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Experiences of self-monitoring: Successes and struggles during treatment for weight loss

Burke, LE and Swigart, V and Turk, MW and Derro, N and Ewing, LJ (2009) Experiences of self-monitoring: Successes and struggles during treatment for weight loss. Qualitative Health Research, 19 (6). 815 - 828. ISSN 1049-7323

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We interviewed 15 individuals who completed a behavioral weight loss treatment study with the aim of exploring participants' reflections on their feelings, attitudes, and behaviors while using a paper diary to self-monitor their diet. Constant comparative and matrix analysis procedures were used to analyze interview data; the qualitative results were then interfaced with descriptive numerical data on individuals' adherence to self-monitoring and weight loss. Three categories of self-monitoring experience were identified: (a) well-disciplined - those who had high adherence to self-monitoring, high weight loss, and a "can do" positive approach, (b) missing the connection - those who had moderate adherence, moderate- to low weight loss, and an "it's an assignment" approach, without integrating self-monitoring into everyday life, and (c) diminished support - those who had poor adherence, poor weight control, and were adversely affected by coexisting negative factors. Given the variations in how individuals integrated the process of self-monitoring, we need to consider individualizing self-monitoring strategies to improve adherence. © 2009 The Author(s).


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Burke, LElbu100@pitt.eduLBU1000000-0003-2434-9867
Swigart, Vvalerie@pitt.eduVALERIE
Turk, MW
Derro, N
Ewing, LJlje1@pitt.eduLJE1
Date: 25 May 2009
Date Type: Publication
Journal or Publication Title: Qualitative Health Research
Volume: 19
Number: 6
Page Range: 815 - 828
DOI or Unique Handle: 10.1177/1049732309335395
Schools and Programs: School of Nursing > Nursing
Refereed: Yes
ISSN: 1049-7323
MeSH Headings: Adult; Cognitive Therapy; Cohort Studies; Diet Records; Female; Food Habits--psychology; Humans; Interviews as Topic; Male; Middle Aged; Obesity--therapy; Patient Compliance--psychology; Randomized Controlled Trials as Topic; Retrospective Studies; Self Care--psychology; Self-Help Groups; Weight Loss
Other ID: NLM NIHMS128594, NLM PMC2855299
PubMed Central ID: PMC2855299
PubMed ID: 19365099
Date Deposited: 18 Sep 2012 14:34
Last Modified: 26 Jan 2022 12:55


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