Natural support networks’ role in habit formation for adults with obesity: A qualitative study using research circles

Introduction: Obesity poses a significant global health threat, with weight loss programmes often struggling to sustain long-term results. Everyday habits and lifestyle practices are widely recognized as critical components for maintaining weight loss over time. Despite the potential of natural support networks (NSNs) in aiding weight loss efforts, their specific role remains unclear in supporting habit formation. The aim was to explore how adults with obesity, occupational therapists (OTs), and researchers in obesity suggest that the NSN can be involved in a municipal weight loss programme to support sustainable habit formation and lifestyle management for adults with obesity. Method: This study employed a participatory approach, utilizing research circles involving adults with obesity, OTs, and researchers. A qualitative content analysis was used to analyse data. Findings: Three themes emerged: Knowing one’s habits within the NSN, reaching mutual understanding when living with others, and dealing with challenging situations to keep on track. Conclusion: A weight loss programme should support citizens to realize habits within the NSN to foster mutual understanding. Further, coping strategies involving the NSN should be developed. Overall, a supportive NSN is essential for successful and sustainable weight loss, aiding individuals in navigating habit formation challenges and achieving health goals.