Social support in an Internet weight loss community
Open accessAbstract
Purpose To describe social support for weight loss shared by members of a large Internet weight loss community.Methods We conducted a mixed-methods study with surveys (n=193) and interviews (n=13) of community members along with a content analysis of discussion forum messages (n=1924 messages). Qualitative data were analyzed for social support themes.Results Survey respondents were primarily white (91.4%) and female (93.8%) with mean age 37.3 years and mean body mass index 30.9. They used forums frequently, with 56.8% reading messages, 36.1% replying to messages, and 18.5% posting messages to start a discussion related to weight loss on a daily or more frequent basis. Major social support themes were encouragement and motivation, mentioned at least once by 87.6% of survey respondents, followed by information (58.5%) and shared experiences (42.5%). Subthemes included testimonies, recognition for success, accountability, friendly competition, and humor. Members valued convenience, anonymity, and the non-judgmental interactions as unique characteristics of Internet-mediated support.Conclusion This Internet weight loss community plays a prominent role in participants' weight loss efforts. Social support within Internet weight loss communities merits further evaluation as a weight loss resource for clinicians to recommend to patients. Understanding these communities could improve how health professionals evaluate, build, harness, and manipulate social support for weight loss.
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Social networking sites, unlike traditional websites, permit face-to-face communication online.
“Unlike traditional websites, social media networking sites allow online face-to-face communication.20”
From Social media and Internet usage of orthopaedic surgeons (2017) · cites this paper as [20]
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References 39 · Cited by 338
- Authors
- Hwang, K. O., Ottenbacher, A. J., Green, A. P., Cannon-Diehl, M. R., Richardson, O., Bernstam, E. V., & Thomas, E. J.
- Affiliations
- The University of Texas Health Science Center at Houston (US)
- Memorial Hermann (US)
- Baylor College of Medicine (US)
- Corresponding author
- Hwang, Kevin O.
- Venue
- International Journal of Medical Informatics
- Publisher
- Elsevier BV
- Published
- 2010-01
- Volume
- 79
- Issue
- 1
- Pages
- 5-13
- ISSN
- 1386-5056 (ISSN-L)
- PMC
- PMC3060773
- OpenAlex
- W2077780333
- Cited by
- 338
- References
- 39
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 10 · 2023: 19 · 2022: 19 · 2021: 22 · 2020: 23 · 2019: 25 · 2018: 30 · 2017: 33 · 2016: 34 · 2015: 36 · 2014: 26 · 2013: 25 · 2012: 11
- FWCI
- 15.69
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- International Journal of Medical Informatics (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Digital Commons-TMC (Texas Medical Center) (submittedVersion)
- Funders
- University of Texas Health Science Center at Houston
- Center for Clinical and Translational Sciences, University of Texas Health Science Center at Houston
- National Center for Research Resources (UL1RR024148)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Keywords
- social support, weight loss, online communities, forum, collective experience, anonymity, accountability, online health communities
- MeSH terms
- Adult, Aged, Attitude to Computers, Attitude to Health, Female, Health Education, Health Surveys, Humans, Male, Middle Aged, Motivation, Persuasive Communication, Social Support, Weight Loss, Internet, Overweight
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