Examining social influence on participation and outcomes among a network of behavioral weight-loss intervention enrollees

J Obes. 2013:2013:480630. doi: 10.1155/2013/480630. Epub 2013 Jun 6.

Abstract

Research suggests that social networks, social support, and social influence are associated with weight trajectories among treatment- and non-treatment-seeking individuals. This study examined the impact of having a social contact who participated in the same group behavioral weight-control intervention in the absence of specific social support training on women engaged in a weight-loss program. Participants (n = 92; 100% female; 54% black; mean age: 46 ± 10 years; mean BMI: 38 ± 6) were grouped based upon whether or not they reported a social contact enrolled previously/concurrently in our behavioral weight-control studies. Primary outcomes were 6-month weight change and treatment adherence (session attendance and self-monitoring). Half of the participants (53%) indicated that they had a social contact; black women were more likely to report a social contact than white women (67.3% versus 39.5%; P < 0.01). Among participants with a social contact, 67% reported at least one contact as instrumental in the decision to enroll in the program. Those with a contact lost more weight (5.9 versus 3.7 kg; P = 0.04), attended more group sessions (74% versus 54%; P < 0.01), and submitted more self-monitoring journals (69% versus 54%; P = 0.01) than those without a contact. Participants' weight change was inversely associated with social contacts' weight change (P = 0.04). There was no association between participant and contact's group attendance or self-monitoring. Social networks may be a promising vehicle for recruiting and engaging women in a behavioral weight-loss program, particularly black women. The role of a natural social contact deserves further investigation.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Analysis of Variance
  • Arkansas / epidemiology
  • Behavior Therapy*
  • Black or African American / psychology
  • Chi-Square Distribution
  • Female
  • Health Behavior* / ethnology
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Linear Models
  • Middle Aged
  • Obesity / diagnosis
  • Obesity / ethnology
  • Obesity / physiopathology
  • Obesity / psychology
  • Obesity / therapy*
  • Patient Compliance
  • Patient Participation*
  • Social Behavior*
  • Social Support*
  • Time Factors
  • Treatment Outcome
  • Weight Loss
  • Weight Reduction Programs / methods*