A Qualitative Evaluation of Experiences Using eHealth for Weight Loss

Abstract

To better understand aspects of existing eHealth technology that aid individuals in weight loss, researchers conducted a pilot study evaluating individual’s experiences using eHealth technology such as apps, wearables, podcasts, and web-based interventions to aid in weight loss. Participants (n=6) who reported using eHealth technology to lose weight (≥2 pounds) were recruited to participant in a 30-60 minute semi-structured interview based on a conceptual model developed from a review of existing literature. Interviews were recorded and transcribed verbatim. Two researchers independently read, coded, and analyzed interviews for themes using Nvivo 11. Researchers used a phenomenology approach to assess themes, and had round-table discussions to assess adequacy and overlap of emergent themes. Popular technology included the MyFitnessPal app and FitBit wearables, among others. Emergent themes about technology acquisition included affordability, environmental exposure, and evaluation of others’ ratings. Themes concerning interaction included timing of use, social aspects of technology, and competition. Themes associated with evaluation were categorized as positive: energy balance, feedback, and prompting; or negative: forgetfulness/inconsistency, tracking fatigue, and guilt. Emerging eHealth technology provides promise for large-scale dissemination of nutrition information and programming. Approximately 52% of American adults use Smartphones to obtain health-related information, and 24% look online for weight loss or weight management information. While the area of eHealth intervention research is growing, little work has been done to understand the interactions of eHealth users with this technology. Future directions entail recruitment of additional diverse participants to understand broader experiences of people who attribute weight loss to eHealth technology.