A Randomized Controlled Trial of a Community-based Behavioral Counseling Program - 19/11/13
, Stephanie Rost, MS, RD c, Karen Miller-Kovach, MBA, MS, RD c, Jennette P. Moreno, PhD a, John P. Foreyt, PhD a, bAbstract |
Background |
The US Preventive Services Task Force (USPSTF) recommends that clinicians refer obese adults for intensive, multicomponent behavioral counseling, yet most obese Americans choose a self-help approach to lose weight. The current study examined weight loss between a community-based, intensive behavioral counseling program (Weight Watchers program) and a self-help condition.
Methods |
A total of 292 participants were randomized to either a Weight Watchers condition (WW) (n = 147) or a self-help condition (n = 145). Participants in the WW condition were provided with 3 ways to access the treatment: weekly meetings; WW mobile application; and WW online tools. Weights were measured at baseline and at 3 and 6 months. Additionally, self-report use of access modes was collected at 3 and 6 months.
Results |
Participants in the WW condition significantly decreased their body mass index at 6 months (F = 36.7, P <.001) and were 8.0 and 8.8 times more likely to achieve a 5% and 10% reduction in weight, respectively, compared with those in the self-help condition. In a secondary analysis, high usage of all 3 access modes resulted in the greatest weight loss (P <.001).
Conclusion |
Use of the WW program yielded significantly greater weight loss than a self-help approach, suggesting it is a viable community-based provider of weight loss treatment, as recommended by the USPSTF. Further, high usage of 3 access modes was associated with greater weight loss results.
El texto completo de este artículo está disponible en PDF.Keywords : Commercial, Community-based, Intervention, Randomized, Weight loss
Esquema
| Funding: This study was supported by a grant from Weight Watchers International, Inc. |
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| Conflict of Interest: None. |
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| Authorship: All authors had access to the data and a role in writing the manuscript. |
Vol 126 - N° 12
P. 1143.e19-1143.e24 - décembre 2013 Regresar al número
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