The Outcomes of App-Based Health Coaching to Improve Dietary Behavior Among Nurses in a Tertiary Hospital: Pilot Intervention Study

BackgroundAt the workplace, health care workers face multiple challenges in maintaining healthy dietary behaviors, which is the major factor behind obesity. A hospital-wide mass health screening exercise showed an increasing trend in the prevalence of obesity and median BMI from 2004 to 2019, as wel...

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Main Authors: Wei Xiang Lim (Author), Stephanie Fook-Chong (Author), John Wah Lim (Author), Wee Hoe Gan (Author)
Format: Book
Published: JMIR Publications, 2022-07-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Wei Xiang Lim  |e author 
700 1 0 |a Stephanie Fook-Chong  |e author 
700 1 0 |a John Wah Lim  |e author 
700 1 0 |a Wee Hoe Gan  |e author 
245 0 0 |a The Outcomes of App-Based Health Coaching to Improve Dietary Behavior Among Nurses in a Tertiary Hospital: Pilot Intervention Study 
260 |b JMIR Publications,   |c 2022-07-01T00:00:00Z. 
500 |a 2562-7600 
500 |a 10.2196/36811 
520 |a BackgroundAt the workplace, health care workers face multiple challenges in maintaining healthy dietary behaviors, which is the major factor behind obesity. A hospital-wide mass health screening exercise showed an increasing trend in the prevalence of obesity and median BMI from 2004 to 2019, as well as a higher crude obesity rate among shift workers. ObjectiveWe aimed to evaluate the effectiveness of mobile app-based health coaching and incentives for achieving weight loss from better dietary choices among hospital nurses. MethodsWe conducted a pilot study from June 2019 to March 2020, involving the use of a health-coaching app by 145 hospital nurses over 6 months. Weight and BMI were self-reported, and food scores were calculated. Data among overweight nurses, shift work nurses, and incentive groups were analyzed. ResultsA total of 61 nurses were included in the final analysis. Of these 61 nurses, 38 (62%) lost weight. The median percentage weight loss was 1.2% (IQR 0%-2.9%; P<.001), and the median decrease in BMI was 0.35 (IQR −0.15 to 0.82; P<.001), but they were not clinically significant. The median improvement in the food score was 0.4 (IQR 0-0.8). There was no difference between the incentive and nonincentive groups. A total of 49 (34%) participants engaged for ≥8 weeks. ConclusionsThe study demonstrated an association between the use of app-based health coaching and the attainment of some weight loss in nurses, without a significant improvement in the food score. Incentives may nudge on-boarding, but do not sustain engagement. 
546 |a EN 
690 |a Nursing 
690 |a RT1-120 
655 7 |a article  |2 local 
786 0 |n JMIR Nursing, Vol 5, Iss 1, p e36811 (2022) 
787 0 |n https://nursing.jmir.org/2022/1/e36811 
787 0 |n https://doaj.org/toc/2562-7600 
856 4 1 |u https://doaj.org/article/3dba6e1c9c634769b50135f4b809c3dd  |z Connect to this object online.