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Cited by 121Obesity, Physical Activity, DietNutrition, Health and Food BehaviorObesity and Health Practices

Randomized controlled trial of a comprehensive home environment-focused weight-loss program for adults.

Open access
Gorin, Amy A., Raynor, Hollie A., Fava, Joseph, Maguire, Kimberly, Robichaud, Erica, Trautvetter, Jennifer, Crane, Melissa, Wing, Rena R.·2013·Health Psychology
DOI 10.1037/a0026959PMC PMC3393797
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Abstract

OBJECTIVE: Behavioral weight-loss programs (BWL) provide limited instruction on how to change the environmental context of weight-regulating behaviors, perhaps contributing to regain. Drawing on social ecological models, this trial evaluated a comprehensive weight-loss program that targeted both an individual's behavior and his or her physical and social home environment. METHOD: Overweight and obese adults (N = 201; 48.9 ± 10.5 years; 78.1% women) were randomized to BWL or to BWL plus home-environment changes (BWL + H). Groups met weekly for 6 months and bimonthly for 12 months. BWL + H participants were given items to facilitate healthy choices in their homes (e.g., exercise equipment, portion plates) and attended treatment with a household partner. Weight loss at 6 and 18 months was the primary outcome. RESULTS: BWL + H changed many aspects of the home environment and produced better 6-month weight losses than BWL (p = .017). At 18 months, no weight-loss differences were observed (p = .19) and rates of regain were equivalent (p = .30). Treatment response was moderated by gender (6 months, p = .011; 18 months, p = .006). Women lost more weight in BWL + H than BWL at 6 and 18 months, whereas men in BWL lost more weight than those in BWL + H at 18 months. Partners, regardless of gender, lost more weight in BWL + H than BWL at both time points (ps < .0001). CONCLUSION: The home food and exercise environment is malleable and targeting this microenvironment appears to improve initial weight loss, and in women, 18-month outcomes. Research is needed to understand this gender difference and to develop home-focused strategies with more powerful and sustained weight-loss effects.

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  • Subsidizing or covering external costs associated with behaviour change (e.g., healthy food, gym memberships, physical activity equipment) has proven beneficial for compliance and improvement of intervention outcomes in low sodium diet and activity interventions.

    “This has proven to be beneficial for compliance and consequently in improvement of intervention outcomes in low sodium diet [78–82] and activity interventions [83].”

    From Barriers and facilitators to diet, physical activity and lifestyle behavior intervention adherence: a qualitative systematic review of the literature (2023) · cites this paper as [82]

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  1. Wing RR Gorin AA Tate DF Bowman BA Russell RM Strategies for changing eating and exercise behavior Present Knowledge in Nutrition 8th Edition 2006 Washington, D.C. ILSI Press

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Authors
Gorin, A. A., Raynor, H. A., Fava, J., Maguire, K., Robichaud, E., Trautvetter, J., Crane, M., & Wing, R. R.
Affiliations
  • University of Connecticut (US)
  • University of Tennessee at Knoxville (US)
  • Miriam Hospital (US)
  • University of North Carolina at Chapel Hill (US)
  • Brown University (US)
ORCID
Venue
Health Psychology
Publisher
American Psychological Association (APA)
Published
2013
Volume
32
Issue
2
Pages
128-137
ISSN
  • 0278-6133 (ISSN-L)
  • 1930-7810
DOI
10.1037/a0026959
PMC
PMC3393797
OpenAlex
W2009922902
Cited by
121
References
54
Citations by year
2026: 3 · 2025: 5 · 2024: 11 · 2023: 6 · 2022: 7 · 2021: 8 · 2020: 9 · 2019: 10 · 2018: 10 · 2017: 12 · 2016: 8 · 2015: 13 · 2014: 13 · 2013: 6
FWCI
9.89
Type
journal article
Language
en
Open access
Locations
  • Health Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Heart, Lung, and Blood Institute (HL77082)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
Keywords
behavioral weight loss program, family environment, socio-ecological model, obesity, overweight adults, weight regain, gender differences, home food environment, exercise equipment
MeSH terms
Adult, Behavior Therapy, Comprehensive Health Care, Female, Home Care Services, Humans, Male, Middle Aged, Obesity, Social Environment, Program Evaluation, Weight Loss, Health Behavior, Overweight, Weight Reduction Programs

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