Medical Internet Research, vol. 10, no. 3, pp. e15.Google Scholar
  18. Fryar, Cheryl D., Margaret D. Carroll, and Cynthia L. Ogden (2012). Prevalence of Overweight, Obesity, and Extreme Obesity among Adults: United States, Trends 1960–1962 through 2009–2010. Centers for Disease Control and Prevention, September 2012. Available at: http://198.246.102.49/nchs/data/hestat/obesity_adult_09_10/obesity_adult_09_10.pdf. Accessed 18 May, 2015
  19. Glaser, Barney G., and Anselm L. Strauss (1967). The Discovery of Grounded Theory: Strategies for Qualitative Research. Chicago: Aldine de Gruyter.Google Scholar
  20. Grimes, Andrea, Martin Bednar, Jay David Bolter, and Rebecca E. Grinter (2008). EatWell: Sharing Nutrition-related Memories in a Low-income Community. In CSCW 2008. Proceedings of the 2008 ACM Conference on Computer Supported Cooperative Work, San Diego, California, USA, 8 November – 12 November 2008. New York: ACM Press, pp. 87–96.Google Scholar
  21. Hartzler, Andrea, and Wanda Pratt (2011). Managing the Personal Side of Health: How Patient Expertise Differs from the Expertise of Clinicians. Journal of Medical Internet Research, vol. 13, no. 3, pp. e62.Google Scholar
  22. He, Helen Ai, Saul Greenberg, and Elaine M. Huang (2010). One Size does not Fit All: Applying the Transtheoretical Model to Energy Feedback Technology Design. In CHI 2010. Proceedings of the 28th International Conference on Human Factors in Computing Systems, Atlanta, Georgia, USA, 10 April – 15 April 2010. New York: ACM Press, pp. 927–936.Google Scholar
  23. Huh, Jina, and Mark S. Ackerman (2012). Collaborative Help in Chronic Disease Management: Supporting Individualized Problems. In CSCW 2012. Proceedings of the 2012 ACM Conference on Computer Supported Cooperative Work, Bellevue, WA, USA, 11 February – 15 February 2012. New York: ACM Press, pp. 853–862.Google Scholar
  24. Huh, Jina, Rupa Patel, and Wanda Pratt (2012). Tackling Dilemmas in Supporting “the Whole Person” in Online Patient Communities. In CHI 2012. Proceedings of the 30th ACM Conference on Human Factors in Computing Systems, Austin, TX, USA, 5 May – 10 May 2012. New York: ACM Press, pp. 923–926.Google Scholar
  25. Hwang, Kevin O., Allison J. Ottenbacher, Angela P. Green, M. Roseann Cannon-Diehl, Oneka Richardson, Elmer V. Bernstam, and Eric J. Thomas (2010). Social Support in an Internet Weight Loss Community. International Journal of Medical Informatics, vol. 79, no. 1, pp. 5–13.Google Scholar
  26. Jafarinaimi, Nassim, Jodi Forlizzi, Amy Hurst, and John Zimmerman (2005). Breakaway: An Ambient Display Designed to Change Human Behavior. In CHI 2005. Extended Abstracts Proceedings of the 2005 International Conference on Human Factors in Computing Systems, Portland, Oregon, USA, 2 April – 7 April 2005. New York: ACM Press, pp. 1945–1948.Google Scholar
  27. Janz, Nancy K., and Marshall H. Becker (1984). The Health Belief Model: A Decade Later. Health Education Quarterly, vol. 11, no. 1, pp. 1–47.CrossRefGoogle Scholar
  28. Jeffery, Robert W., Leonard H. Epstein, G. Terence Wilson, Adam Drewnowski, Albert J. Stunkard, and Rena R. Wing (2000). Long-term Maintenance of Weight Loss: Current Status. Health Psychology, vol. 19, no. 1S, pp. 5–16.CrossRefGoogle Scholar
  29. Klasnja, Predrag, and Wanda Pratt (2012). Healthcare in the Pocket: Mapping the Space of Mobile-phone Health Interventions. Journal of Biomedical Informatics, vol. 45, no. 1, pp. 184–198.CrossRefGoogle Scholar
  30. Klasnja, Predrag, Sunny Consolvo, and Wanda Pratt (2011). How to Evaluate Technologies for Health Behavior Change in HCI Research. In CHI 2011. Proceedings of the 31st ACM Conference on Human Factors in Computing Systems, Vancouver, BC, Canada, 7 May – 12 May 2011. New York: ACM Press, pp. 3063–3072.Google Scholar
  31. Klem, Mary L., Rena R. Wing, Wei Lang, Maureen T. McGuire, and James O. Hill (2000). Does Weight Loss Maintenance Become Easier over Time? Obesity Research, vol. 8, no. 6, pp. 438–444.CrossRefGoogle Scholar
  32. Latham, Gary P., and Edwin A. Locke (1991). Self-regulation through Goal Setting. Organizational Behavior and Human Decision Processes, vol. 50, no. 2, pp. 212–247.CrossRefGoogle Scholar
  33. Li, Victor, David W. McDonald, Elizabeth V. Eikey, Jessica Sweeney, Janessa Escajeda, Guarav Dubey, Kaitlin Riley, Erika S. Poole, and Eric B. Hekler (2014). Losing It Online: Characterizing Participation in an Online Weight Loss Community. In GROUP 2014. Proceedings of the 18th International Conference on Supporting Group Work, Sanibel Island, FL, USA, 9 November – 12 November 2014. New York: ACM Press, pp. 35–45.Google Scholar
  34. Lin, James J., Lena Mamykina, Silvia Lindtner, Gregory Delajoux, and Henry B. Strub (2006). Fish’n’Steps: Encouraging Physical Activity with an Interactive Computer Game. In UbiComp 2006. Proceedings of 8th International Conference on Ubiquitous Computing, Orange County, CA, USA, 17 September – 21 September 2006. Berlin, Heidelberg: Springer, pp. 261–278.Google Scholar
  35. Maitland, Julie, and Matthew Chalmers (2011). Designing for Peer Involvement in Weight Management. In CHI 2011. Proceedings of the 31st ACM Conference on Human Factors in Computing Systems, Vancouver, BC, Canada, 7 May – 12 May 2011. New York: ACM Press, pp. 315–324.Google Scholar
  36. Maitland, Julie, Scott Sherwood, Louise Barkhuus, Ian Anderson, Malcolm Hall, Barry Brown, Matthew Chalmers, and Henk Muller (2006). Increasing the Awareness of Daily Activity Levels with Pervasive Computing. In PervasiveHealth 2006. Proceedings of 1st International ICST Conference on Pervasive Computing Technologies for Healthcare, Innsbruck, Austria, 29 November 291 December 2006. IEEE, pp. 1–9.Google Scholar
  37. Maloney-Krichmar, Diane, and Jenny Preece (2005). A Multilevel Analysis of Sociability, Usability, and Community Dynamics in an Online Health Community. ACM Transactions on Computer-Human Interaction (TOCHI), vol. 12, no. 2, pp. 201–232.CrossRefGoogle Scholar
  38. Mamykina, Lena, Elizabeth Mynatt, Patricia Davidson, and Daniel Greenblatt (2008). MAHI: Investigation of Social Scaffolding for Reflective Thinking in Diabetes Management. In CHI 2008: Proceedings of the 26th International Conference on Human Factors in Computing Systems, Florence, Italy, 5 April – 10 April 2008. New York: ACM Press, pp. 477–486.Google Scholar
  39. Mamykina, Lena, Andrew D. Miller, Elizabeth D. Mynatt, and Daniel Greenblatt (2010). Constructing Identities through Storytelling in Diabetes Management. In CHI 2010. Proceedings of the 28th International Conference on Human Factors in Computing Systems, Atlanta, Georgia, USA, 10 April – 15 April 2010. New York: ACM Press, pp. 1203–1212.Google Scholar
  40. Mattila, Elina, Juha Parkka, Marion Hermersdorf, Jussi Kaasinen, Janne Vainio, Kai Samposalo, Juho Merilahti, Juha Kolari, Minna Kulju, and Raimo Lappalainen (2008). Mobile Diary for Wellness Management—Results on Usage and Usability in Two User Studies. IEEE Transactions on Information Technology in Biomedicine, vol. 12, no. 4, pp. 501–512.CrossRefGoogle Scholar
  41. Newman, Mark W., Debra Lauterbach, Sean A. Munson, Paul Resnick, and Margaret E. Morris (2011). “It’s not that I don’t have problems, I’m just not putting them on Facebook”: Challenges and Opportunities in Using Online Social Networks for Health. In CSCW 2011. Proceedings of the 2011 ACM Conference on Computer Supported Cooperative Work, Hangzhou, China, 19 March – 23 March 2011. New York: ACM Press, pp. 341–350.Google Scholar
  42. NHLBI Obesity Education Initiative Expert Panel on the Identification, Evaluation, and Treatment of Obesity in Adults (US) (1998). Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report. Bethesda (MD): National Heart, Lung, and Blood Institute, September 1998. http://www.ncbi.nlm.nih.gov/books/NBK2003/. Accessed 18 May 2015.
  43. Orleans, C. Tracy (2000). Promoting the Maintenance of Health Behavior Change: Recommendations for the Next Generation of Research and Practice. Health Psychology, vol. 19, no. 1S, pp. 76–83.CrossRefGoogle Scholar
  44. Ploderer, Bernd, Wally Smith, Steve Howard, Jon Pearce, and Ron Borland (2013). Patterns of Support in an Online Community for Smoking Cessation. In C&T 2013. Proceedings of the 6th International Conference on Communities and Technologies, Munich, Germany, 29 June – 2 July 2013. New York: ACM Press, pp. 26–35.Google Scholar
  45. Prochaska, James O., and Wayne F. Velicer (1997). The Transtheoretical Model of Health Behavior Change. American Journal of Health Promotion, vol. 12, no. 1, pp. 38–48.CrossRefGoogle Scholar
  46. Ren, Yuqing, Robert Kraut, Sara Kiesler, and Paul Resnick (2012). Encouraging Commitment in Online Communities. In R. Kraut and P. Resnick (eds): Building Successful Online Communities: Evidence-based Social Design. Cambridge, MA: MIT Press, pp. 77–125.Google Scholar
  47. Resnick, Paul J., Adrienne W. Janney, Lorraine R. Buis, and Caroline R. Richardson (2010). Adding an Online Community to an Internet-mediated Walking Program. Part 2: Strategies for Encouraging Community Participation. Journal of Medical Internet Research, vol. 12, no. 4, pp. e72.Google Scholar
  48. Reyes, Naomi R., Tracy L. Oliver, Alicia A. Klotz, Caitlin A. LaGrotte, Stephanie S. Vander Veur, Amy Virus, Brooke A. Bailer, and Gary D. Foster (2012). Similarities and Differences between Weight Loss Maintainers and Regainers: A Qualitative Analysis. Journal of the Academy of Nutrition and Dietetics, vol. 112, no. 4, pp. 499–505.CrossRefGoogle Scholar
  49. Rimer, Barbara K., and Karen Glanz (2005). Theory at a Glance: a Guide for Health Promotion Practice. Bethesda, MD: National Cancer Institute, US Department of Health and Human Services, 2005. http://www.cancer.gov/cancertopics/cancerlibrary/theory.pdf. Accessed 8 May 2012.
  50. Rothman, Alexander J (2000). Toward a Theory-based Analysis of Behavioral Maintenance. Health Psychology, vol. 19, no. 1S, pp. 64–69.CrossRefGoogle Scholar
  51. Sciamanna, Christopher N., Michaela Kiernan, Barbara J. Rolls, Jarol Boan, Heather Stuckey, Donna Kephart, Carla K. Miller, Gordon Jensen, Terry J. Hartmann, and Eric Loken (2011). Practices Associated with Weight Loss versus Weight-loss Maintenance: Results of a National Survey. American Journal of Preventive Medicine, vol. 41, no. 2, pp. 159–166.CrossRefGoogle Scholar
  52. Tsai, Christopher C., Gunny Lee, Fred Raab, Gregory J. Norman, Timothy Sohn, William G. Griswold, and Kevin Patrick (2007). Usability and Feasibility of PmEB: A Mobile Phone Application for Monitoring Real Time Caloric Balance. Mobile Networks and Applications, vol. 12, no. 2, pp. 173–184.CrossRefGoogle Scholar
  53. Wang, Yi-Chia, Robert Kraut, and John M. Levine (2012). To Stay or Leave?: The Relationship of Emotional and Informational Support to Commitment in Online Health Support Groups. In CSCW 2012. Proceedings of the 2012 ACM Conference on Computer Supported Cooperative Work, Bellevue, WA, USA, 11 February – 15 February 2012. New York: ACM Press, pp. 833–842.Google Scholar
  54. Wills, Thomas A (1981). Downward Comparison Principles in Social Psychology. Psychological bulletin, vol. 90, no. 2, pp. 245–271.MathSciNetCrossRefGoogle Scholar
  55. Wing, Rena R., and James O. Hill (2001). Successful Weight Loss Maintenance. Annual review of nutrition, vol. 21, pp. 323–341.CrossRefGoogle Scholar
  56. Wright, Kevin B. (2009). Increasing Computer-mediated Social Support. In J.C. Parker, and E. Thorson (eds): Health Communication in the New Media Landscape. New York: Springer Publishing, pp. 243–265.Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2015

Authors and Affiliations

  1. 1.College of Information Sciences and TechnologyPennsylvania State UniversityUniversity ParkUSA
  2. 2.Department of Information and Library ScienceIndiana UniversityBloomingtonUSA

Personalised recommendations