Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/37029
Appears in Collections:Faculty of Health Sciences and Sport Working Papers
Title: Men with long-term conditions in the Game of Stones text messaging and financial incentives trial: an explortory mixed methods study
Author(s): Macaulay, Lisa
O’Dolan, Catriona
Swingler, James
Torrens, Claire
MacLean, Alice
Turner, Katrina
Avenell, Alison
Cotton, Seonaidh
Dombrowski, Stephan U
Gray, Cindy M
MacLennan, Graeme
Hunt, Kate
Kee, Frank
McKinley, Michelle C
Hoddinott, Pat
Contact Email: lisa.macaulay@stir.ac.uk
Citation: Macaulay L, O’Dolan C, Swingler J, Torrens C, MacLean A, Turner K, Avenell A, Cotton S, Dombrowski SU, Gray CM, MacLennan G, Hunt K, Kee F, McKinley MC & Hoddinott P (2024) <i>Men with long-term conditions in the Game of Stones text messaging and financial incentives trial: an explortory mixed methods study</i>. https://www.medrxiv.org/. https://doi.org/10.1101/2024.12.13.24318555
Keywords: Obesity
financial incentives
multiple long-term conditions
MLTC
Issue Date: 16-Dec-2024
Date Deposited: 23-Apr-2025
Abstract: Abstract: Men living with multiple long-term conditions and obesity are under-represented in behavioural weight management trials. Within an effective text messaging and financial incentives trial, our aim was to explore retention, secondary mental health and wellbeing outcomes, and experiences of men with multiple long-term conditions. Methods: Mixed methods process evaluation within a 3-group randomised controlled trial: behavioural text messages with financial incentives, texts alone and waiting-list control, for 583 of 585 men with obesity. Trial retention, mental health and wellbeing outcomes, and experiences were compared for 235 (40%) participants with multiple long-term conditions, 181 (31%) with single conditions, 167(29%) with no conditions, and for 165 (29%) with disability. Semi-structured interviews, analysed using the Framework method, explored experiences with weight trajectories. Concurrent descriptive and qualitative analyses were undertaken. Results: Of the 235 (40%) trial participants with multiple long-term conditions, 99 were disabled and 93 were living in deprived areas. Participants with multiple long-term conditions and/or disability were older, fewer had a degree level qualification, and fewer were in full time work. Retention at 12 months was higher for men with disability (76%) or no long-term conditions (75%), and lower for men with diabetes (65%). Self-reported weight stigma, wellbeing and quality of life scores improved or stayed the same for men living with multiple long-term conditions in the intervention groups, however, results for anxiety and depression screening scores were inconsistent. Participant experiences indicated complex dynamic health, social and life situations which could provide motivation to lose weight for some but not others. Hospitalisation and poor mobility, with inability to exercise, was de-motivating for making changes to reach weight loss targets. Conclusion: Men with multiple long-term conditions varied from very successful weight loss and improved health, to not prioritising or feeling helped by the programme or disengagement due to immobility or diabetes.
Type: Working Paper
URI: http://hdl.handle.net/1893/37029
Rights: The copyright holder for this preprint is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-NC-ND 4.0 International license.
Affiliation: CHeCR
Glasgow Caledonian University
University of Aberdeen
CHeCR
Institute for Social Marketing
University of Bristol
University of Aberdeen
University of Aberdeen
University of New Brunswick
University of Glasgow
University of Aberdeen
Institute for Social Marketing
Queen's University Belfast
Queen's University Belfast
CHeCR
Licence URL(s): http://creativecommons.org/licenses/by-nc-nd/4.0/

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