A Digital Toolkit for Weight Loss Maintenance in European Adults (NoHoW): 2×2 Factorial Randomized Controlled Trial

Category	Detail
Condition	Obesity and overweight management
Key Mechanisms	Self-regulation, motivation, emotion regulation, behavior change techniques
Target Population	European adults experiencing overweight and obesity
Care Setting	Community-based and digital health interventions

Over 40% of Western adults attempt weight control annually, often without evidence-based methods.
Long-term weight loss maintenance is challenging, with high rates of weight regain.
Effective interventions should include self-monitoring, goal-setting, and coping strategies.
Digital interventions can support weight loss maintenance if evidence-based and personalized.
Psychosocial factors, such as stigma and stress, significantly impact weight management efforts.

Implement self-monitoring, goal-setting, and feedback mechanisms in weight management programs.

Adults with overweight and obesity in Europe

Digital interventions should incorporate behavior change techniques and emotional support.

Utilize a combination of digital tools and human support for effective weight management.
Encourage the development of self-regulation and coping strategies for long-term success.
Integrate emotion regulation techniques to enhance behavioral change.

Clinical Scorecard: A Digital Intervention for Sustaining Weight Loss in European Adults (NoHoW): A 2×2 Factorial Randomized Controlled Study