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Social feedback has long been recognized as an important element ofsuccessful health-related behavior change. However, most of the existingstudies look at the effect that offline social feedback has. This paper fillsgaps in the literature by proposing a framework to study the causal effect thatreceiving social support in the form of comments in an online weight losscommunity has on (i) the probability of the user to return to the forum, and,more importantly, on (ii) the weight loss reported by the user. Using amatching approach for causal inference we observe a difference of 9 lbs lostbetween users who do or do not receive comments. Surprisingly, this effect ismediated by neither an increase in lifetime in the community nor by anincreased activity level of the user. Our results show the importance that a"warm welcome" has when using online support forums to achieve health outcomes.

A Warm Welcome Matters! The Link Between Social Feedback and Weight Loss in /r/loseit