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Table 4 Summary of factors favoring treatment initiation and favoring non-initiation included in Anticipated Pleasantness of Treatment theme

From: Perceived barriers and facilitators of initiation of behavioral weight loss interventions among adults with obesity: a qualitative study

  Both initiators and non-initiators Initiators only Non-Initiators only Representative Quote
Social aspects influencing enjoyment Favoring initiation
• Starting treatment with friend/family member
Favoring non-initiation
• Concern about disappointing others or feeling judged
Favoring initiation
• Use strategies to manage anxiety
Favoring non-initiation
• Frustration with input of some group members
• Competition can be intimidating, discouraging
Favoring non-initiation
• Concern about relating to group members
• Concern about disclosing sensitive information in group
“I didn’t want to talk. The one thing I worried about when you go to these meetings is, will it go bad if you don’t talk and are you required to talk? So I talked the instructor before I signed up and she was like, ‘I will not make you talk.’” (Initiator)
Anticipated dietary and monitoring recommendations Favoring non-initiation
• Treatment approach requiring eating prescribed foods or meals
Favoring initiation
• Willingness to rearrange schedule to fit food preparation demands
• Treatment approach to food is compatible with family
• Treatment approach to food does not contribute to feeling deprived.
• Program makes tracking diet easy
Favoring initiation
• Treatment approach to food is quick and easy
Favoring non-initiation
• Treatment requiring complicated diet tracking
“I think I am lazy. If somebody could deliver me some meals and they are already ready, I am going to eat what you put in front of me. That would help me a lot because, if I am on the move and I am coming home from work, I might stop somewhere that is convenient. Or I might cook something that’s convenient, but it is not really that healthy.” (Non-initiator)
Identity and self-reliance factors Favoring non-initiation
• Embarrassed to need help
Favoring initiation
• Accepting that they cannot do it on own
Favoring non-initiation
• Desire to not rely on others for weight loss
• Desire to avoid loss of autonomy by a program
• Treatment use not compatible with identity
“I mean that’s for big fat people, and I’m not like that.” (non-initiator)