Cited by 338Health Literacy and Information AccessibilityMobile Health and mHealth ApplicationsObesity and Health Practices

Social support in an Internet weight loss community

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Hwang, Kevin O., Ottenbacher, Allison J., Green, Angela P., Cannon-Diehl, M. Roseann, Richardson, Oneka, Bernstam, Elmer V., Thomas, Eric J.·2010·International Journal of Medical Informatics

Abstract

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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Crossref · 10.1016/j.ijmedinf.2009.10.003

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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”

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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)
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
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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