Long-Term Adherence to Health Behavior Change
Open accessAbstract
The utility of lifestyle-based health promotion interventions is directly affected by participant adherence to prescribed behavior changes. Unfortunately, poor adherence to behaviors recommended in lifestyle interventions is widespread, particularly over the long term; thus, the “adherence problem” represents a significant challenge to the effectiveness of these interventions. The current review provides an overview of the adherence problem and describes a theoretical framework through which the factors that affect adherence can be understood. To further understand the difficulties individuals face when adhering to health behavior changes, we focus our discussion on the challenges associated with adherence to lifestyle behaviors recommended for weight loss and healthy weight management (ie, reductions in dietary intake and increases in physical activity). We describe strategies that improve long-term adherence to health behaviors related to healthy weight management, including the provision of extended care, skills training, improving social support, and strategies specific to maintaining changes in dietary intake and physical activity. Finally, we discuss difficulties involved in implementing long-term weight management programs and suggest practical solutions for providers.
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The present study was a short-term intervention, hence does not establish whether the effects noted persist in the longer term.
“Moreover, the present study was a short-term intervention, hence does not establish whether the effects noted persist in the longer term, as poor adherence to behaviours recommended in lifestyle interventions is widespread, particularly over the long term (40) .”
From Effects of consuming later evening meal<i>v</i>. earlier evening meal on weight loss during a weight loss diet: a randomised clinical trial (2021) · cites this paper as [40]
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Pilot study of an Alzheimer's disease risk assessment program in a primary care setting
Korthauer, L. E., Denby, C., Molina, D., Wanjiku, J., Daiello, L. A., Drake, J. D., Grill, J. D., & Ott, B. R. (2021) · Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring · doi:10.1002/dad2.12157 · Cited by 6 · see citing works
- Authors
- Middleton, K. R., Anton, S. D., & Perri, M. G.
- Affiliations
- Brown University (US)
- Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida (KRM, SDA, MGP)
- ORCID
- Anton, Stephen D.
- Venue
- American Journal of Lifestyle Medicine
- Publisher
- SAGE Publications
- Published
- 2013-06-14
- Volume
- 7
- Issue
- 6
- Pages
- 395-404
- ISSN
- 1559-8276 (ISSN-L)
- 1559-8284
- PMC
- PMC4988401
- OpenAlex
- W2084534703
- Cited by
- 499
- References
- 98
- Citations by year
- 2026: 66 · 2025: 62 · 2024: 56 · 2023: 54 · 2022: 51 · 2021: 69 · 2020: 57 · 2019: 42 · 2018: 28 · 2017: 7 · 2016: 2 · 2015: 3 · 2014: 1 · 2013: 1
- FWCI
- 3.59
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Lifestyle Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (P30AG028740)
- National Institute of Diabetes and Digestive and Kidney Diseases (F32DK100069)
- Topics
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Keywords
- health behavior adherence, long-term adherence, lifestyle intervention, weight management, weight loss, dietary intake, physical activity, social support, skills training, extended care, behavior maintenance
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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