Stepped-care in obesity treatment: Matching treatment intensity to participant performance
This investigation examined the effectiveness of a self-help (SH), stepped-care (SC) weight loss program. Based on a failure to achieve pre-assigned weight loss goals, participants were eligible to be stepped-up from a SH program to two levels of treatment intensity (weight loss group [WLG]; individ...
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| Veröffentlicht in: | Eating behaviors : an international journal 2012-04, Vol.13 (2), p.112-118 |
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| container_title | Eating behaviors : an international journal |
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| creator | Carels, Robert A. Young, Kathleen M. Hinman, Nova Gumble, Amanda Koball, Afton Oehlhof, Marissa Wagner Darby, Lynn |
| description | This investigation examined the effectiveness of a self-help (SH), stepped-care (SC) weight loss program. Based on a failure to achieve pre-assigned weight loss goals, participants were eligible to be stepped-up from a SH program to two levels of treatment intensity (weight loss group [WLG]; individual counseling [IC]) beyond SH. The primary outcome was change in body weight. Fifty-three overweight/obese adults (BMI≥27kg/m2; mean BMI of 37.3, SD=6.6, 89% Caucasian, and 77% female) participated in an 18-week weight loss intervention. During several phases of the investigation, those stepped-up to more intensive treatment lost comparable weight to those who were not stepped-up. Nevertheless, by the end of treatment, individuals who remained in SH (M=8.6%) lost a significantly greater percentage of weight than individuals who received SH+IC (M=4.7%; p |
| doi_str_mv | 10.1016/j.eatbeh.2012.01.002 |
| format | Article |
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► We examined the effectiveness of a self-help, stepped-care weight loss program. ► Participants were eligible to be stepped-up to treatment beyond self-help. ► Some individuals benefited from being stepped-up to greater intensity treatment.</description><identifier>ISSN: 1471-0153</identifier><identifier>EISSN: 1873-7358</identifier><identifier>DOI: 10.1016/j.eatbeh.2012.01.002</identifier><identifier>PMID: 22365792</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>adults ; Biological and medical sciences ; body mass index ; counseling ; Energy Intake ; Energy Metabolism ; Female ; Humans ; Male ; Medical sciences ; Metabolic diseases ; methods ; Middle Aged ; Obesity ; Obesity - psychology ; Obesity - therapy ; psychology ; Self-help ; Stepped-care ; therapy ; Time Factors ; Weight Loss ; Weight loss treatment ; Weight Reduction Programs ; Weight Reduction Programs - methods</subject><ispartof>Eating behaviors : an international journal, 2012-04, Vol.13 (2), p.112-118</ispartof><rights>2012 Elsevier Ltd</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier Ltd. All rights reserved.</rights><rights>2012 Elsevier Ltd. All rights reserved. 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c525t-c174c51e4a3d938667305b328ed12f5fea5e4127fc909fb13212ecf8b7937d503</citedby><cites>FETCH-LOGICAL-c525t-c174c51e4a3d938667305b328ed12f5fea5e4127fc909fb13212ecf8b7937d503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.eatbeh.2012.01.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,777,781,882,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25668262$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22365792$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carels, Robert A.</creatorcontrib><creatorcontrib>Young, Kathleen M.</creatorcontrib><creatorcontrib>Hinman, Nova</creatorcontrib><creatorcontrib>Gumble, Amanda</creatorcontrib><creatorcontrib>Koball, Afton</creatorcontrib><creatorcontrib>Oehlhof, Marissa Wagner</creatorcontrib><creatorcontrib>Darby, Lynn</creatorcontrib><title>Stepped-care in obesity treatment: Matching treatment intensity to participant performance</title><title>Eating behaviors : an international journal</title><addtitle>Eat Behav</addtitle><description>This investigation examined the effectiveness of a self-help (SH), stepped-care (SC) weight loss program. Based on a failure to achieve pre-assigned weight loss goals, participants were eligible to be stepped-up from a SH program to two levels of treatment intensity (weight loss group [WLG]; individual counseling [IC]) beyond SH. The primary outcome was change in body weight. Fifty-three overweight/obese adults (BMI≥27kg/m2; mean BMI of 37.3, SD=6.6, 89% Caucasian, and 77% female) participated in an 18-week weight loss intervention. During several phases of the investigation, those stepped-up to more intensive treatment lost comparable weight to those who were not stepped-up. Nevertheless, by the end of treatment, individuals who remained in SH (M=8.6%) lost a significantly greater percentage of weight than individuals who received SH+IC (M=4.7%; p<.05) and individuals in SH+IC lost a significantly greater percentage of weight than individuals who received SH+WLG+IC (M=1.6%; p<.05). While some individuals benefited from being stepped-up to greater intensity treatment, other individuals experienced little benefit. The application of SC principles to the treatment of obesity needs further study.
► We examined the effectiveness of a self-help, stepped-care weight loss program. ► Participants were eligible to be stepped-up to treatment beyond self-help. ► Some individuals benefited from being stepped-up to greater intensity treatment.</description><subject>adults</subject><subject>Biological and medical sciences</subject><subject>body mass index</subject><subject>counseling</subject><subject>Energy Intake</subject><subject>Energy Metabolism</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>methods</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity - psychology</subject><subject>Obesity - therapy</subject><subject>psychology</subject><subject>Self-help</subject><subject>Stepped-care</subject><subject>therapy</subject><subject>Time Factors</subject><subject>Weight Loss</subject><subject>Weight loss treatment</subject><subject>Weight Reduction Programs</subject><subject>Weight Reduction Programs - methods</subject><issn>1471-0153</issn><issn>1873-7358</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFv1DAQhS0EoqXwDxDKBcElwWPHdswBCVUUkIo4ABculuNMul4lcbC9lfrvcbXbLlx6suX55un5PUJeAm2Agny3bdDmHjcNo8AaCg2l7BE5hU7xWnHRPS73VkFNQfAT8iylLS1rWoun5IQxLoXS7JT8_pFxXXGonY1Y-aUKPSafb6oci_yMS35ffbPZbfxydXwrYMZlz4VqtTF751dbBivGMcTZLg6fkyejnRK-OJxn5NfFp5_nX-rL75-_nn-8rJ1gItcOVOsEYGv5oHknpeJU9Jx1OAAbxYhWYAtMjU5TPfbAGTB0Y9crzdUgKD8jH_a6666fcXDFX7STWaOfbbwxwXrz_2TxG3MVrg0XQKWQReDNQSCGPztM2cw-OZwmu2DYJaMZ1wK07gr59kESpOSSt4pCQds96mJIKeJ4bwiouS3QbM2-QHNboKFgSoFl7dW_n7lfumusAK8PgE3OTmMsUft05ISUHZPsmAqW6K89RpOcx1LL4CO6bIbgH3byFx-pvMY</recordid><startdate>20120401</startdate><enddate>20120401</enddate><creator>Carels, Robert A.</creator><creator>Young, Kathleen M.</creator><creator>Hinman, Nova</creator><creator>Gumble, Amanda</creator><creator>Koball, Afton</creator><creator>Oehlhof, Marissa Wagner</creator><creator>Darby, Lynn</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7S9</scope><scope>L.6</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20120401</creationdate><title>Stepped-care in obesity treatment: Matching treatment intensity to participant performance</title><author>Carels, Robert A. ; Young, Kathleen M. ; Hinman, Nova ; Gumble, Amanda ; Koball, Afton ; Oehlhof, Marissa Wagner ; Darby, Lynn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c525t-c174c51e4a3d938667305b328ed12f5fea5e4127fc909fb13212ecf8b7937d503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>adults</topic><topic>Biological and medical sciences</topic><topic>body mass index</topic><topic>counseling</topic><topic>Energy Intake</topic><topic>Energy Metabolism</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>methods</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity - psychology</topic><topic>Obesity - therapy</topic><topic>psychology</topic><topic>Self-help</topic><topic>Stepped-care</topic><topic>therapy</topic><topic>Time Factors</topic><topic>Weight Loss</topic><topic>Weight loss treatment</topic><topic>Weight Reduction Programs</topic><topic>Weight Reduction Programs - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carels, Robert A.</creatorcontrib><creatorcontrib>Young, Kathleen M.</creatorcontrib><creatorcontrib>Hinman, Nova</creatorcontrib><creatorcontrib>Gumble, Amanda</creatorcontrib><creatorcontrib>Koball, Afton</creatorcontrib><creatorcontrib>Oehlhof, Marissa Wagner</creatorcontrib><creatorcontrib>Darby, Lynn</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Eating behaviors : an international journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carels, Robert A.</au><au>Young, Kathleen M.</au><au>Hinman, Nova</au><au>Gumble, Amanda</au><au>Koball, Afton</au><au>Oehlhof, Marissa Wagner</au><au>Darby, Lynn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stepped-care in obesity treatment: Matching treatment intensity to participant performance</atitle><jtitle>Eating behaviors : an international journal</jtitle><addtitle>Eat Behav</addtitle><date>2012-04-01</date><risdate>2012</risdate><volume>13</volume><issue>2</issue><spage>112</spage><epage>118</epage><pages>112-118</pages><issn>1471-0153</issn><eissn>1873-7358</eissn><abstract>This investigation examined the effectiveness of a self-help (SH), stepped-care (SC) weight loss program. Based on a failure to achieve pre-assigned weight loss goals, participants were eligible to be stepped-up from a SH program to two levels of treatment intensity (weight loss group [WLG]; individual counseling [IC]) beyond SH. The primary outcome was change in body weight. Fifty-three overweight/obese adults (BMI≥27kg/m2; mean BMI of 37.3, SD=6.6, 89% Caucasian, and 77% female) participated in an 18-week weight loss intervention. During several phases of the investigation, those stepped-up to more intensive treatment lost comparable weight to those who were not stepped-up. Nevertheless, by the end of treatment, individuals who remained in SH (M=8.6%) lost a significantly greater percentage of weight than individuals who received SH+IC (M=4.7%; p<.05) and individuals in SH+IC lost a significantly greater percentage of weight than individuals who received SH+WLG+IC (M=1.6%; p<.05). While some individuals benefited from being stepped-up to greater intensity treatment, other individuals experienced little benefit. The application of SC principles to the treatment of obesity needs further study.
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| ispartof | Eating behaviors : an international journal, 2012-04, Vol.13 (2), p.112-118 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | adults Biological and medical sciences body mass index counseling Energy Intake Energy Metabolism Female Humans Male Medical sciences Metabolic diseases methods Middle Aged Obesity Obesity - psychology Obesity - therapy psychology Self-help Stepped-care therapy Time Factors Weight Loss Weight loss treatment Weight Reduction Programs Weight Reduction Programs - methods |
| title | Stepped-care in obesity treatment: Matching treatment intensity to participant performance |
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