A novel stepped-care approach to weight loss : The role of self-monitoring and health literacy in treatment outcomes
Copyright © 2017 Elsevier Ltd. All rights reserved..
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2017 |
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| Erschienen: |
2017 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:26 |
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| Enthalten in: |
Eating behaviors - 26(2017) vom: 15. Aug., Seite 76-82 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Carels, Robert A [VerfasserIn] |
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| Links: |
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| Themen: |
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| Anmerkungen: |
Date Completed 21.08.2017 Date Revised 09.04.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.eatbeh.2017.01.009 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM268884714 |
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| 100 | 1 | |a Carels, Robert A |e verfasserin |4 aut | |
| 245 | 1 | 2 | |a A novel stepped-care approach to weight loss |b The role of self-monitoring and health literacy in treatment outcomes |
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| 500 | |a Date Completed 21.08.2017 | ||
| 500 | |a Date Revised 09.04.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2017 Elsevier Ltd. All rights reserved. | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Selensky, Jennifer C |e verfasserin |4 aut | |
| 700 | 1 | |a Rossi, James |e verfasserin |4 aut | |
| 700 | 1 | |a Solar, Chelsey |e verfasserin |4 aut | |
| 700 | 1 | |a Hlavka, Reid |e verfasserin |4 aut | |
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