1. Introduction
obesity
OBESITY, SAID
There is a growing interest in the effects of ultra-processed/energy-dense nutrient-poor foods on health outcomes, and few interventions to reduce their consumption have been tested. We tested a simple intervention to help people reduce the indulgences they consume (energy-dense nutrient-poor (EDNP) foods). Herein, we report the qualitative findings to understand how participants reduced their consumption by exploring intervention fidelity and the factors affecting consumption. We conducted a qualitative descriptive study of 23 adults who had taken part in a feasibility randomised controlled trial that asked participants to say no to seven indulgences/week and record what they said no to. Data were collected using face-to-face semi-structured interviews and analysed thematically. A total of 23 adults with an average BMI of 30.8 kg/mIn developed countries, the environment is one in which food is readily available and relatively inexpensive and there are frequent instances of food temptations and opportunities to eat [There is little consensus about the characterisation of these types of foods. In Australia, they are described as discretionary foods, with the definition being “foods and drinks not necessary to provide the nutrients the body needs, but that may add variety” [There is a range of environmental drivers associated with an unhealthy diet. These include proximity to convenience shops and fast-food restaurants [Appelhans and colleagues (2016) have proposed a neurobehavioural model for managing temptations in obesity treatment [Qualitative research may provide more in-depth contextual information about the factors affecting consumption. Such research has found that individuals use exercise, manipulation of the availability of tempting foods, and strategic formation of meals to manage their consumption of indulgences [