Self-help and long-term behavior therapy for obesity
Abstract
The Trevose Behavior Modification Program, a self-help group offering continuing care for obesity, has recently been shown to produce large long-term weight losses. The present study aimed to replicate this finding across different settings and participants, assessing the weight losses and attrition rates of 128 participants in three Trevose program satellite groups that used the same treatment procedures and manual as the central Trevose group. The satellite groups' results closely paralleled those of the Central Group. Mean intent-to-treat weight loss, or final losses recorded for all participants regardless of their treatment termination date, was 13.7 +/- 0.7% of initial body weight (1.8 +/- 0.7 kg). At two years, 43.8% of participants remained in treatment, having lost a mean of 19.0 +/- 0.8% of their body weight (16.2 +/- 1.0 kg); at five years, 23.4% remained, having lost 18.4 +/- 1.1% of body weight (15.6 +/- 1.5 kg). These results demonstrate that the Trevose model of weight control, combining self-help and continuing care, can be extended and disseminated to other settings, with potentially significant public health consequences.
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Long-term (12-month) reductions in weight and waist circumference in the experimental group were equal to or greater than those previously reported from minimal-contact or minimal-advice programmes and from more labour-intensive Internet-based programmes.
“Long-term (12-month) reductions in weight and waist circumference in the experimental group were equal to or greater than those previously reported from minimalcontact or minimal-advice programmes (15-19) and from more labour-intensive Internet-based programmes (1,3-7) .”
From Weight loss by mobile phone: a 1-year effectiveness study (2009) · cites this paper as [18]
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- Authors
- Latner, J. D., Wilson, G. T., Stunkard, A. J., & Jackson, M. L.
- Affiliations
- Rutgers, The State University of New Jersey (US)
- University of Pennsylvania (US)
- Corresponding author
- Latner, J.D
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2002-07
- Volume
- 40
- Issue
- 7
- Pages
- 805-812
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2046963038
- Cited by
- 39
- References
- 25
- Citations by year
- 2022: 1 · 2021: 1 · 2018: 1 · 2016: 4 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 1.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- obesity, weight loss, self-help groups, continuing care, treatment discontinuation, replication, treatment dissemination, behavior therapy
- MeSH terms
- Behavior Therapy, Female, Follow-Up Studies, Humans, Male, Middle Aged, Obesity, Patient Compliance, Self-Help Groups, Time, Weight Loss, Body Mass Index
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