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Brief ‘Appetitive Trait Tailored Intervention’: Development in a Sample of Adults with Overweight and Obesity

Published online by Cambridge University Press:  03 November 2021

Claudia Hunot-Alexander*
Instituto de Nutrición Humana, Departamento de Reproducción Humana, Crecimiento y Desarrollo Infantil, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Edificio anexo al Nuevo Hospital Civil de Guadalajara ‘Dr. Juan I. Menchaca’, 44340 Guadalajara, Jalisco, Mexico
Helen Croker
Department of Behavioural Science and Health, University College London, London WC1E 6BT, UK
Alison Fildes
School of Psychology, Faculty of Medicine and Health, University of Leeds, Leeds LS2 9JT, UK
Fiona Johnson
Department of Behavioural Science and Health, University College London, London WC1E 6BT, UK
Rebecca J. Beeken
Yorkshire Cancer Research University Academic Fellow, Leeds Institute of Health Sciences, Level 10, Worsley Building, Clarendon Way, Leeds LS2 9NL, UK
*Corresponding author: Claudia Hunot-Alexander, Email:


Appetitive traits are associated with weight and could be managed using behavioural strategies. Personalised approaches to weight loss could use a person's appetitive trait profile to tailor weight management advice. This study aimed to explore participants’ experiences of a brief Appetitive Trait Tailored Intervention (ATTI) based on participants’ Adult Eating Behaviour Questionnaire (AEBQ) scores. The ATTI was developed using strategies from modified Cognitive Behavioural Therapy and behaviour change techniques. Acceptability testing of the ATTI was carried out with participants (body mass index ≥25) who completed the AEBQ online and were sent their appetitive trait profile and corresponding weight loss tips via e-mail. Participants were asked to follow the tips for 8 weeks and following the tips, perceived helpfulness, barriers, and initial and final body weight. Qualitative interviews explored their experiences. Thirty-seven participants provided feedback and reported the majority of the tips to be helpful. Thirty-two participants (92.5% female) provided their final weight; 10 reported weight loss ≥5% of initial weight. Qualitative interviews (n = 21) revealed that tailoring was seen as novel and participants felt that the ATTI increased their self-awareness and encouraged behavioural changes. The low intensity of the ATTI limited engagement for some. The ATTI is an acceptable, novel approach to weight management.

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Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of the Australian Association for Cognitive and Behaviour Therapy

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