A systematic review of influences on engagement with remote health interventions targeting weight management for individuals living with excess weight
Authors' conclusion
There are a number of things to consider in relation to capability, opportunity and motivation when designing remote weight management interventions. This review provides evidence to specific barriers and facilitators that if addressed could optimise future efforts.
Study context
- Population
- Adults ≥18 years with BMI ≥27.5 kg/m² in synchronous, remote weight management interventions; 12 databases searched from inception to October 202339 studies
- Outcome
- Influences (barriers and facilitators) on engagement with synchronous remote weight management interventions
Methodological detailsnarrative synthesis, inductive thematic analysis, mapped to COM-B model and Theoretical Domains Framework (TDF), 36,359 studies screened
- Narrative synthesis
- Inductive thematic analysis
- Mapped to COM-B model and Theoretical Domains Framework (TDF)
- 36,359 studies screened
Pooled result
As reported in the abstract
Themed influences on engagement mapped to COM-B
- Themed influences coded
- 57
- Physical capability
- 2
- Psychological capability
- 10
- Reflective motivation
- 17
- Automatic motivation
- 10
- Physical opportunity
- 7
- Social opportunity
- 11
- Barriers (privacy concerns, time burden, embarrassment/anxiety about self-disclosure, technical issues, access to technology and internet)
- 18
- Facilitators (digital competency, familiarity with technology, self-monitoring, tailored feedback, convenience, accountability, regular check-ins, professional, social and peer support, ease of use, simplicity)
- 39
Original publication
A systematic review of influences on engagement with remote health interventions targeting weight management for individuals living with excess weight. Int J Obes (Lond). Published 7 June 2025. doi:10.
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