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dc.creatorKumanyika, SK
dc.creatorMorales, KH
dc.creatorAllison, KC
dc.creatorRussell Localio, A
dc.creatorSarwer, DB
dc.creatorPhipps, E
dc.creatorFassbender, JE
dc.creatorTsai, AG
dc.creatorWadden, TA
dc.date.accessioned2020-12-14T18:47:49Z
dc.date.available2020-12-14T18:47:49Z
dc.date.issued2018-09-01
dc.identifier.issn1930-7381
dc.identifier.issn1930-739X
dc.identifier.doihttp://dx.doi.org/10.34944/dspace/4389
dc.identifier.other30160061 (pubmed)
dc.identifier.urihttp://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.extent1412-1421
dc.language.isoen
dc.relation.haspartObesity
dc.relation.isreferencedbyWiley
dc.rightsAll Rights Reserved
dc.subjectAdult
dc.subjectFemale
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectTime Factors
dc.subjectWeight Reduction Programs
dc.titleTwo-Year Results of Think Health! ¡Vive Saludable!: A Primary Care Weight-Management Trial
dc.typeArticle
dc.type.genrePre-print
dc.relation.doi10.1002/oby.22258
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.creator.orcidSarwer, David B|0000-0003-1033-5528
dc.date.updated2020-12-14T18:47:45Z
refterms.dateFOA2020-12-14T18:47:49Z


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