Natural Support Networks’ Role in Habit Formation for Obese Adults: A Qualitative Study Using Research Circles

Background
Obesity represents a significant public health challenge, contributing to health disparities and inequalities in different population groups. Weight loss programs often struggle with sustaining long-term results, and habits play a critical role in maintaining weight loss. However, the role of natural support networks (NSNs), including family, friends, and close contacts, in supporting habit formation remains underexplored. This study aims to investigate how NSNs can be integrated into municipal weight loss programs, with a focus on supporting habit formation among adults with obesity, a group that faces a higher risk of poor health outcomes due to obesity-related social determinants.
Aim
To explore the role of NSNs in supporting habit formation for adults with obesity, within the context of municipal weight loss programs, and to examine how these networks can help address the social factors contributing to obesity.
Method
A participatory approach was employed using research circles, involving adults with obesity, occupational therapists, and researchers. The data were analyzed using qualitative content analysis to identify the role of NSNs in supporting habit formation and weight loss, considering the broader social determinants of health that influence behavior change.
Results
The study identified three key themes: (1) Knowing one's habits within the NSN, (2) Reaching mutual understanding when living with others, and (3) Dealing with challenging situations to stay on track. Participants emphasized the importance of recognizing habitual behaviors within the NSN, fostering mutual understanding among household members, and developing coping strategies to navigate challenges. These findings highlight the need for weight loss programs to integrate social support dynamics and relationships within NSNs, addressing both individual and structural factors that influence health outcomes.
Conclusion
NSNs play a vital role in supporting habit formation and sustainable weight loss among adults with obesity. By recognizing and understanding habits within the NSN, individuals can better navigate social pressures, develop healthier behaviors, and overcome barriers to long-term health improvements. This study underscores the need for weight loss programs to integrate NSNs as a core element, addressing the social determinants of health and promoting equitable health outcomes. Future research should explore how these findings can be applied to broader populations and test the effectiveness of NSN-based strategies in reducing health disparities related to obesity.