Overview

The purpose of this study is to develop and test an adaptive, individually tailored intervention to prevent weight regain in people who have intentionally lost weight. The main questions it aims to answer are:

• Is an adaptive intervention with tailored re-engagement support feasible for individuals following intentional weight loss?
• Does this intervention prevent weight regain after intentional weight loss?

Participants will:

• Complete a baseline assessment of body measurements
• Complete surveys on dietary intake, mental health, and physical activity

Participants will also engage in a 26-week program, which involves:

• Receive regular educational texts/emails
• Fill out weekly online survey check-ins
• Weigh themselves at least weekly on a scale provided by the study
• Some participants may receive health coaching during portions of the study.
• Assessments will be repeated for all participants at the end of the intervention period.

Eligibility

Inclusion Criteria:

• BMI of ≥ 27 prior to weight loss
• Lost ≥ 7% of body mass in the past 6 months
• Weight loss was intentional
• No plans for weight loss surgery in the next 6 months
• Access to a smart device that can download applications and receive text messages
• Able to receive clearance for study participation from primary care provider

Exclusion Criteria:

• Pregnant or within 12 months postpartum, or planning pregnancy
• Uncontrolled conditions that affect overall health (cardiovascular, metabolic, renal, pulmonary, psychiatric, thyroid, cancers)
• Food insecure
• Bariatric surgery or cancer treatment within the past 5 years
• Active or recent (\<12 months) treatment/diagnosis of an eating disorder