Successful weight loss with self-help: A stepped-care approach

被引:0
|
作者
Robert A. Carels
Carissa B. Wott
Kathleen M. Young
Amanda Gumble
Lynn A. Darby
Marissa Wagner Oehlhof
Jessica Harper
Afton Koball
机构
[1] Bowling Green State University,Department of Psychology
[2] Bowling Green State University,Kinesiology
来源
Journal of Behavioral Medicine | 2009年 / 32卷
关键词
Weight loss treatment; Obesity; Stepped-care; Self-help;
D O I
暂无
中图分类号
学科分类号
摘要
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.
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页码:503 / 509
页数:6
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