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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Two‐Year Results of Think Health! ¡Vive Saludable!: A Primary Care Weight‐Management Trial
Obesity (Silver Spring, Md.), v 26(9), pp 1412-1421
Sep 2018
PMID: 30160061
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective
Think Health! ¡Vive Saludable! evaluated a moderate‐intensity, lifestyle behavior‐change weight‐loss program in primary care over 2 years of treatment. Final analyses examined weight‐change trajectories by treatment group and attendance.
Methods
Adult primary care patients (n = 261; 84% female; 65% black; 16% Hispanic) were randomly assigned to Basic Plus (moderate intensity; counseling by primary care clinician and a lifestyle coach) or Basic (clinician counseling only). Intention‐to‐treat analyses used all available weight measurements from data collection, treatment, and routine clinical visits. Linear mixed‐effects regression models adjusted for treatment site, gender, and age, and sensitivity analyses evaluated treatment attendance and the impact of loss to follow‐up.
Results
Model‐based estimates for 24‐month mean (95% CI) weight change from baseline were −1.34 kg (−2.92 to 0.24) in Basic Plus and −1.16 kg (−2.70 to 0.37) in Basic (net difference −0.18 kg [−2.38 to 2.03]; P = 0.874). Larger initial weight loss in Basic Plus was attenuated by a ~0.5‐kg rebound at 12 to 16 months. Each additional coaching visit was associated with a 0.37‐kg greater estimated 24‐month weight loss (P = 0.01).
Conclusions
These findings in mostly black and Hispanic female primary care patients suggest that strategies to improve treatment attendance may improve weight loss resulting from moderate‐intensity counseling.
Metrics
Details
- Title
- Two‐Year Results of Think Health! ¡Vive Saludable!: A Primary Care Weight‐Management Trial
- Creators
- Shiriki K. Kumanyika - University of PennsylvaniaKnashawn H. Morales - University of PennsylvaniaKelly C. Allison - University of PennsylvaniaA. Russell Localio - University of Pennsylvania Perelman School of MedicineDavid B. Sarwer - Temple UniversityEtienne Phipps - Einstein Healthcare NetworkJennifer E. Fassbender - University of PennsylvaniaAdam G. Tsai - University of PennsylvaniaThomas A. Wadden - University of Pennsylvania
- Publication Details
- Obesity (Silver Spring, Md.), v 26(9), pp 1412-1421
- Publisher
- Wiley
- Number of pages
- 10
- Grant note
- Pennsylvania Department of Health (K12-HD043459-04) NIH National Institute of Diabetes and Digestive and Kidney Diseases (R21DK089422) NIH National Institute of Mental Health (K01MH073903) NIH National Institute of Child Health and Human Development (K12‐HD043459‐04)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Dana and David Dornsife School of Public Health
- Web of Science ID
- WOS:000444803000007
- Scopus ID
- 2-s2.0-85052817622
- Other Identifier
- 991019312432904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Endocrinology & Metabolism
- Nutrition & Dietetics