Journal article
One-Year Results of the Think Health! Study of Weight Management in Primary Care Practices
Obesity (Silver Spring, Md.), v 20(6), pp 1249-1257
01 Jun 2012
PMID: 22051940
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The Think Health! study evaluated a behavioral weight loss program adapted from the Diabetes Prevention Program (DPP) lifestyle intervention to assist primary care providers (PCPs) and auxiliary staff acting as lifestyle coaches (LCs) in offering weight loss counseling to their patients. In a randomized trial conducted at five clinical sites, study participants were randomly assigned in a 1:1 ratio within each site to either "Basic Plus" (n = 137), which offered PCP counseling every 4 months plus monthly LC visits during the first year of treatment, or "Basic" (n = 124), which offered only PCP counseling every 4 months. Participants were primarily (84%) female, 65% African American, 16% Hispanic American, and 19% white. In the 72% of participants in each treatment group with a 12-month weight measurement, mean (95% CI) 1-year weight changes (kg) were -1.61 (-2.68, -0.53) in Basic Plus and -0.62 (-1.45, 0.20) in Basic (difference: 0.98 (-0.36, 2.33); P = 0.15). Results were similar in model-based estimates using all available weight data for randomized participants, adjusting for potential confounders. More Basic Plus (22.5%) than Basic (10.2%) participants lost >= 5% of their baseline weight (P = 0.022). In a descriptive, nonrandomized analysis that also considered incomplete visit attendance, mean weight change was -3.3 kg in Basic Plus participants who attended LC visits vs. + 0.53 kg in those attending <5 LC visits. We conclude that the Basic Plus approach of moderate-intensity counseling by PCPs and their staff can facilitate modest weight loss, with clinically significant weight loss in high program attenders.
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Details
- Title
- One-Year Results of the Think Health! Study of Weight Management in Primary Care Practices
- Creators
- Shiriki K. Kumanyika - University of PennsylvaniaJennifer E. Fassbender - University of PennsylvaniaDavid B. Sarwer - University of PennsylvaniaEtienne Phipps - Einstein Healthcare NetworkKelly C. Allison - University of PennsylvaniaRussell Localio - University of PennsylvaniaKnashawn H. Morales - University of PennsylvaniaLisa Wesby - University of PennsylvaniaTina Harralson - University of Colorado DenverRonni Kessler - University of PennsylvaniaSusan Tan-Torres - University of Colorado DenverXiaoyan Han - University of PennsylvaniaAdam G. Tsai - University of PennsylvaniaThomas A. Wadden - University of Pennsylvania
- Publication Details
- Obesity (Silver Spring, Md.), v 20(6), pp 1249-1257
- Publisher
- Wiley
- Number of pages
- 9
- Grant note
- Pennsylvania Department of Health K12-HD043459-04 / NIH National Institute of Child Health and Human Development (NICHD); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) P60MD000209 / NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Minority Health & Health Disparities (NIMHD) K12HD043459 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) P60 MD000209-05 / National Center for Minority Health and Health Disparities (NCMHD), National Institutes of Health (NIH); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Minority Health & Health Disparities (NIMHD)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Dana and David Dornsife School of Public Health
- Web of Science ID
- WOS:000304517900022
- Scopus ID
- 2-s2.0-84861574678
- Other Identifier
- 991019312611504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Endocrinology & Metabolism
- Nutrition & Dietetics