Two-Year Results of Think Health! ¡Vive Saludable!: A Primary Care Weight-Management Trial
dc.creator | Kumanyika, SK | |
dc.creator | Morales, KH | |
dc.creator | Allison, KC | |
dc.creator | Russell Localio, A | |
dc.creator | Sarwer, DB | |
dc.creator | Phipps, E | |
dc.creator | Fassbender, JE | |
dc.creator | Tsai, AG | |
dc.creator | Wadden, TA | |
dc.date.accessioned | 2020-12-14T18:47:49Z | |
dc.date.available | 2020-12-14T18:47:49Z | |
dc.date.issued | 2018-09-01 | |
dc.identifier.issn | 1930-7381 | |
dc.identifier.issn | 1930-739X | |
dc.identifier.doi | http://dx.doi.org/10.34944/dspace/4389 | |
dc.identifier.other | 30160061 (pubmed) | |
dc.identifier.uri | http://hdl.handle.net/20.500.12613/4407 | |
dc.description.abstract | © 2018 The Obesity Society 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. | |
dc.format.extent | 1412-1421 | |
dc.language.iso | en | |
dc.relation.haspart | Obesity | |
dc.relation.isreferencedby | Wiley | |
dc.rights | All Rights Reserved | |
dc.subject | Adult | |
dc.subject | Female | |
dc.subject | Humans | |
dc.subject | Male | |
dc.subject | Middle Aged | |
dc.subject | Time Factors | |
dc.subject | Weight Reduction Programs | |
dc.title | Two-Year Results of Think Health! ¡Vive Saludable!: A Primary Care Weight-Management Trial | |
dc.type | Article | |
dc.type.genre | Pre-print | |
dc.relation.doi | 10.1002/oby.22258 | |
dc.ada.note | For Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu | |
dc.creator.orcid | Sarwer, David B|0000-0003-1033-5528 | |
dc.date.updated | 2020-12-14T18:47:45Z | |
refterms.dateFOA | 2020-12-14T18:47:49Z |