Dropout, Nonusage Attrition, and Pretreatment Predictors of Nonusage Attrition in a Commercial Web-Based Weight Loss Program
Open accessAbstract
BACKGROUND: An understanding of the factors that predict retention and website use are critical to the development of effective Web-based weight loss interventions. However, poor retention (dropout attrition) and website utilization (nonusage attrition) are major inhibitors to the effectiveness of Web-based programs. OBJECTIVE: The study aimed to (1) describe the prevalence of dropout and nonusage attrition and (2) examine pretreatment predictors of nonusage attrition in a cohort of commercial Web-based weight loss program participants. METHODS: Participants enrolled in the online program, The Biggest Loser Club, Australia, from August 15, 2007, to May 31, 2008. Only those who subscribed for 12 or 52 weeks were included in this study. All data were collected by the program proprietors, SP Health Co Pty Ltd (Sydney, Australia), and provided in "deidentified" form. Data collected included responses to a pretreatment survey (sociodemographic and behavioral characteristics), subscription history (date of enrollment and subscription end), and website use (log-ins, food and exercise diary entries, weigh-ins, and forum posts). Participants were classified as a member of the program at 12 or 52 weeks if they held an active subscription plan at that point in time. Participants were classified as nonusers at 12 or 52 weeks if they had stopped using all of the website features and had not returned. Predictors of nonusage attrition were explored using Cox proportional hazards regression analysis. RESULTS: Of the 9599 eligible participants, 6943 (72%) subscribed to the program for 12 weeks, and 2656 (28%) subscribed for 52 weeks. Of all participants, 31% (2975/9599) were classified as overweight, 61% (5866/9599) were classified as obese, 86% (8279/9599) were female, and participants' mean (SD) age was 35.7 (9.5) years. The 12 week and 52 week subscribers' retention rates were 97% and 77% respectively. Of 12 week subscribers, 35% were classified as program "users" after 12 weeks, and 30% of 52 week subscribers were classified as "users" after 52 weeks. Significant predictors of nonusage attrition among 12 week subscribers included age (hazard ratio for 45 to 55 years of age = 0.83, 95% confidence interval [CI] 0.73 - 0.93, P = .001; hazard ratio for 55 to 65 years of age = 0.80, 95% CI 0.66 - 0.99, P = .04), exercise level (hazard ratio = 0.76, 95% CI 0.72 - 0.81, P < .001), emotional eating (hazard ratio = 1.11, 95% CI 1.04 - 1.18, P = .001), eating breakfast (hazard ratio = 0.88, 95% CI 0.82 - 0.95, P = .001), and skipping meals (hazard ratio = 1.12, 95% CI 1.04 -1.19, P = .001). For 52 week subscribers, eating breakfast (hazard ratio = 0.88, 95% CI 0.79 - 0.99, P = .04) and not drinking tea or coffee with sugar (hazard ratio = 1.23, 95% CI 1.11 - 1.37, P < .001) were the pretreatment characteristics that significantly decreased risk of nonusage attrition. CONCLUSIONS: The findings demonstrate a high prevalence of nonusage attrition among a cohort of commercial Web-based weight loss program participants. Several sociodemographic and behavioral factors were shown to independently predict nonusage attrition.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Attrition is typically high in Web-based interventions.
“Attrition is a significant problem in Web-based interventions.”
From A Visualization Tool to Analyse Usage of Web-Based Interventions: The Example of Positive Online Weight Reduction (POWeR) (2015) · cites this paper as [5]
Higher use of website features may be associated with weight loss, but it is not clear which features improve this effect or reduce attrition.
“Although higher use of website features may be associated with weight loss, it is not clear which features improve this effect or reduce attrition [5].”
From A Visualization Tool to Analyse Usage of Web-Based Interventions: The Example of Positive Online Weight Reduction (POWeR) (2015) · cites this paper as [5]
The rapid attrition rate observed is similar to that reported in similar Web-based weight loss interventions.
“This is similar to the rapid attrition rate reported in similar Web-based weight loss interventions [3-5].”
From A Visualization Tool to Analyse Usage of Web-Based Interventions: The Example of Positive Online Weight Reduction (POWeR) (2015) · cites this paper as [5]
In a study of a commercial weight loss service, Neve et al found that 30% of participants could still be classified as users after 1 year.
“In a study of a commercial weight loss service, Neve et al [48] used criteria comparable to ours to define sustained usage. They found that 30% of participants could still be classified as users after 1 year.”
From Personal Health Technologies in Employee Health Promotion: Usage Activity, Usefulness, and Health-Related Outcomes in a 1-Year Randomized Controlled Trial (2013) · cites this paper as [48]
Many studies focus on whether respondents' characteristics can explain variations in adherence.
“Many studies focus on whether and which respondents’ characteristics can explain variations in adherence [11, 13, 16, 22].”
From Persuasive System Design Does Matter: a Systematic Review of Adherence to Web-based Interventions (2012) · cites this paper as [22]
A lack of human centeredness explains the incidence of usability problems and high attrition rates.
“This lack of human centeredness explains the incidence of usability problems [7-9], or high attrition rates [10-18].”
From A Holistic Framework to Improve the Uptake and Impact of eHealth Technologies (2011) · cites this paper as [15]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
(2000) · PubMed · Cited by 13,173 · see citing works
Eysenbach, G. (2005) · Journal of Medical Internet Research · doi:10.2196/jmir.7.1.e11 · Cited by 2,524 · see citing works
Elfhag, K., & Rössner, S. (2005) · Obesity Reviews · doi:10.1111/j.1467-789x.2005.00170.x · Cited by 1,343 · cited 2× · see citing works
“Previous research has investigated pretreatment predictors of dropout attrition from weight loss interventions and demonstrated key sociodemographic characteristics (education level [21], employment status [21,22], age [23,24], gender [25]) and behavioral factors (number of previous weight loss attempts [21,26,27], di…”
BackgroundResultWantland, D. J., Portillo, C. J., Holzemer, W. L., Slaughter, R., & McGhee, E. M. (2004) · Journal of Medical Internet Research · doi:10.2196/jmir.6.4.e40 · Cited by 966 · see citing works
Using Internet technology to deliver a behavioral weight loss program
Tate, D. F. (2001) · JAMA · doi:10.1001/jama.285.9.1172 · Cited by 925 · cited 2× · see citing works
“For example, studies have demonstrated significantly higher numbers of log-ins [14-16,20] as well as more self-monitoring occasions and higher attendance in online meetings [14] with the addition of these evidence-based components.”
BackgroundThe Delivery of Public Health Interventions via the Internet: Actualizing Their Potential
Bennett, G. G., & Glasgow, R. E. (2009) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.031308.100235 · Cited by 800 · see citing works
Tate, D. F., Jackvony, E. H., & Wing, R. R. (2003) · JAMA · doi:10.1001/jama.289.14.1833 · Cited by 666 · see citing works
Behavioral treatment of obesity
Butryn, M. L., Webb, V., & Wadden, T. A. (2011) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2011.08.006 · Cited by 636 · see citing works
A Review of eHealth Interventions for Physical Activity and Dietary Behavior Change
Norman, G. J., Zabinski, M. F., Adams, M. A., Rosenberg, D. E., Yaroch, A. L., & Atienza, A. A. (2007) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2007.05.007 · Cited by 605 · cited 1× · see citing works
“Many participants also do not achieve the level of use prescribed by the program [2,17-19].”
BackgroundA Behavior Change Model for Internet Interventions
Ritterband, L. M., Thorndike, F. P., Cox, D. J., Kovatchev, B. P., & Gonder-Frederick, L. A. (2009) · Annals of Behavioral Medicine · doi:10.1007/s12160-009-9133-4 · Cited by 591 · cited 3× · see citing works
“It has been suggested, however, that participants may consider Web-based interventions differently from other treatment options [3].”
BackgroundWebsite-Delivered Physical Activity Interventions
Vandelanotte, C., Spathonis, K. M., Eakin, E. G., & Owen, N. (2007) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2007.02.041 · Cited by 475 · see citing works
Neve, M., Morgan, P. J., Jones, P. R., & Collins, C. E. (2010) · Obesity Reviews · doi:10.1111/j.1467-789x.2009.00646.x · Cited by 459 · see citing works
Self-citationTate, D. F., Jackvony, E. H., & Wing, R. R. (2006) · Archives of Internal Medicine · doi:10.1001/archinte.166.15.1620 · Cited by 427 · see citing works
Pretreatment predictors of attrition and successful weight management in women
Teixeira, P. J., Going, S. B., Houtkooper, L. B., Cussler, E. C., Metcalfe, L. L., Blew, R. M., Sardinha, L. B., & Lohman, T. G. (2004) · International Journal of Obesity · doi:10.1038/sj.ijo.0802727 · Cited by 371 · see citing works
Behavioral Treatment of Obesity
Wadden, T. A., Crerand, C. E., & Brock, J. (2005) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2004.09.008 · Cited by 351 · see citing works
Grave, R. D., Calugi, S., Molinari, E., Petroni, M. L., Bondi, M., Compare, A., Marchesini, G., & QUOVADIS Study Group (2005) · Obesity Research · doi:10.1038/oby.2005.241 · Cited by 306 · see citing works
A Randomized Controlled Trial of a Commercial Internet Weight Loss Program
Womble, L. G., Wadden, T. A., McGuckin, B. G., Sargent, S. L., Rothman, R. A., & Krauthamer‐Ewing, E. S. (2004) · Obesity Research · doi:10.1038/oby.2004.124 · Cited by 247 · see citing works
eHealth Evaluation and Dissemination Research
Glasgow, R. E. (2007) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2007.01.023 · Cited by 220 · see citing works
Glasgow, R. E., Nelson, C. C., Kearney, K. A., Reid, R., Ritzwoller, D. P., Strecher, V. J., Couper, M. P., Green, B., & Wildenhaus, K. (2007) · Journal of Medical Internet Research · doi:10.2196/jmir.9.2.e11 · Cited by 216 · see citing works
Gold, B. C., Burke, S., Pintauro, S., Buzzell, P., & Harvey‐Berino, J. (2007) · Obesity · doi:10.1038/oby.2007.520 · Cited by 212 · see citing works
Predictors of drop-out in overweight and obese outpatients
İnelmen, E., Toffanello, E. D., Enzi, G., Gasparini, G., Miotto, F., Sergi, G., & Busetto, L. (2004) · International Journal of Obesity · doi:10.1038/sj.ijo.0802846 · Cited by 198 · see citing works
Verheijden, M. W., Jans, M. P., Hildebrandt, V. H., & Hopman-Rock, M. (2007) · Journal of Medical Internet Research · doi:10.2196/jmir.9.1.e1 · Cited by 195 · see citing works
Predictors of Attrition in a Large Clinic‐Based Weight‐Loss Program
Honas, J. J., Early, J. L., Frederickson, D. D., & O'Brien, M. S. (2003) · Obesity Research · doi:10.1038/oby.2003.122 · Cited by 175 · see citing works
Predictors of attrition and weight loss success: Results from a randomized controlled trial
Fabricatore, A. N., Wadden, T. A., Moore, R. H., Butryn, M. L., Heymsfield, S. B., & Nguyen, A. M. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.05.004 · Cited by 159 · see citing works
The SHED-IT randomized controlled trial: evaluation of an Internet-based weight-loss program for men
Morgan, P. J., Lubans, D. R., Collins, C. E., Warren, J. M., & Callister, R. (2009) · Obesity · doi:10.1038/oby.2009.85 · Cited by 156 · see citing works
Self-citationWeight Management Using the Internet
Hunter, C. M., Peterson, A. L., Alvarez, L. M., Poston, W. C., Brundige, A. R., Haddock, C. K., Van Brunt, D. L., & Foreyt, J. P. (2008) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2007.09.026 · Cited by 136 · see citing works
The Feasibility of Using Internet Support for the Maintenance of Weight Loss
Harvey-Berino, J., Pintauro, S. J., & Gold, E. C. (2002) · Behavior Modification · doi:10.1177/0145445502026001006 · Cited by 135 · see citing works
Moore, T. J., Alsabeeh, N., Apovian, C. M., Murphy, M. C., Coffman, G. A., Cullum‐Dugan, D., Jenkins, M. A., & Cabral, H. (2008) · Journal of Medical Internet Research · doi:10.2196/jmir.1114 · Cited by 131 · see citing works
Complexity of attrition in the treatment of obesity: clues from a structured telephone interview
Grossi, E., Grave, R. D., Mannucci, E., Molinari, E., Compare, A., Cuzzolaro, M., & Marchesini, G. (2006) · International Journal of Obesity · doi:10.1038/sj.ijo.0803244 · Cited by 122 · see citing works
Carr, L. J., Bartee, R. T., Dorozynski, C., Broomfield, J. F., Smith, M. L., & Smith, D. T. (2008) · Preventive Medicine · doi:10.1016/j.ypmed.2007.12.005 · Cited by 118 · see citing works
Maintenance of weight loss in overweight middle-aged women through the Internet
Cussler, E. C., Teixeira, P. J., Going, S. B., Houtkooper, L. B., Metcalfe, L. L., Blew, R. M., Ricketts, J. R., Lohman, J., Stanford, V. A., & Lohman, T. G. (2008) · Obesity · doi:10.1038/oby.2008.19 · Cited by 115 · see citing works
Wanner, M., Martin‐Diener, E., Bauer, G. F., Braun‐Fahrländer, C., & Martin, B. W. (2010) · Journal of Medical Internet Research · doi:10.2196/jmir.1361 · Cited by 95 · see citing works
A randomized comparison of two motivationally enhanced Internet behavioral weight loss programs
Webber, K. H., Tate, D. F., & Michael Bowling, J. (2008) · Behaviour Research and Therapy · doi:10.1016/j.brat.2008.06.008 · Cited by 82 · see citing works
Ware, L. J., Hurling, R., Bataveljic, O., Fairley, B. W., HURST, T. L., Murray, P., Rennie, K. L., Tomkins, C. E., Finn, A., Cobain, M. R., et al. (2008) · Journal of Medical Internet Research · doi:10.2196/jmir.1108 · Cited by 65 · see citing works
Evaluating an Internet weight loss program for diabetes prevention
McCoy, M. R., Couch, D., Duncan, N. D., & Lynch, G. S. (2005) · Health Promotion International · doi:10.1093/heapro/dai006 · Cited by 62 · see citing works
Effectiveness of Employee Internet-Based Weight Management Program
Petersen, R., Sill, S., Lu, C., Young, J. M., & Edington, D. W. (2008) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0b013e31815c6cf6 · Cited by 59 · see citing works
Utilization patterns and user characteristics of an ad libitum Internet weight loss program
Binks, M., & van Mierlo, T. (2010) · Journal of Medical Internet Research · doi:10.2196/jmir.1347 · Cited by 52 · see citing works
Yass-Reed, E. M., Barry, N. J., & Dacey, C. (1993) · Addictive Behaviors · doi:10.1016/0306-4603(93)90060-m · Cited by 46 · see citing works
A Statewide Intervention Reduces BMI in Adults: Shape Up Rhode Island Results
Wing, R. R., Pinto, A. M., Crane, M. M., Kumar, R., Weinberg, B. M., & Gorin, A. A. (2009) · Obesity · doi:10.1038/oby.2008.655 · Cited by 38 · see citing works
Jonasson, J., Linne, Y. M., Neovius, M., & Rössner, S. (2008) · Scandinavian Journal of Public Health · doi:10.1177/1403494807085066 · Cited by 19 · see citing works
An Internet-Based Weight Loss Intervention Initiated by a Newspaper
Bastian, L. A., Østbye, T., Carter‐Edwards, L., Amamoo, M. A., & Schultz, M. (2020) · PubMed Central · doi:10.17615/3j9d-v915 · Cited by 12 · see citing works
Neve, M., Collins, C. E., McElduff, P., & Morgan, P. J. (2010) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2010.09.005 · Cited by 1 · see citing works
Self-citationIs website use associated with weight loss in a commercial web-based weight loss program?
Neve, M., Morgan, P. J., McElduff, P., & Collins, C. E. (2010) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2010.09.004 · Cited by 1 · see citing works
Self-citationHot Topic Abstracts from ICO 2010 11th International Congress on Obesity
(2010) · Obesity Reviews · doi:10.1111/j.1467-789x.2010.00822.x · Cited by 1 · see citing works
Flagged first, then by citations
1 of the 45 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Persuasive System Design Does Matter: a Systematic Review of Adherence to Web-based Interventions
Kelders, S. M., Kok, R. N., Ossebaard, H. C., & Van Gemert-Pijnen, J. E. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.2104 · Cited by 1,308 · see citing works
Perski, O., Blandford, A., West, R., & Michie, S. (2017) · Translational Behavioral Medicine · doi:10.1007/s13142-016-0453-1 · Cited by 1,193 · see citing works
A Holistic Framework to Improve the Uptake and Impact of eHealth Technologies
van Gemert-Pijnen, J. E., Nijland, N., van Limburg, M., Ossebaard, H. C., Kelders, S. M., Eysenbach, G., & Seydel, E. R. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1672 · Cited by 1,126 · see citing works
Sieverink, F., Kelders, S. M., & van Gemert-Pijnen, J. E. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.8578 · Cited by 331 · see citing works
Stubbs, J., Whybrow, S., Teixeira, P., Blundell, J., Lawton, C., Westenhoefer, J., Engel, D., Shepherd, R., McConnon, A., Gilbert, P., et al. (2011) · Obesity Reviews · doi:10.1111/j.1467-789x.2011.00883.x · Cited by 211 · see citing works
Nijland, N., van Gemert-Pijnen, J. E., Kelders, S. M., Brandenburg, B. J., & Seydel, E. R. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1603 · Cited by 175 · see citing works
Kelders, S. M., Van Gemert-Pijnen, J. E. W. C., Werkman, A., Nijland, N., & Seydel, E. R. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1624 · Cited by 156 · see citing works
Leung, A. W. Y., Chan, R., Sea, M. M.-M., & Woo, J. (2017) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph14080922 · Cited by 164 · see citing works
Guertler, D., Vandelanotte, C., Kirwan, M., & Duncan, M. J. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.4339 · Cited by 147 · see citing works
Taki, S., Lymer, S., Russell, C. G., Campbell, K., Laws, R., Ong, K.-L., Elliott, R., & Denney-Wilson, E. (2017) · JMIR mHealth and uHealth · doi:10.2196/mhealth.7236 · Cited by 114 · see citing works
Collins, C. E., Morgan, P. J., Jones, P., Fletcher, K., Martin, J., Aguiar, E. J., Lucas, A., Hutchesson, M., & Callister, R. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.1980 · Cited by 101 · see citing works
Self-citationEngagement Promotes Abstinence in a Web-based Cessation Intervention: Cohort Study
Richardson, A. K., Graham, A. L., Cobb, N. K., Xiao, H., Mushro, A., Abrams, D. B., & Vallone, D. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2277 · Cited by 100 · see citing works
Thomas, J. G., Raynor, H. A., Bond, D. S., Luke, A. K., Cardoso, C. C., Foster, G. D., & Wing, R. R. (2017) · Obesity · doi:10.1002/oby.21846 · Cited by 100 · see citing works
Hutchesson, M., Tan, C. Y., Morgan, P. J., Callister, R., & Collins, C. E. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.4100 · Cited by 99 · see citing works
Self-citationAttrition in web-based treatment for problem drinkers
Postel, M. G., de Haan, H. A., ter Huurne, E. D., van der Palen, J., Becker, E. S., & de Jong, C. A. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1811 · Cited by 87 · see citing works
Mattila, E., Orsama, A.-L., Ahtinen, A., Hopsu, L., Leino, T., & Korhonen, I. (2013) · JMIR mhealth and uhealth · doi:10.2196/mhealth.2557 · Cited by 93 · see citing works
McCully, S. N., Don, B. P., & Updegraff, J. A. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2612 · Cited by 90 · see citing works
Bossen, D., Buskermolen, M., Veenhof, C., de Bakker, D. H., & Dekker, J. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2742 · Cited by 88 · see citing works
der Mispel, C. V., Poppe, L., Crombez, G., Verloigne, M., & Bourdeaudhuij, I. D. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7277 · Cited by 81 · see citing works
Yardley, L., Ware, L. J., Smith, E. R., Williams, S., Bradbury, K. J., Arden-Close, E. J., Mullee, M. A., Moore, M. V., Peacock, J. L., Lean, M. E., et al. (2014) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-11-67 · Cited by 84 · see citing works
Weymann, N., Dirmaier, J., von Wolff, A., Kriston, L., & Härter, M. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.3904 · Cited by 73 · see citing works
Johnson, F., & Wardle, J. (2011) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-8-83 · Cited by 82 · see citing works
Obesity management: what brings success?
Lagerros, Y. T., & Rössner, S. (2012) · Therapeutic Advances in Gastroenterology · doi:10.1177/1756283x12459413 · Cited by 85 · see citing works
Duncan, M., Fenton, S., Brown, W., Collins, C., Glozier, N., Kolt, G., Holliday, E., Morgan, P., Murawski, B., Plotnikoff, R., et al. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17176200 · Cited by 62 · see citing works
Self-citationMattila, E., Lappalainen, R., Välkkynen, P., Sairanen, E., Lappalainen, P., Karhunen, L., Peuhkuri, K., Korpela, R., Kolehmainen, M., & Ermes, M. (2016) · JMIR mhealth and uhealth · doi:10.2196/mhealth.5241 · Cited by 67 · see citing works
Sadasivam, R. S., Borglund, E. M., Adams, R., Marlin, B. M., & Houston, T. K. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.6465 · Cited by 60 · see citing works
Daniore, P., Nittas, V., & von Wyl, V. (2022) · Journal of Medical Internet Research · doi:10.2196/39910 · Cited by 60 · see citing works
Baer, H. J., Rozenblum, R., Cruz, B. A. D. L., Orav, E. J., Wien, M. F., Nolido, N. V., Metzler, K., McManus, K. D., Halperin, F., Aronne, L. J., et al. (2020) · JAMA · doi:10.1001/jama.2020.18977 · Cited by 57 · see citing works
Bossen, D., Veenhof, C., Dekker, J., & de Bakker, D. H. (2013) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-13-61 · Cited by 52 · see citing works
Albright, C. L., Steffen, A. D., Wilkens, L. R., White, K. K. L., Novotny, R., Nigg, C. R., Saiki, K., & Brown, W. J. (2014) · Preventive Medicine · doi:10.1016/j.ypmed.2014.09.019 · Cited by 49 · see citing works
Sadasivam, R. S., Cutrona, S. L., Kinney, R. L., Marlin, B. M., Mazor, K. M., Lemon, S. C., & Houston, T. K. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.4448 · Cited by 48 · see citing works
Hutchesson, M., Morgan, P. J., & Collins, C. E. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1756 · Cited by 46 · see citing works
Self-citationWachtler, C., Coe, A., Davidson, S. K., Fletcher, S. L., Mendoza, A., Sterling, L., & Gunn, J. M. (2018) · JMIR mhealth and uhealth · doi:10.2196/mhealth.9502 · Cited by 41 · see citing works
Stubbins, R., He, T., Yu, X., Puppala, M., Ezeana, C. F., Chen, S., y Alvarado, M. V., Ensor, J., Rodriguez, A. A., Niravath, P. A., et al. (2018) · JCO Clinical Cancer Informatics · doi:10.1200/cci.18.00054 · Cited by 41 · see citing works
Buis, L. R., Hirzel, L., Turske, S. A., Jardins, T. D., YARANDI, H. N., & Bondurant, P. G. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2928 · Cited by 41 · see citing works
Saul, J. E., Amato, M. S., Cha, S., & Graham, A. L. (2016) · Internet Interventions · doi:10.1016/j.invent.2016.07.001 · Cited by 39 · see citing works
Improving adherence to web-based cessation programs: a randomized controlled trial study protocol
Graham, A. L., Cha, S., Papandonatos, G. D., Cobb, N. K., Mushro, A., Fang, Y., NIAURA, R. S., & Abrams, D. B. (2013) · Trials · doi:10.1186/1745-6215-14-48 · Cited by 38 · see citing works
Kim, J. Y., Wineinger, N. E., Taitel, M., Radin, J. M., Akinbosoye, O., Jiang, J., Nikzad, N., Orr, G., Topol, E., & Steinhubl, S. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.6371 · Cited by 37 · see citing works
Reinwand, D. A., Crutzen, R., Storm, V., Wienert, J., Kuhlmann, T., de Vries, H., & Lippke, S. (2016) · BMC Public Health · doi:10.1186/s12889-016-2975-3 · Cited by 35 · see citing works
Marcu, G. M., Ondersma, S. J., Spiller, A. N., Broderick, B. M., Kadri, R., & Buis, L. R. (2021) · Journal of Medical Internet Research · doi:10.2196/34301 · Cited by 35 · see citing works
DietBet: A Web-Based Program that Uses Social Gaming and Financial Incentives to Promote Weight Loss
Leahey, T. M., & Rosen, J. M. (2014) · JMIR Serious Games · doi:10.2196/games.2987 · Cited by 36 · see citing works
Cheng, P., Kalmbach, D. A., Hsieh, H.-F., Castelan, A. C., Sagong, C., & Drake, C. L. (2023) · Psychological Medicine · doi:10.1017/s0033291722000472 · Cited by 35 · see citing works
Hutchesson, M., Collins, C. E., Morgan, P. J., Watson, J., Guest, M., & Callister, R. (2013) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2013.194 · Cited by 35 · see citing works
Self-citationAmoakoh, H. B., Klipstein‐Grobusch, K., Grobbee, D. E., Amoakoh‐Coleman, M., Oduro‐Mensah, E., Sarpong, C., Frimpong, E., Kayode, G. A., Agyepong, I. A., & Ansah, E. (2019) · JMIR mhealth and uhealth · doi:10.2196/12879 · Cited by 35 · see citing works
Developing Online Family Life Prevention and Education Programs
Hughes, R., Bowers, J. R., Mitchell, E. T., Curtiss, S. L., & Ebata, A. T. (2012) · Family Relations · doi:10.1111/j.1741-3729.2012.00737.x · Cited by 34 · see citing works
Health Behavior Change Support Systems as a research discipline; A viewpoint
Kelders, S. M., Oinas-Kukkonen, H., Oörni, A., & van Gemert-Pijnen, J. E. W. C. (2016) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2016.06.022 · Cited by 32 · see citing works
Sexton, J. B., Adair, K. C., Cui, X., Tawfik, D. S., & Profit, J. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.1016407 · Cited by 33 · see citing works
Mauka, W., Mbotwa, C. H., Moen, K., Lichtwarck, H. O., Haaland, I., Kazaura, M. R., Leyna, G. H., Leshabari, M. T., & Mmbaga, E. J. (2021) · JMIR Formative Research · doi:10.2196/23204 · Cited by 34 · see citing works
Arden-Close, E. J., Smith, E., Bradbury, K., Morrison, L., Dennison, L., Michaelides, D., & Yardley, L. (2015) · JMIR Human Factors · doi:10.2196/humanfactors.4310 · Cited by 32 · see citing works
Self-directed interventions to promote weight loss: a systematic review and meta-analysis
Tang, J. C. H., Abraham, C., Greaves, C. J., & Nikolaou, V. (2016) · Health Psychology Review · doi:10.1080/17437199.2016.1172979 · Cited by 32 · see citing works
Perdomo, A. S., Byrne, S., & López, M. J. R. (2018) · Journal of Child and Family Studies · doi:10.1007/s10826-018-1162-9 · Cited by 32 · see citing works
An initial evaluation of a weight loss intervention for individuals who engage in emotional eating
Goldbacher, E., La Grotte, C., Komaroff, E., Vander Veur, S., & Foster, G. D. (2016) · Journal of Behavioral Medicine · doi:10.1007/s10865-015-9678-6 · Cited by 30 · see citing works
Asbjørnsen, R. A., Hjelmesaeth, J. S., Smedsrød, M. L., Wentzel, J., Ollivier, M., Clark, M. M., van Gemert‐Pijnen, J. E. W. C., & Nes, L. S. (2022) · JMIR Human Factors · doi:10.2196/37372 · Cited by 30 · see citing works
Understanding adherence to web-based interventions
Kelders, S. M. (2012) · doi:10.3990/1.9789036534178 · Cited by 29 · see citing works
Svensson, M., Hult, M., van der Mark, M., Grotta, A., Jonasson, J., von Hausswolff‐Juhlin, Y., Rössner, S., & Lagerros, Y. T. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3131 · Cited by 30 · see citing works
Boekhout, J. M., Berendsen, B., Peels, D. A., Bolman, C. A. W., & Lechner, L. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15020346 · Cited by 26 · see citing works
Graham, A. L., Jacobs, M. A., Cohn, A. M., Cha, S., Abroms, L. C., Papandonatos, G. D., & Whittaker, R. (2016) · BMJ Open · doi:10.1136/bmjopen-2015-010687 · Cited by 26 · see citing works
Murray, J., French, D., Patterson, C., Kee, F., Gough, A., Tang, J., & Hunter, R. F. (2019) · Journal of Medical Internet Research · doi:10.2196/11394 · Cited by 25 · see citing works
Treatment dropout in web-based cognitive behavioral therapy for patients with eating disorders
ter Huurne, E. D., Postel, M. G., de Haan, H. A., van der Palen, J., & DeJong, C. A. J. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2016.11.034 · Cited by 25 · see citing works
Olmos‐Ochoa, T. T., Niv, N., Hellemann, G., Cohen, A. N., Oberman, R. S., Goldberg, R. W., & Young, A. S. (2019) · Psychiatric Rehabilitation Journal · doi:10.1037/prj0000363 · Cited by 25 · see citing works
Smith, A. ‘., Bamgboje‐Ayodele, A., Jegathees, S., Butow, P., Klein, B., Salter, M., Turner, J., Fardell, J., Thewes, B., Sharpe, L., et al. (2024) · Journal of Cancer Survivorship · doi:10.1007/s11764-022-01233-9 · Cited by 23 · see citing works
Wishes and preferences for an online lifestyle program for brain health—A mixed methods study
Wesselman, L. M. P., Schild, A., Coll‐Padrós, N., van der Borg, W. E., Meurs, J. H. P., Hooghiemstra, A. M., Slot, R. E. R., Sannemann, L., Rami, L., Molinuevo, J. L., et al. (2018) · Alzheimer s & Dementia Translational Research & Clinical Interventions · doi:10.1016/j.trci.2018.03.003 · Cited by 22 · see citing works
Mamalaki, E., Poulimeneas, D., Tsiampalis, T., Kouvari, M., Karipidou, M., Bathrellou, E., Collins, C. E., Panagiotakos, D. B., & Yannakoulia, M. (2022) · Obesity Reviews · doi:10.1111/obr.13483 · Cited by 23 · see citing works
Self-citationHutchesson, M., Morgan, P. J., & Collins, C. E. (2011) · Public Health Nutrition · doi:10.1017/s1368980011003090 · Cited by 22 · see citing works
Self-citationThe Relationship Between Job Satisfaction and Productivity-Related Costs
Arnold, A. E., Coffeng, J. K., Boot, C. R. L., van der Beek, A. J., van Tulder, M. W., Nieboer, D., & van Dongen, J. M. (2016) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000000831 · Cited by 22 · see citing works
Santé digitale : promesses, défis et craintes. Une revue de la littérature
Carral, M. D. R., Roux, P., Bruchez, C., & Santiago-Delefosse, M. J. (2016) · Pratiques Psychologiques · doi:10.1016/j.prps.2016.06.004 · Cited by 21 · see citing works
Baños, R., Mensorio›, M. S., Cebolla, A., Rodilla, E., Palomar, G., Lisón, J. F., & Botella, C. (2015) · BMC Cardiovascular Disorders · doi:10.1186/s12872-015-0078-1 · Cited by 20 · see citing works
Goñi, L., Víctor de la, O., Barrio-López, M. T., Ramos, P., Tercedor, L., Ibáñez, J. L., Castellanos, E., Ibáñez-Críado, A., Ruiz, R. M., García‐Bolao, I., et al. (2020) · Journal of Medical Internet Research · doi:10.2196/21436 · Cited by 19 · see citing works
Improving Adherence to Smoking Cessation Treatment: Smoking Outcomes in a Web-based Randomized Trial
Graham, A. L., Papandonatos, G. D., Cha, S., Erar, B., & Amato, M. S. (2018) · Annals of Behavioral Medicine · doi:10.1093/abm/kax023 · Cited by 18 · see citing works
Weight Loss Trajectories in Healthy Weight Coaching: Cohort Study
Kupila, S. K. E., Venäläinen, M. S., Suojanen, L.-U., Rosengård‐Bärlund, M., Ahola, A. J., Elo, L. L., & Pietiläinen, K. H. (2022) · JMIR Formative Research · doi:10.2196/26374 · Cited by 18 · see citing works
What to Consider in a Culturally Tailored Technology-Based Intervention?
Im, E., Chee, W., Hu, Y., Kim, S., Choi, H., Hamajima, Y., & Chee, E. (2018) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000000450 · Cited by 18 · see citing works
Factors associated with early dropout in an employer‐based commercial weight‐loss program
Alexander, E., Tseng, E., Durkin, N., Jerome, G. J., Dalcin, A., Appel, L. J., Clark, J. M., & Gudzune, K. A. (2018) · Obesity Science & Practice · doi:10.1002/osp4.304 · Cited by 18 · see citing works
Patterns of self-monitoring technology use and weight loss in people with overweight or obesity
Robertson, M. C., Raber, M. R., Liao, Y., Wu, I. H. C., Parker, N. H., Gatus, L. A., Le, T., Durand, C. P., & Basen-Engquist, K. M. (2021) · Translational Behavioral Medicine · doi:10.1093/tbm/ibab015 · Cited by 19 · see citing works
Pragmatic Implementation of Online Obesity Treatment and Maintenance Interventions in Primary Care
Thomas, J. G., Panza, E. A., Goldstein, C. M., Hayes, J. F., Benedict, N., O’Leary, K. C., & Wing, R. R. (2024) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2023.8438 · Cited by 17 · see citing works
Emotional expression and eating in overweight and obesity
Fox, S., Conneely, S., & Egan, J. (2017) · Health Psychology and Behavioral Medicine · doi:10.1080/21642850.2017.1378580 · Cited by 16 · see citing works
Angiotensin Converting Enzyme (ACE): A Marker for Personalized Feedback on Dieting
Tejpal, S., Sanghera, N., Manoharan, V., Planas-Iglesias, J., Bastie, C. C., & Klein‐Seetharaman, J. (2020) · Nutrients · doi:10.3390/nu12030660 · Cited by 14 · see citing works
Components of Culturally Tailored Interventions
Im, E., & Chee, W. (2020) · Advances in Nursing Science · doi:10.1097/ans.0000000000000340 · Cited by 15 · see citing works
Internet Recruitment of Asian American Breast Cancer Survivors
Im, E., Lee, Y., Ji, X., Zhang, J., Kim, S., Chee, E., Chee, W., Tsai, H., Nishigaki, M., Yeo, S. A., et al. (2016) · Advances in Nursing Science · doi:10.1097/ans.0000000000000131 · Cited by 15 · see citing works
Brindal, E., Hendrie, G. A., Freyne, J., & Noakes, M. (2018) · JMIR mhealth and uhealth · doi:10.2196/mhealth.7796 · Cited by 15 · see citing works
Paans, N. P. G., Bot, M., Brouwer, I. A., Visser, M., Gili, M., Roca, M., Hegerl, U., Kohls, E., Owens, M., Watkins, E. R., et al. (2020) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2020.110206 · Cited by 15 · see citing works
van Tilburg, M. L., Kloek, C. J. J., Staal, J. B., Bossen, D., & Veenhof, C. (2020) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2020.1756015 · Cited by 14 · see citing works
Recruitment and retention of WIC participants in a longitudinal dietary intervention trial
Noia, J. D., Schultz, S., & Monica, D. (2019) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2019.100438 · Cited by 13 · see citing works
Chee, W., Lee, Y., Ji, X., Chee, E., & Im, E. (2019) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000000577 · Cited by 13 · see citing works
Weil, R. M., Kovacs, B., Miller, N. R., McDermott, M., Wall, M., Kupersmith, M. J., Pi-Sunyer, X., & NORDIC Idiopathic Intracranial Hypertension Study Group (2016) · Obesity Science & Practice · doi:10.1002/osp4.34 · Cited by 12 · see citing works
Chee, W., Kim, S., Chu, T., Tsai, H., Ji, X., Zhang, J., Chee, E., & Im, E. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.6454 · Cited by 12 · see citing works
A loyalty scheme to encourage physical activity in office workers: a cluster RCT
Hunter, R. F., Gough, A., Murray, J., Tang, J., Brennan, S., Chrzanowski‐Smith, O. J., Carlin, A., Patterson, C. C., Longo, A., Hutchinson, G., et al. (2019) · Public Health Research · doi:10.3310/phr07150 · Cited by 12 · see citing works
Sadasivam, R. S., Allison, J. J., Ray, M. N., Ford, D. E., & Houston, T. K. (2012) · PubMed Central · Cited by 11 · see citing works
Hendrie, G. A., Baird, D., Brindal, E., Williams, G., Brand-Miller, J. C., & Mühlhäusler, B. S. (2021) · Journal of Medical Internet Research · doi:10.2196/20981 · Cited by 10 · see citing works
Porter, K., Thomson, J. L., & Zoellner, J. (2019) · Public Health Nutrition · doi:10.1017/s1368980019003392 · Cited by 9 · see citing works
Perry, J. R., VanDenKerkhof, E. G., Wilson, R. A., & Tripp, D. A. (2017) · Pain Management Nursing · doi:10.1016/j.pmn.2016.12.003 · Cited by 9 · see citing works
Lieffers, J. R. L., Haresign, H., Mehling, C., & Hanning, R. M. (2016) · BMC Public Health · doi:10.1186/s12889-016-3640-6 · Cited by 9 · see citing works
Poolman, E. Y., Vorstermans, L., Donker, M. H., Bijker, L., Coppieters, M. W., Cuijpers, P. J., Scholten-Peeters, G. G. M., & de Wit, L. M. (2024) · Internet Interventions · doi:10.1016/j.invent.2024.100731 · Cited by 7 · see citing works
Idris, M. Y., Mubasher, M., Alema‐Mensah, E., Awad, C., Vordzorgbe, K., Ofili, E., Quyyumi, A. A., & Pemu, P. E. (2022) · PLOS Digital Health · doi:10.1371/journal.pdig.0000119 · Cited by 8 · see citing works
Olmanson, J., & Abrams, S. S. (2013) · E-Learning and Digital Media · doi:10.2304/elea.2013.10.4.357 · Cited by 8 · see citing works
The website-based eaTracker®‘My Goals’ feature: a qualitative evaluation
Lieffers, J. R. L., Haresign, H., Mehling, C., Arocha, J. F., & Hanning, R. M. (2016) · Public Health Nutrition · doi:10.1017/s1368980016003220 · Cited by 8 · see citing works
Liu, C., Messer, M., Linardon, J., & Fuller‐Tyszkiewicz, M. (2025) · Frontiers in Digital Health · doi:10.3389/fdgth.2025.1380088 · Cited by 7 · see citing works
van Dongen, J. M., van Poppel, M. N. M., Milder, I. E. J., OERS, H. A. M. V., & Brug, J. (2012) · BMC Research Notes · doi:10.1186/1756-0500-5-514 · Cited by 7 · see citing works
Miller-Matero, L. R., Hecht, L. M., Patel, S. R., Martens, K. M., Hamann, A., & Carlin, A. M. (2022) · The American Journal of Surgery · doi:10.1016/j.amjsurg.2022.05.004 · Cited by 7 · see citing works
Asbjørnsen, R. A., Børøsund, E., Hjelmesaeth, J. S., Smedsrød, M. L., Ollivier, M., Wentzel, J., Clark, M. M., van Gemert‐Pijnen, J. E. W. C., & Nes, L. S. (2024) · Behaviour and Information Technology · doi:10.1080/0144929x.2024.2399299 · Cited by 6 · see citing works
Factors influencing adults to drop out of intensive lifestyle interventions for weight loss
Ruelas, A. L., Martínez-Contreras, T. D. J., Esparza‐Romero, J., Díaz-Zavala, R. G., Plata, M. D. C. C., Hingle, M. D., Armenta-Guirado, B. I., & Haby, M. M. (2023) · Translational Behavioral Medicine · doi:10.1093/tbm/ibac112 · Cited by 6 · see citing works
- Authors
- Neve, M. J., Collins, C. E., & Morgan, P. J.
- Affiliations
- University of Newcastle Australia (AU)
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2010-12-14
- Volume
- 12
- Issue
- 4
- Pages
- e69
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC3056525
- OpenAlex
- W1981687717
- Cited by
- 137
- References
- 45
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 6 · 2023: 3 · 2022: 13 · 2021: 7 · 2020: 13 · 2019: 9 · 2018: 11 · 2017: 9 · 2016: 25 · 2015: 7 · 2014: 6 · 2013: 10 · 2012: 7
- FWCI
- 14.20
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion)
- NOVA (University of Newcastle Australia) (submittedVersion)
- Funders
- Medical Research Council
- National Health and Medical Research Council
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Physical Sciences › Computer Science › Human-Computer Interaction › Innovative Human-Technology Interaction
- Keywords
- online health interventions, participant retention, predictors of attrition, internet use, obesity, overweight, commercial weight loss programs, user engagement, online forums, weight loss outcomes, sociodemographic predictors, behavioral predictors
- MeSH terms
- Adult, Australia, Computer-Assisted Instruction, Female, Humans, Male, Middle Aged, Obesity, Outcome and Process Assessment, Health Care, Patient Compliance, Patient Dropouts, Patient Education as Topic, Self Care, Cohort Studies, Program Evaluation, Weight Loss, Prevalence, Confidence Intervals, Odds Ratio, Treatment Outcome, Internet, Young Adult
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 ›
Are you an author, or do you see a problem with this page? Request a review
