OBJECTIVE: In a stepped-care (SC) approach to treatment, more intensive interventions are implemented when less intensive interventions prove to be insufficient. It was hypothesized that a behavioral weight loss program with SC (BWLP+SC) would evidence superior treatment outcomes when compared with a BWLP without SC (BWLP). METHODS:Forty-four obese, sedentary adults were randomly assigned to a BWLP+SC [i.e., problem-solving therapy (PST)] or a BWLP. RESULTS: Participants in the BWLP+SC lost significantly more weight and body fat, reported greater physical activity and greater improvements in diet, and were more likely to achieve their within-treatment weight loss goals than BWLP participants. Participants in the BWLP+SC who received PST (BWLP+SC [PST]) also evidenced superior treatment outcomes including superior weight loss maintenance (through 12 months posttreatment) compared with BWLP participants matched on SC eligibility [BWLP (SC matched)]. CONCLUSION:BWLP+SC may improve treatment outcomes and participant motivation to achieve preestablished weight loss goals.
RCT Entities:
OBJECTIVE: In a stepped-care (SC) approach to treatment, more intensive interventions are implemented when less intensive interventions prove to be insufficient. It was hypothesized that a behavioral weight loss program with SC (BWLP+SC) would evidence superior treatment outcomes when compared with a BWLP without SC (BWLP). METHODS: Forty-four obese, sedentary adults were randomly assigned to a BWLP+SC [i.e., problem-solving therapy (PST)] or a BWLP. RESULTS:Participants in the BWLP+SC lost significantly more weight and body fat, reported greater physical activity and greater improvements in diet, and were more likely to achieve their within-treatment weight loss goals than BWLP participants. Participants in the BWLP+SC who received PST (BWLP+SC [PST]) also evidenced superior treatment outcomes including superior weight loss maintenance (through 12 months posttreatment) compared with BWLP participants matched on SC eligibility [BWLP (SC matched)]. CONCLUSION: BWLP+SC may improve treatment outcomes and participant motivation to achieve preestablished weight loss goals.
Authors: Russell E Glasgow; Lawrence Fisher; Lisa A Strycker; Danielle Hessler; Deborah J Toobert; Diane K King; Tom Jacobs Journal: Transl Behav Med Date: 2014-03 Impact factor: 3.046
Authors: John M Jakicic; Deborah F Tate; Wei Lang; Kelli K Davis; Kristen Polzien; Amy D Rickman; Karen Erickson; Rebecca H Neiberg; Eric A Finkelstein Journal: JAMA Date: 2012-06-27 Impact factor: 56.272
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Authors: Evan M Forman; Stephanie G Kerrigan; Meghan L Butryn; Adrienne S Juarascio; Stephanie M Manasse; Santiago Ontañón; Diane H Dallal; Rebecca J Crochiere; Danielle Moskow Journal: J Behav Med Date: 2018-08-25