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Background: For individuals who are eligible but unlikely to join comprehensive weight loss programs, a low burden self‐weighing intervention may be a more acceptable approach to weight management. Methods: This was a single‐arm feasibility trial of a 12‐month self‐weighing intervention. Participants were healthcare patients with a BMI ≥25 kg/m2 with a weight‐related comorbidity or a BMI >30 kg/m2 who reported lack of interest in joining a comprehensive weight loss program, or did not enroll in a comprehensive program after being provided program information. In the self‐weighing intervention, participants were asked to weigh themselves daily on a cellular connected scale and were sent text messages every other week with tailored weight change feedback, including messages encouraging use of comprehensive programs if weight gain occurred. Results: Of 86 eligible patients, 39 enrolled (45.3%) in the self‐weighing intervention. Self‐weighing occurred on average 4.6 days/week (SD = 1.4). At 12 months, 12 participants (30.8%) lost ≥3% baseline weight, 11 (28.2%) experienced weight stability (±3% baseline), 6 (15.4%) gained ≥3% of baseline weight, and 10 (25.6%) did not have available weight data to evaluate. Three participants reported joining a weight loss program during the intervention (7.7%). Participants reported high intervention satisfaction in quantitative ratings (4.1 of 5), and qualitative interviews identified areas of satisfaction (e.g., timing and content of text messages) and areas for improvement (e.g., increasing personalization of text messages). Conclusion: A low‐burden self‐weighing intervention can reach adults with overweight/obesity who would be unlikely to engage in comprehensive weight loss programs; the efficacy of this intervention for preventing weight gain should be further evaluated in a randomized trial. [ABSTRACT FROM AUTHOR]

Objective: Greater self‐monitoring of caloric intake and weight has been associated with success at both initial weight loss and long‐term maintenance. Given the existence of wide variability in weight loss outcomes and the key role of self‐monitoring within behavioral weight management interventions, this study examined individual variability in associations between self‐monitoring and weight change and whether demographic factors could predict who may best benefit from self‐monitoring. Methods: Participants were 72 adults with overweight or obesity (mean ± SD, age = 50.6 ± 10.3; body mass index = 31.2 ± 4.5 kg/m2; 71%Female; 83%White) enrolled in a 12‐week weight loss program followed by a 40‐week observational maintenance period. Participants were encouraged to self‐monitor caloric intake and weight daily and to report these data via a study website each week. Multilevel mixed models were used to estimate week‐to‐week associations between self‐monitoring and weight change, by individual and linear regressions and ANOVAs were used to explore demographic differences in these associations. Results: Most participants (68%) demonstrated statistically significant negative associations between self‐monitoring of either caloric intake or weight and weight change. Of these, 76% benefited from self‐monitoring both caloric intake and weight, 18% from self‐monitoring caloric intake only, and 6% from self‐weighing only. The magnitude of associations between self‐monitoring and weight change did not significantly differ by age, gender, race/ethnicity, education, or income, all ps > 0.05. Conclusions: Differences in the effectiveness of self‐monitoring for weight loss were not observed by demographic characteristics. Future research should examine if other factors may predict the effectiveness of self‐monitoring. [ABSTRACT FROM AUTHOR]