{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T18:07:27Z","timestamp":1788890847588,"version":"build-2803163510"},"reference-count":50,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"WeightWatchers International Inc","award":["39G3084"],"award-info":[{"award-number":["39G3084"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>While evidence suggests psychosocial support benefits well-being, physical health, and weight management, the impact of psychosocial health within digital behavioral weight management programs (compared to traditional in-person models) remains underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of a digital commercial program (DCP) compared to standard nutrition guidance (SNG) on some weight-related psychosocial outcomes: weight-bias internalization (WBI), self-compassion, weight-related quality of life (WQOL), well-being, and body appreciation (BA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 6-month randomized controlled trial (NCT05648344) was conducted among 376 US adults living with overweight\/obesity. n\u2009=\u2009187 were randomized to a DCP (WeightWatchers\u00ae), and n\u2009=\u2009189 received SNG. Intention-to-treat analyses using analysis of covariance (ANCOVA), adjusted for sex, age, race, ethnicity, education, body mass index (BMI), and baseline values, were completed to assess changes in outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean \u00b1 SD age was 47.7\u2009\u00b1\u200912.2 years; 7.4% self-identified as Asian; 13.8% Black; 6.4% Other; 9.6% Hispanic; 20.7% male; 17.8% experienced food insecurity; BMI\u2009=\u200933.6\u2009\u00b1\u20094.7\u2009kg\/m2. At 6\u2009months, DCP relative to SNG, participants lowered their WBI by a mean difference \u00b1 SE of \u22120.3\u2009\u00b1\u20090.1; and increased their self-compassion by 0.2\u2009\u00b1\u20090.1; BA by 0.2\u2009\u00b1\u20090.1; well-being by 6.4\u2009\u00b1\u20091.7, and WQOL by 5.6\u2009\u00b1\u20091.2, all P&amp;lt;.01.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Relative to SNG, participants in the DCP showed increased self-compassion, BA, well-being, and WQOL, and decreased WBI, highlighting that DCPs may deliver favorable changes in psychosocial outcomes. These findings should be interpreted with caution due to the short follow-up period and the question of whether the observed differences are clinically meaningful.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/abm\/kaag022","type":"journal-article","created":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T11:34:42Z","timestamp":1776339282000},"source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of a digital weight management program on weight-bias internalization, self-compassion, quality of life, well-being, and body appreciation: secondary outcomes from a randomized controlled trial"],"prefix":"10.1093","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9489-2219","authenticated-orcid":false,"given":"Ana M","family":"Palacios","sequence":"first","affiliation":[{"name":"Jiann Ping Hsu College of Public Health, Georgia Southern University , Savannah, GA, 31419,","place":["United 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