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Group versus individual phone-based obesity treatment for rural women
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Rural women have among the highest rates of obesity and sedentary lifestyle, yet few studies have examined strategies for delivering state-of-the-art obesity treatment to hard-to-reach rural areas. The purpose of this pilot trial was to examine the impact and cost-effectiveness of a 6-month behavioral weight loss program delivered to rural women by phone either one-on-one with a counselor or to a group via conference call. Thirty-four rural women (mean BMI=34.4, SD=4.6) were randomized to group phone-based treatment or individual phone-based treatment. Completers analysis showed that weight loss was greater in the group condition (mean=14.9 kg=, SD=4.4) compared to the individual condition (mean=9.5 kg, SD=5.2; p=.03). Among the total sample, 62% of participants in the group condition achieved the 10% weight loss goal compared to 50% in the individual condition, and group treatment was found to be more cost-effective. Future research is warranted to examine the benefits of group phone-based treatment for long-term management of obesity among rural populations.
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“Overall, the benefits of group versus individual therapy have been demonstrated in producing clinically significant weight loss among breast cancer survivors [27], and also obese adults [28]”
From A qualitative evaluation of a group phone-based weight loss intervention for rural breast cancer survivors: Themes and mechanisms of success (2016) · cites this paper as [27]
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Metadata
- Authors
- Befort, C. A., Donnelly, J. E., Sullivan, D. K., Ellerbeck, E. F., & Perri, M. G.
- Affiliations
- University of Kansas Medical Center (US)
- University of Kansas (US)
- University of Florida Health (US)
- Corresponding author
- Befort, Christie A.
- Venue
- Eating Behaviors
- Publisher
- Elsevier BV
- Published
- 2010-01
- Volume
- 11
- Issue
- 1
- Pages
- 11-17
- ISSN
- 1471-0153 (ISSN-L)
- PMC
- PMC2823259
- OpenAlex
- W2092317085
- Cited by
- 105
- References
- 49
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 5 · 2023: 11 · 2022: 1 · 2021: 7 · 2020: 4 · 2019: 6 · 2018: 10 · 2017: 7 · 2016: 7 · 2015: 6 · 2014: 8 · 2013: 9 · 2012: 7
- FWCI
- 11.50
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Eating Behaviors (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (P30AG028740)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD052027)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Keywords
- obesity treatment, rural women, telephone-delivered intervention, group counseling, individual counseling, conference calls, behavioral weight loss program, weight loss, cost-effectiveness, sedentary lifestyle, hard-to-reach populations
- MeSH terms
- Adult, Analysis of Variance, Behavior Therapy, Counseling, Female, Humans, Middle Aged, Obesity, Patient Education as Topic, Pilot Projects, Psychotherapy, Group, Rural Population, Telephone, Weight Loss, Exercise, Body Mass Index, Treatment Outcome, Sedentary Behavior
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