Designing a Co-created Intervention to Promote Motivation and Maintenance of Time-Restricted Eating in Individuals With Overweight and Type 2 Diabetes

Nana Folmann Hempler; Natasja Bjerre; Annemarie Reinhardt Varming; Anne-Ditte Termannsen; Lene Winther Ringgaard; Thit Hjortskov Jensen; Kristine Færch; Jonas Salling Quist

doi:10.1016/j.jneb.2023.03.001

Designing a Co-created Intervention to Promote Motivation and Maintenance of Time-Restricted Eating in Individuals With Overweight and Type 2 Diabetes

Nana Folmann Hempler^*, Natasja Bjerre, Annemarie Reinhardt Varming, Anne-Ditte Termannsen, Lene Winther Ringgaard, Thit Hjortskov Jensen, Kristine Færch, Jonas Salling Quist

^*Corresponding author for this work

Steno Diabetes Center Copenhagen

Abstract

OBJECTIVE: To design an appealing time-restricted eating (TRE) intervention by exploring behavioral and social mechanisms to improve TRE adoption and maintenance among people with type 2 diabetes (T2D) and overweight. Time-restricted eating is an intermittent fasting regimen suggested to improve glycemic control and body weight.

METHODS: Intervention development combined coherence theory and empirical data (workshops and semistructured interviews with the target group, their relatives, and health care professionals [HCPs]). Abductive analysis was applied.

RESULTS: The analysis suggested designing the TRE intervention in 2 phases: a short period with strict TRE, followed by a longer period focusing on adapting TRE to individual needs with support from HCPs, relatives, and peers. To reinforce TRE motivation and maintenance, HCPs should adopt a whole-person approach that focuses on participants' previous experiences.

CONCLUSIONS AND IMPLICATIONS: Important intervention elements to promote TRE adoption and maintenance are suggested to include a 2-phase design and support from professionals, family, and peers.

Original language	English
Journal	Journal of Nutrition Education and Behavior
Volume	55
Issue number	5
Pages (from-to)	371-380
Number of pages	10
ISSN	1499-4046
DOIs	https://doi.org/10.1016/j.jneb.2023.03.001
Publication status	Published - May 2023

Keywords

Humans
Overweight/therapy
Motivation
Diabetes Mellitus, Type 2/therapy
Body Weight
Health Personnel

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10.1016/j.jneb.2023.03.001

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Hempler, N. F., Bjerre, N., Varming, A. R., Termannsen, A.-D., Ringgaard, L. W., Jensen, T. H., Færch, K., & Quist, J. S. (2023). Designing a Co-created Intervention to Promote Motivation and Maintenance of Time-Restricted Eating in Individuals With Overweight and Type 2 Diabetes. Journal of Nutrition Education and Behavior, 55(5), 371-380. https://doi.org/10.1016/j.jneb.2023.03.001

Designing a Co-created Intervention to Promote Motivation and Maintenance of Time-Restricted Eating in Individuals With Overweight and Type 2 Diabetes. / Hempler, Nana Folmann; Bjerre, Natasja ; Varming, Annemarie Reinhardt et al.
In: Journal of Nutrition Education and Behavior, Vol. 55, No. 5, 05.2023, p. 371-380.

Research output: Contribution to journal › Journal article › Research › peer-review

Hempler, NF, Bjerre, N , Varming, AR , Termannsen, A-D , Ringgaard, LW, Jensen, TH, Færch, K & Quist, JS 2023, 'Designing a Co-created Intervention to Promote Motivation and Maintenance of Time-Restricted Eating in Individuals With Overweight and Type 2 Diabetes', Journal of Nutrition Education and Behavior, vol. 55, no. 5, pp. 371-380. https://doi.org/10.1016/j.jneb.2023.03.001

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abstract = "OBJECTIVE: To design an appealing time-restricted eating (TRE) intervention by exploring behavioral and social mechanisms to improve TRE adoption and maintenance among people with type 2 diabetes (T2D) and overweight. Time-restricted eating is an intermittent fasting regimen suggested to improve glycemic control and body weight.METHODS: Intervention development combined coherence theory and empirical data (workshops and semistructured interviews with the target group, their relatives, and health care professionals [HCPs]). Abductive analysis was applied.RESULTS: The analysis suggested designing the TRE intervention in 2 phases: a short period with strict TRE, followed by a longer period focusing on adapting TRE to individual needs with support from HCPs, relatives, and peers. To reinforce TRE motivation and maintenance, HCPs should adopt a whole-person approach that focuses on participants' previous experiences.CONCLUSIONS AND IMPLICATIONS: Important intervention elements to promote TRE adoption and maintenance are suggested to include a 2-phase design and support from professionals, family, and peers.",

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AU - Termannsen, Anne-Ditte

AU - Ringgaard, Lene Winther

AU - Jensen, Thit Hjortskov

AU - Færch, Kristine

AU - Quist, Jonas Salling

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AB - OBJECTIVE: To design an appealing time-restricted eating (TRE) intervention by exploring behavioral and social mechanisms to improve TRE adoption and maintenance among people with type 2 diabetes (T2D) and overweight. Time-restricted eating is an intermittent fasting regimen suggested to improve glycemic control and body weight.METHODS: Intervention development combined coherence theory and empirical data (workshops and semistructured interviews with the target group, their relatives, and health care professionals [HCPs]). Abductive analysis was applied.RESULTS: The analysis suggested designing the TRE intervention in 2 phases: a short period with strict TRE, followed by a longer period focusing on adapting TRE to individual needs with support from HCPs, relatives, and peers. To reinforce TRE motivation and maintenance, HCPs should adopt a whole-person approach that focuses on participants' previous experiences.CONCLUSIONS AND IMPLICATIONS: Important intervention elements to promote TRE adoption and maintenance are suggested to include a 2-phase design and support from professionals, family, and peers.

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Designing a Co-created Intervention to Promote Motivation and Maintenance of Time-Restricted Eating in Individuals With Overweight and Type 2 Diabetes

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