Truls Østbye1, Marissa Stroo, Eric L Eisenstein, John M Dement. 1. Department of Community and Family Medicine (Dr Østbye, Ms Stroo, Dr Eisenstein, Dr Dement), Duke University Medical Center, Durham, NC; Duke-NUS Graduate Medical School (Dr Østbye), Singapore, Duke Global Health Institute, Duke University (Dr Østbye), Durham, NC; Duke Clinical Research Institute (Dr Eisenstein), Durham, NC.
Abstract
OBJECTIVES: The aim of this study was to compare the impact of two worksite weight management (WM [education] and WM+ [education plus counseling]) programs, on health care utilization and costs. Secondarily, compare the intervention groups to an observational control group of obese workers. Finally, evaluate the impact of actual weight loss on these outcomes. METHODS: Estimate the change in the WM and WM+ intervention groups. Using propensity score adjustment compare the two intervention groups with the observational control group; and compare those who lost weight with those who did not. RESULTS: No significant differences between the two intervention groups, or between these intervention groups and the observational control group. Those who lost weight reduced their overall health care costs. CONCLUSIONS: To achieve weight loss and associated morbidity reductions, more extensive and intensive interventions, with more attention to motivation and compliance, are required.
RCT Entities:
OBJECTIVES: The aim of this study was to compare the impact of two worksite weight management (WM [education] and WM+ [education plus counseling]) programs, on health care utilization and costs. Secondarily, compare the intervention groups to an observational control group of obese workers. Finally, evaluate the impact of actual weight loss on these outcomes. METHODS: Estimate the change in the WM and WM+ intervention groups. Using propensity score adjustment compare the two intervention groups with the observational control group; and compare those who lost weight with those who did not. RESULTS: No significant differences between the two intervention groups, or between these intervention groups and the observational control group. Those who lost weight reduced their overall health care costs. CONCLUSIONS: To achieve weight loss and associated morbidity reductions, more extensive and intensive interventions, with more attention to motivation and compliance, are required.
Authors: Truls Østbye; Marissa Stroo; Rebecca J N Brouwer; Bercedis L Peterson; Eric L Eisenstein; Bernard F Fuemmeler; Julie Joyner; Libby Gulley; John M Dement Journal: J Occup Environ Med Date: 2015-02 Impact factor: 2.162
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