Feasibility of a Social Media-based Weight Loss Program for Low Socioeconomic Status Individuals

The primary objectives of the proposed research are to:

1. assess the feasibility of social media-based (social support, social competition, and
social rewards) and traditional online weight loss (education and goal setting)
intervention components delivered to low-Socioeconomic Status (SES) participants using
the Facebook SM and Fitbit self-monitoring platforms and

2. develop and assess methods for recruiting and retaining adequate numbers of low-SES
participants for a future randomized controlled trial to assess the efficacy of an
SM-based weight loss intervention. The study team will assess feasibility by conducting
a 12-week pilot test of traditional and social media-based weight loss intervention
components followed by qualitative and quantitative assessment with pilot participants.

The specific aims are:

Aim 1- Assess trial feasibility: The study team will assess intervention processes critical
to the success of a larger efficacy trial during the 12-week pilot including: (1) participant
recruitment and retention, (2) participant use of intervention components, (3) use of data
collection strategies and instruments.

Aim 2 - Assess intervention acceptability: The study team will conduct structured interviews
and surveys among participants to assess participants' experience during the intervention.
This study focuses on: (1) intervention design and content, (2) participant use of
intervention technologies (Facebook and Fitbit), (3) participant concerns about privacy, and
(4) barriers and facilitators to recruitment, retention, and participation. Findings will be
used to improve the design of a larger efficacy trial.

Study Design: This study will employ a one group pre-post design.

Inclusion Criteria:

- able to speak English

- regular access to an internet-enabled device that can be synched with the Fitbit
wristband

- Body mass index (BMI) 25-40 kg/m^2

- < 30 minutes per day of self-reported moderate or vigorous physical activity

- Considered eligible for Ohio Expanded Food and Nutrition Education Program (EFNEP)
income guidelines

- located in the greater Cleveland metropolitan area

- not pregnant or planning on becoming pregnant

- answers 'no' to all questions on the PA Readiness Questionnaire (PAR-Q) or is cleared
in writing by a physician

- does not have a recent history of alcohol or drug abuse or is in treatment

- does not have schizophrenia

Exclusion Criteria:

- Does not meet all inclusion criteria