Designing a Co-created Intervention to Promote Motivation and Maintenance of Time-Restricted Eating in Individuals With Overweight and Type 2 Diabetes

Nana Folmann Hempler; Natasja Bjerre; Annemarie Reinhardt Varming; Anne-Ditte Termannsen; Lene Winther Ringgaard; Thit Hjortskov Jensen; Kristine Færch; Jonas Salling Quist

doi:10.1016/j.jneb.2023.03.001

Designing a Co-created Intervention to Promote Motivation and Maintenance of Time-Restricted Eating in Individuals With Overweight and Type 2 Diabetes

J Nutr Educ Behav. 2023 May;55(5):371-380. doi: 10.1016/j.jneb.2023.03.001.

Authors

Nana Folmann Hempler¹, Natasja Bjerre², Annemarie Reinhardt Varming³, Anne-Ditte Termannsen⁴, Lene Winther Ringgaard³, Thit Hjortskov Jensen³, Kristine Færch⁵, Jonas Salling Quist⁶

Affiliations

¹ Health Promotion Research, Copenhagen University Hospital, Steno Diabetes Center Copenhagen, Herlev, Denmark. Electronic address: nana.folmann.hempler@regionh.dk.
² Health Promotion Research, Copenhagen University Hospital, Steno Diabetes Center Copenhagen, Herlev, Denmark; Department of Food and Resource Economics, University of Copenhagen, Frederiksberg, Denmark.
³ Health Promotion Research, Copenhagen University Hospital, Steno Diabetes Center Copenhagen, Herlev, Denmark.
⁴ Clinical Research, Copenhagen University Hospital, Steno Diabetes Center Copenhagen, Herlev, Denmark.
⁵ Clinical Research, Copenhagen University Hospital, Steno Diabetes Center Copenhagen, Herlev, Denmark; Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
⁶ Clinical Research, Copenhagen University Hospital, Steno Diabetes Center Copenhagen, Herlev, Denmark; Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark; School of Psychology, University of Leeds, Leeds, United Kingdom. Electronic address: jonas.salling.quist@regionh.dk.

PMID: 37164552
DOI: 10.1016/j.jneb.2023.03.001

Abstract

Objective: To design an appealing time-restricted eating (TRE) intervention by exploring behavioral and social mechanisms to improve TRE adoption and maintenance among people with type 2 diabetes (T2D) and overweight. Time-restricted eating is an intermittent fasting regimen suggested to improve glycemic control and body weight.

Methods: Intervention development combined coherence theory and empirical data (workshops and semistructured interviews with the target group, their relatives, and health care professionals [HCPs]). Abductive analysis was applied.

Results: The analysis suggested designing the TRE intervention in 2 phases: a short period with strict TRE, followed by a longer period focusing on adapting TRE to individual needs with support from HCPs, relatives, and peers. To reinforce TRE motivation and maintenance, HCPs should adopt a whole-person approach that focuses on participants' previous experiences.

Conclusions and implications: Important intervention elements to promote TRE adoption and maintenance are suggested to include a 2-phase design and support from professionals, family, and peers.

Keywords: behavioral mechanisms; intervention; overweight; time-restricted eating; type 2 diabetes.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Body Weight
Diabetes Mellitus, Type 2* / therapy
Health Personnel
Humans
Motivation
Overweight* / therapy