Successful weight loss with self-help: A stepped-care approach
| Autor: | Kathleen M. Young, Lynn A. Darby, Amanda Gumble, Jessica Harper, Afton M. Koball, Robert A. Carels, Carissa B. Wott, Marissa Wagner Oehlhof |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Gerontology medicine.medical_specialty Health Behavior Overweight Article Body Mass Index Self-help Weight loss Weight Loss Humans Medicine Stepped care Obesity Exercise General Psychology Analysis of Variance Motivation business.industry Behavior change Middle Aged medicine.disease Diet Self Care Psychiatry and Mental health Treatment Outcome Physical therapy Female Analysis of variance medicine.symptom business Body mass index |
| Zdroj: | Journal of Behavioral Medicine. 32:503-509 |
| ISSN: | 1573-3521 0160-7715 |
| Popis: | In a stepped-care approach to treatment, patients are transitioned to more intensive treatments when less intensive treatments fail to meet treatment goals. Self-help programs are recommended as an initial, low intensity treatment phase in stepped-care models. This investigation examined the effectiveness of a self-help, stepped-care weight loss program. Fifty-eight overweight/obese adults (BMI ≥ 27 kg/m2) participated in a weight loss program. Participants were predominately Caucasian (93.1%) and female (89.7%) with a mean BMI of 36.6 (SD = 7.1). Of those completing the program, 57% of participants (N = 21) who remained in self-help maintained an 8% weight loss at follow-up. Participants who were stepped-up self-monitored fewer days and reported higher daily caloric intake than self-help participants. Once stepped-up, weight loss outcomes were equivalent between individuals who remained in self-help compared to those who were stepped-up. Individuals who were stepped-up benefited from early intensive intervention when unsuccessful at losing weight with self-help. |
| Databáze: | OpenAIRE |
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