OBJECTIVES: The aims of the current study were twofold: 1) examine the effectiveness of an innovative three-step, stepped-care behavioral weight loss treatment, and 2) examine factors that contribute to poor weight loss outcomes and the need for more intensive treatment. METHODS: The total sample for the study consisted of 53 individuals (87% female) with MBMI=35.6, SDBMI=6.4. A three-step, stepped-care treatment approach was implemented over six months. Step 1 included the Diabetes Prevention Program manual adapted for self-administration augmented with monitoring technology shown to facilitate weight loss and participant accountability and engagement. Participants who were unsuccessful at achieving established weight loss goals received stepped-up treatments in 2-month increments beginning at month 2. The stepped progression included the addition of meal replacement at Step 2 and individual counseling concurrent with meal replacement at Step 3. RESULTS: Un-stepped and once stepped participants lost a clinically significant amount of weight (i.e., >5%), while twice stepped participants lost an insignificant amount of weight. Twice stepped participants were significantly lower in health literacy and self-monitoring frequency. CONCLUSIONS: In this investigation, approximately 60% of the participants were able to lose a clinically significant amount of weight utilizing a minimally intensive intervention with little additional support. Regular self-monitoring and high health literacy proved to be significant correlates of success.
OBJECTIVES: The aims of the current study were twofold: 1) examine the effectiveness of an innovative three-step, stepped-care behavioral weight loss treatment, and 2) examine factors that contribute to poor weight loss outcomes and the need for more intensive treatment. METHODS: The total sample for the study consisted of 53 individuals (87% female) with MBMI=35.6, SDBMI=6.4. A three-step, stepped-care treatment approach was implemented over six months. Step 1 included the Diabetes Prevention Program manual adapted for self-administration augmented with monitoring technology shown to facilitate weight loss and participant accountability and engagement. Participants who were unsuccessful at achieving established weight loss goals received stepped-up treatments in 2-month increments beginning at month 2. The stepped progression included the addition of meal replacement at Step 2 and individual counseling concurrent with meal replacement at Step 3. RESULTS: Un-stepped and once stepped participants lost a clinically significant amount of weight (i.e., >5%), while twice stepped participants lost an insignificant amount of weight. Twice stepped participants were significantly lower in health literacy and self-monitoring frequency. CONCLUSIONS: In this investigation, approximately 60% of the participants were able to lose a clinically significant amount of weight utilizing a minimally intensive intervention with little additional support. Regular self-monitoring and high health literacy proved to be significant correlates of success.
Authors: Diane L Rosenbaum; Margaret H Clark; Alexandra D Convertino; Christine C Call; Evan M Forman; Meghan L Butryn Journal: Ann Behav Med Date: 2018-08-16
Authors: Daniel Tajdar; Ingmar Schäfer; Dagmar Lühmann; Regina Fertmann; Tim Steinberg; Hendrik van den Bussche; Martin Scherer Journal: Diabetes Metab Syndr Obes Date: 2022-05-26 Impact factor: 3.249
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
Authors: Monica L Wang; Tariana V Little; Christine Frisard; Amy Borg; Stephenie C Lemon; Milagros C Rosal Journal: PLoS One Date: 2018-10-24 Impact factor: 3.240