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A Systematic Review of the Effectiveness of Group versus Individual Treatments for Adult Obesity
Open accessAbstract
BACKGROUND: Both group and individual modes of delivery are employed for obesity treatments. Commercial weight loss groups commonly employ group-based delivery, while many clinical based settings employ one-to-one delivery. We systematically reviewed randomised controlled trials of treatments for adult obesity to compare the effectiveness of group-based to individual-based modes of treatment delivery. METHODS: We searched 7 electronic databases and 2 journals and reviewed secondary references, based on a priori criteria to systematically review: randomised controlled trials of obesity treatments, participants with BMI >or=28 kg/m(2), age >or=18 years, comparison groups including at least 1 group-based and 1 individual-based treatment group, and follow-up >or=1 year. We extracted data and conducted meta-analysis of weight change. RESULTS: Eleven comparison groups from 5 qualifying trials were obtained, representing a total participant pool of 336. Significantly greater (p = 0.03) weight change at 12 months was found in group-based over individualbased treatment, and sub-analyses showed that increased effectiveness was associated with the use of financial reward and psychologist-led interventions. CONCLUSION: Group-based interventions were more effective than individual-based interventions among a predominantly female participant pool receiving psychologist-led interventions. Future studies to explore differences by professional group and interventions among men, which are accompanied by economic evaluation, are recommended.
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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 [28]
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Metadata
- Authors
- Paul-Ebhohimhen, V., & Avenell, A.
- Affiliations
- University of Aberdeen (GB)
- ORCID
- Avenell, Alison
- Venue
- Obesity Facts
- Publisher
- S. Karger AG
- Published
- 2009
- Volume
- 2
- Issue
- 1
- Pages
- 17-24
- ISSN
- 1662-4025 (ISSN-L)
- 1662-4033
- PMC
- PMC6444750
- OpenAlex
- W1987185279
- Cited by
- 174
- References
- 25
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 8 · 2023: 4 · 2022: 19 · 2021: 11 · 2020: 11 · 2019: 11 · 2018: 14 · 2017: 11 · 2016: 7 · 2015: 16 · 2014: 16 · 2013: 16 · 2012: 7
- FWCI
- 5.35
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Obesity Facts (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Pharmacology (medical) › Pharmacology and Obesity Treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Keywords
- adult obesity, group intervention, individual-based interventions, weight loss, monetary rewards, weight change
- MeSH terms
- Adult, Aged, Behavior Therapy, Diet, Dietetics, Female, Humans, Life Style, Male, Middle Aged, Obesity, Social Support, Weight Loss, Body Mass Index, Randomized Controlled Trials as Topic, Treatment Outcome
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