Samantha Cannon1,2, Kathryn Lawry3,4, Maree Brudell3,4, Rebecca Rees3,4, Rachel Wenke3, Leanne Bisset5. 1. Gold Coast Health Service, Southport, Australia. samantha.cannon@gmail.com. 2. Adult Community Health, Helensvale, Gold Coast, Australia. samantha.cannon@gmail.com. 3. Gold Coast Health Service, Southport, Australia. 4. Adult Community Health, Helensvale, Gold Coast, Australia. 5. Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia.
Abstract
PURPOSE: Obesity is a growing issue in Australia with limited evidence for brief community based intervention. This preliminary study aimed to investigate the long term effects of a 4-week group based multidisciplinary behavior management program for weight loss in the community health setting. METHOD: A quasi-experimental study design was employed recruiting patients referred to two Community Health Centers. Participants completed a 4-week Appetite for change program, comprising four 2-h group sessions co-facilitated by a multidisciplinary team. The mindfulness self efficacy scale (MSES), quality of life scale (QoL), and self-reported knowledge and stages of change were measured pre-treatment, immediately post-treatment and, 6 and 12 months post-treatment. Weight and waist circumference were additionally measured at baseline, 6 and 12 months post-treatment. RESULTS: Eighty participants (mean age 63 ± 12.1 years) comprising 73 % women consented to participate. Statistically significant improvements (p ≤ 0.01) from pre-treatment were found at both 6 and 12 months, with a clinically significant mean percentage weight loss of approximately 4 %, and a mean improvement of 8.5 point on QoL at 12 months follow-up. Self-reported improvements in stages of change and knowledge were also maintained at 12 months. CONCLUSION: Clinically and statistically significant long term improvements in all outcomes were found following a multidisciplinary brief intervention program for overweight/obese adults in the community health setting. The promising results following the Appetite for Change program warrant further controlled investigation.
PURPOSE: Obesity is a growing issue in Australia with limited evidence for brief community based intervention. This preliminary study aimed to investigate the long term effects of a 4-week group based multidisciplinary behavior management program for weight loss in the community health setting. METHOD: A quasi-experimental study design was employed recruiting patients referred to two Community Health Centers. Participants completed a 4-week Appetite for change program, comprising four 2-h group sessions co-facilitated by a multidisciplinary team. The mindfulness self efficacy scale (MSES), quality of life scale (QoL), and self-reported knowledge and stages of change were measured pre-treatment, immediately post-treatment and, 6 and 12 months post-treatment. Weight and waist circumference were additionally measured at baseline, 6 and 12 months post-treatment. RESULTS: Eighty participants (mean age 63 ± 12.1 years) comprising 73 % women consented to participate. Statistically significant improvements (p ≤ 0.01) from pre-treatment were found at both 6 and 12 months, with a clinically significant mean percentage weight loss of approximately 4 %, and a mean improvement of 8.5 point on QoL at 12 months follow-up. Self-reported improvements in stages of change and knowledge were also maintained at 12 months. CONCLUSION: Clinically and statistically significant long term improvements in all outcomes were found following a multidisciplinary brief intervention program for overweight/obese adults in the community health setting. The promising results following the Appetite for Change program warrant further controlled investigation.
Entities:
Keywords:
Brief intervention; Mindfulness; Obesity; Overweight; Weight loss
Authors: Ross Arena; Marco Guazzi; Liana Lianov; Laurie Whitsel; Kathy Berra; Carl J Lavie; Leonard Kaminsky; Mark Williams; Marie-France Hivert; Nina Cherie Franklin; Jonathan Myers; Donald Dengel; Donald M Lloyd-Jones; Fausto J Pinto; Francesco Cosentino; Martin Halle; Stephan Gielen; Paul Dendale; Josef Niebauer; Antonio Pelliccia; Pantaleo Giannuzzi; Ugo Corra; Massimo F Piepoli; George Guthrie; Dexter Shurney Journal: Mayo Clin Proc Date: 2015-07-02 Impact factor: 7.616