Boonyapat Shatpattananunt, Wongchan Petpichetchian, Soifah Pinsuwan, Tanyawut Chaloempong, Sineenat Waraphok, Charoenchai Wongwatkit
Development and evaluation of a virtual reality basic life support for undergraduate students in Thailand: a project by Mae Fah Luang University (MFU BLiS VR)
BMC medical education
obesity chronic complex multifactorial disease resulting interaction genetic environmental behavioral factors characterized excessive fat accumulation adipose tissue damages health deteriorates quality life although dietary treatment significantly improve health high attrition common problem weight loss interventions serious consequences weight loss management frustration strategy used improve compliance combining dietary prescriptions recommendations physical activity cognitive behavioral treatment cbt weight management systematic review determined dropout rate predictive factors associated dropout cbt adults overweight obesity data 37 articles selected shows overall dropout rate 5 62 predictive factors associated attrition distinguished demographics younger age educational status unemployed status ethnicity psychological variables greater expected 1year body mass index loss previous weight loss attempts perceiving stress dieting weight shape concerns body image dissatisfaction higher stress anxiety depression common reasons dropping objective ie longterm sickness acute illness pregnancy logistical poor job conditions job difficulties low level organization dissatisfaction initial results lack motivation lack adherence according mixed methods appraisal quality analysis 135 articles classified five stars none received lowest quality grade 1 star majority articles classified 4 stars 46 least 50 selected articles exhibited high risk bias domain characterized higher level bias randomization 60 articles high risk bias high risk bias articles probably depend type study design cases observational nonrandomized findings demonstrate cbt could promising approach obesity treatment achieving cases lower dropout rates nonbehavioral interventions however studies conducted compare obesity treatment strategies heterogeneity dropout assessment population studied ultimately gaining deeper understanding comparative effectiveness treatment strategies great value patients clinicians healthcare policymakers systematic review registration prospero 2022 crd42022369995 available httpswwwcrdyorkacukprosperodisplayrecordphpidcrd42022369995