title: A qualitative study of successful adolescent and young adult weight losers: implications for weight control intervention.
abstract: BACKGROUND
  Our study aims to provide an in-depth analysis of behavioral strategies, psychological factors, and social contributors to adolescent weight loss and weight loss maintenance among participants in the Adolescent Weight Control Registry (AWCR).
  
  
  METHODS
  Qualitative analyses were conducted using semi-structured interview data from 40 participants from the AWCR who successfully lost ≥10 lbs and maintained their weight loss for at least one year.
  
  
  RESULTS
  In contrast to existing literature, our findings suggest that primary motivating factors for adolescent weight loss may be intrinsic (e.g., desire for better health, desire to improve self-worth) rather than extrinsic. In addition, life transitions (e.g., transition to high school) were identified as substantial motivators for weight-related behavior change. Peer and parental encouragement and instrumental support were widely endorsed as central to success. The most commonly endorsed weight loss maintenance strategies included attending to dietary intake and physical activity levels, and making self-corrections when necessary.
  
  
  CONCLUSIONS
  Results from this study highlight considerations for future adolescent weight control treatment development.
authors.affiliation: 1 Department of Psychology, Brigham Young University , Provo, UT.
authors.forename: Chad D
authors.initials: CD
authors.lastname: Jensen
authors.forename: Kara M
authors.initials: KM
authors.lastname: Duraccio
authors.forename: Sanita L
authors.initials: SL
authors.lastname: Hunsaker
authors.forename: Diana
authors.initials: D
authors.lastname: Rancourt
authors.forename: Elizabeth S
authors.initials: ES
authors.lastname: Kuhl
authors.forename: Elissa
authors.initials: E
authors.lastname: Jelalian
authors.forename: Rena R
authors.initials: RR
authors.lastname: Wing
mesh_terms: D000293:Adolescent; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D015438:Health Behavior; D006801:Humans; D008016:Life Change Events; D008297:Male; D009042:Motivation; D009765:Obesity / Q000517:prevention & control / Q000523:psychology*; D010379:Peer Group; D036301:Qualitative Research; D012649:Self Concept; D020377:Self Efficacy; D012931:Social Environment; D015431:Weight Loss; D055815:Young Adult