Review Article

Beyond the “I” in the Obesity Epidemic: A Review of Social Relational and Network Interventions on Obesity

Table 1

Comprehensive overview of intervention studies found pertaining to social relational constructs and obesity.

ArticleSocial relational constructsTheorySocial ecological level targetedConceptual pathway placement of SRC
TypeModalityMeasure

Lubans et al., 2012 [31]Social supportText messagesSocial cognitive theoryIndividual/
interpersonal
Resource

Angelopoulos et al.,
2009 [32]
Social supportStudent workbook and teacher manual including motivational method and strategies (change social influence through modeling,
mobilizing social support)
Theory of planned behaviorIndividual/
interpersonal/
organizational
Resource

Peterson and Ward-Smith, 2012 [33]Social supportCommunity-based obesity support groupSocial support questionnaireTranstheoretical model, social comparison theory, and social supportIndividualChannel

Gellert et al., 2010 [34]Social supportSupport groupStage-of-change modelIndividualResource

Kushner et al., 2006 [35]Social supportCohesiveness between owners and petsSocial support and readiness questionnaireSocial learning theoryIndividual/
interpersonal
Target

Rimmer et al., 2009 [36]Social supportProfessional advice, brochure information, PA device, telephone consultation, and monthly exercise support groupIndividualChannel

Stolley et al., 2009 [37]Social supportActivities to promote group cohesion (ice breaker, potluck dinners, outside activities, and inclusion of friends and family)Social support for eating and exercise questionnaireSocial cognitive theory, health belief modelIndividualResource

Hemmingsson et al., 2008 [38]Social supportPA behavior change booklet, care at obesity unit, and group sessionsTranstheoretical modelIndividualChannel

Gold et al., 2007 [48]Social supportBehaviour therapy with social support lesson; group supportPerceived social support scaleIndividualChannel

Anderson et al., 2005 [39]Social supportProposed mediator for changes in HRQOL Family social support (Sallis)Social cognitive theoryIndividualResource

Gallagher et al., 2006 [40]Social supportGroup sessions (behavioral strategies to elicit social support)Behavioural processes subscaleSocial cognitive theoryIndividualResource

Pettman et al., 2008 [41]Social supportPeer group setting incorporating self-management programs, establishing peer support networks; information, shared experiences, and outside interactionTheory of planned behaviourIndividualChannel

Kiernan et al., 2012 [42]Social supportFriend and family support for healthy eating and PASupport subscales and sabotage subscales; general supportive and strained interactions with family and friends subscales; qualitative question on social supportSocial support measurementIndividualResource

Kalodner and DeLucia, 1999 [43]Social supportClassmate interaction to facilitate social cohesion and supportBehaviour changeIndividualResource

Casazza and Ciccazzo, 2007 [44]Social supportComputer-based education; in-person lecture and pamphletsSocial support surveyIndividualResource

Hajek et al., 2010 [45]Social supportInteractive group sessions (group support components, cohesive and productive environment)Client feedback questionnaire includes “group support” as potential component participants found most usefulIndividualChannel

Yancey et al., 2006 [46]Social supportInclusion of close friend or relativeSocial ecological modelsIndividual/
interpersonal
Resource

Cousins et al., 1992 [47]Social supportEmphasized family-oriented approach to health behaviors; manual, inclusion of spouses, and group supportIndividual/
interpersonal
Resource

Williamson et al., 2012 [50]Social supportClassroom/internet programChildren's dietary social support scaleIndividual/
organizational
Resource

Leblanc et al., 2012 [49]Social supportStructural social support provided by group used in control arm of trial Health at every size (health-centered approach)IndividualChannel

Bjelland et al., 2011 [21](i) Social support;
(ii) social capital
Classmate interaction to facilitate social cohesion and support(i) Perceived social support from parents, friends, and teachers;
(ii) related to people in my area/neighborhood: quality of relationship with peers at school (in + out of classroom)
Social-ecological modelIndividual/
organizational
Resource

Lee et al., 2012 [22]Group cohesion, social supportIntervention group (shared goal, working on team activities, assigning team roles, encouraged to contact each other outside of intervention sessions)Physical activity group environment questionnaire; social support for eating habits surveyBehavior change; self-efficacy, stage-of-change, and social supportIndividualChannel

De Niet et al., 2011 [23]Family cohesionTreatment team (psychologist, dietician, pediatrician, and physiotherapist) led information sessions for parentsFamily adaptability and cohesion evaluation scales (FACES) IIISocial learning theoryIndividual/
interpersonal
Resource

Leahey et al., 2011 [24]Social cohesionParticipation in group contingent on weight lossPerceived cohesion scaleIndividual Resource

Kim et al., 2004 [25]Social networksParticipant recruitment through lay health advisors social networksCommunity-based participatory researchIndividualChannel

Leahey et al., 2012 [26]Social networksMedia, newsletters, motivational and educational activities, online log, and encouraged team supportReported social influence for weight lossSocial influence, social learning theory, and social modelingIndividualResource

Gorin et al., 2008 [27]Social networksInstructional sessions to enhance social support for weight loss effortsIndividualChannel

Ashida et al., 2012 [28]Social networksIndentified encouragers for dietary behaviorSocial influence (enumerated social network members who “played significant role in life during past year” and “have encouraged you to eat more FVs/do PA”)Social influenceIndividual/
interpersonal
Resource

Shaw-Perry et al., 2007 [29]Social networksOrganized health programming sessions transmitted to children through social structures (home, health class, school cafeteria, and after school)Individual/
organizational
Channel

Gessell et al., 2012 [30]Social networksSocial network evolution over duration of interventionSocial network survey developed to assess changes in social relationships Social network, social supportIndividual/
interpersonal
Target