Garry Egger1, John Stevens2, Nerida Volker3, Sam Egger4. 1. AM, MPH, PhD, FASLM, Board Member, Australasian Society of Lifestyle Medicine (ASLM), Vic; Director, Centre for Health Promotion and Research, NSW; Adjunct Professor, Southern Cross University, NSW.@eggergj@ozemail.com.au @. 2. PhD, RN, Adjunct Associate Professor, School of Health Sciences, Southern Cross University, NSW; Board Member, Australasian Society of Lifestyle Medicine (ASLM), Vic; Director, Lifestyle Medicine Programs, NSW @. 3. BSc, Grad Dip Diet, PGrad Dip Hlth Prom, PhD, Service Development and Performance Manager, South Eastern NSW PHN (Coordinare), NSW. 4. BSc, MBiostat, Biostatistician, Cancer Research Division, Cancer Council, NSW.
Abstract
BACKGROUND AND OBJECTIVES: Programmed shared medical appointments (pSMAs) are an extension of shared medical appointments (SMAs) for managing chronic diseases. Acceptance and outcomes of a trial for weight management are reported here. METHOD: Six programmed sessions in weight management were carried out in seven NSW primary healthcare centres. RESULTS: Seventy-seven per cent of 216 participants (64 male, 102 female) completed at least four of six pSMAs over 16-18 weeks ('adherers'). Eighty-five per cent of adherers approved of pSMAs, and 73% said they would prefer these over a standard clinical consult. Providers also rated the process highly. Overall mean weight loss over 12 months was 3.2% (95% confidence interval [CI]: 2.2, 4.3; P <0.001). For adherers, mean weight loss was 4.3% for males (95% CI: 2.6, 6.1; P <0.001) and 4.2% for females (95% CI: 2.7, 5.7; P <0.001), with 46% of males and 35% of females maintaining clinically significant losses (>5%) after 12 months. pSMAs were calculated to be four times more cost effective and up to seven times more time effective than 1:1 consultations for weight loss. DISCUSSION: pSMAs are a popular, cost and time-effective adjunct to standard clinical management.
BACKGROUND AND OBJECTIVES: Programmed shared medical appointments (pSMAs) are an extension of shared medical appointments (SMAs) for managing chronic diseases. Acceptance and outcomes of a trial for weight management are reported here. METHOD: Six programmed sessions in weight management were carried out in seven NSW primary healthcare centres. RESULTS: Seventy-seven per cent of 216 participants (64 male, 102 female) completed at least four of six pSMAs over 16-18 weeks ('adherers'). Eighty-five per cent of adherers approved of pSMAs, and 73% said they would prefer these over a standard clinical consult. Providers also rated the process highly. Overall mean weight loss over 12 months was 3.2% (95% confidence interval [CI]: 2.2, 4.3; P <0.001). For adherers, mean weight loss was 4.3% for males (95% CI: 2.6, 6.1; P <0.001) and 4.2% for females (95% CI: 2.7, 5.7; P <0.001), with 46% of males and 35% of females maintaining clinically significant losses (>5%) after 12 months. pSMAs were calculated to be four times more cost effective and up to seven times more time effective than 1:1 consultations for weight loss. DISCUSSION: pSMAs are a popular, cost and time-effective adjunct to standard clinical management.
Authors: Kelly Shibuya; Xinge Ji; Elizabeth R Pfoh; Alex Milinovich; Wayne Weng; Janine Bauman; Rahul Ganguly; Anita D Misra-Hebert; Todd M Hobbs; Michael W Kattan; Kevin M Pantalone; Abhilasha Ramasamy; Bartolome Burguera Journal: Obes Sci Pract Date: 2020-02-25
Authors: Carolyn Ee; Barbora de Courten; Nicole Avard; Michael de Manincor; Mahmoud A Al-Dabbas; Jie Hao; Kate McBride; Shamieka Dubois; Rhiannon Lee White; Catharine Fleming; Garry Egger; Angela Blair; John Stevens; Freya MacMillan; Gary Deed; Suzanne Grant; Kate Templeman; Dennis Chang Journal: Front Endocrinol (Lausanne) Date: 2020-10-06 Impact factor: 5.555
Authors: Kevin M Pantalone; B Gabriel Smolarz; Abhilasha Ramasamy; Merav Baz Hecht; Brian J Harty; Bruce Rogen; Marcio L Griebeler; Elena Borukh; James B Young; Bartolome Burguera Journal: JAMA Netw Open Date: 2021-07-01