Adding Evidence-Based Behavioral Weight Loss Strategies to a Statewide Wellness Campaign: A Randomized Clinical Trial
We determined the efficacy and cost-effectiveness of adding an evidence-based Internet behavioral weight loss intervention alone or combined with optional group sessions to ShapeUp Rhode Island 2011 (SURI), a 3-month statewide wellness campaign. We randomized participants (n = 230; body mass index =...
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| Veröffentlicht in: | American journal of public health (1971) 2014-07, Vol.104 (7), p.1300-1306 |
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| container_title | American journal of public health (1971) |
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| creator | LEAHEY, Tricia M THOMAS, Graham FAVA, Joseph L SUBAK, Leslee L SCHEMBRI, Michael KRUPEL, Katie KUMAR, Rajiv WEINBERG, Brad WING, Rena R |
| description | We determined the efficacy and cost-effectiveness of adding an evidence-based Internet behavioral weight loss intervention alone or combined with optional group sessions to ShapeUp Rhode Island 2011 (SURI), a 3-month statewide wellness campaign.
We randomized participants (n = 230; body mass index = 34.3 ±6.8 kg/m(2); 84% female) to the standard SURI program (S) or to 1 of 2 enhanced programs: SURI plus Internet behavioral program (SI) or SI plus optional group sessions (SIG). The primary outcome was weight loss at the end of the 3-month program.
Weight losses differed among all 3 conditions (S: 1.1% ±0.9%; SI: 4.2% ±0.6%; SIG: 6.1% ±0.6%; Ps ≤ .04). Both SI and SIG increased the percentage of individuals who achieved a 5% weight loss (SI: 42%; SIG: 54%; S: 7%; Ps < .001). Cost per kilogram of weight loss was similar for S ($39) and SI ($35); both were lower than SIG ($114).
Although weight losses were greatest at the end of SURI with optional group sessions, the addition of an Internet behavioral program was the most cost-effective method to enhance weight losses. |
| doi_str_mv | 10.2105/ajph.2014.301870 |
| format | Article |
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We randomized participants (n = 230; body mass index = 34.3 ±6.8 kg/m(2); 84% female) to the standard SURI program (S) or to 1 of 2 enhanced programs: SURI plus Internet behavioral program (SI) or SI plus optional group sessions (SIG). The primary outcome was weight loss at the end of the 3-month program.
Weight losses differed among all 3 conditions (S: 1.1% ±0.9%; SI: 4.2% ±0.6%; SIG: 6.1% ±0.6%; Ps ≤ .04). Both SI and SIG increased the percentage of individuals who achieved a 5% weight loss (SI: 42%; SIG: 54%; S: 7%; Ps < .001). Cost per kilogram of weight loss was similar for S ($39) and SI ($35); both were lower than SIG ($114).
Although weight losses were greatest at the end of SURI with optional group sessions, the addition of an Internet behavioral program was the most cost-effective method to enhance weight losses.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/ajph.2014.301870</identifier><identifier>PMID: 24832424</identifier><identifier>CODEN: AJPEAG</identifier><language>eng</language><publisher>Washington, DC: American Public Health Association</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Body Mass Index ; Cognitive Therapy - economics ; Cognitive Therapy - methods ; Community Health ; Cost analysis ; Cost-Benefit Analysis ; Diabetes ; Exercise ; Female ; General aspects ; Health Promotion ; Health Promotion - economics ; Health Promotion - methods ; Humans ; Initiatives ; Internet ; Internet access ; Intervention ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Obesity/Overweight/Underweight ; Overweight ; Participation ; Prevention ; Public health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Research and Practice ; Rhode Island ; Studies ; Teams ; Websites ; Weight control ; Weight Reduction Programs - economics ; Weight Reduction Programs - methods ; Wellness programs ; Young Adult</subject><ispartof>American journal of public health (1971), 2014-07, Vol.104 (7), p.1300-1306</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright American Public Health Association Jul 2014</rights><rights>American Public Health Association 2014 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c553t-c7739720781c03170f910c5fae36efee2de8a4f34405149561bddb89ea67a69d3</citedby><cites>FETCH-LOGICAL-c553t-c7739720781c03170f910c5fae36efee2de8a4f34405149561bddb89ea67a69d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4056209/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4056209/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27843,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28610885$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24832424$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>LEAHEY, Tricia M</creatorcontrib><creatorcontrib>THOMAS, Graham</creatorcontrib><creatorcontrib>FAVA, Joseph L</creatorcontrib><creatorcontrib>SUBAK, Leslee L</creatorcontrib><creatorcontrib>SCHEMBRI, Michael</creatorcontrib><creatorcontrib>KRUPEL, Katie</creatorcontrib><creatorcontrib>KUMAR, Rajiv</creatorcontrib><creatorcontrib>WEINBERG, Brad</creatorcontrib><creatorcontrib>WING, Rena R</creatorcontrib><title>Adding Evidence-Based Behavioral Weight Loss Strategies to a Statewide Wellness Campaign: A Randomized Clinical Trial</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>We determined the efficacy and cost-effectiveness of adding an evidence-based Internet behavioral weight loss intervention alone or combined with optional group sessions to ShapeUp Rhode Island 2011 (SURI), a 3-month statewide wellness campaign.
We randomized participants (n = 230; body mass index = 34.3 ±6.8 kg/m(2); 84% female) to the standard SURI program (S) or to 1 of 2 enhanced programs: SURI plus Internet behavioral program (SI) or SI plus optional group sessions (SIG). The primary outcome was weight loss at the end of the 3-month program.
Weight losses differed among all 3 conditions (S: 1.1% ±0.9%; SI: 4.2% ±0.6%; SIG: 6.1% ±0.6%; Ps ≤ .04). Both SI and SIG increased the percentage of individuals who achieved a 5% weight loss (SI: 42%; SIG: 54%; S: 7%; Ps < .001). Cost per kilogram of weight loss was similar for S ($39) and SI ($35); both were lower than SIG ($114).
Although weight losses were greatest at the end of SURI with optional group sessions, the addition of an Internet behavioral program was the most cost-effective method to enhance weight losses.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Cognitive Therapy - economics</subject><subject>Cognitive Therapy - methods</subject><subject>Community Health</subject><subject>Cost analysis</subject><subject>Cost-Benefit Analysis</subject><subject>Diabetes</subject><subject>Exercise</subject><subject>Female</subject><subject>General aspects</subject><subject>Health Promotion</subject><subject>Health Promotion - economics</subject><subject>Health Promotion - methods</subject><subject>Humans</subject><subject>Initiatives</subject><subject>Internet</subject><subject>Internet access</subject><subject>Intervention</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Obesity/Overweight/Underweight</subject><subject>Overweight</subject><subject>Participation</subject><subject>Prevention</subject><subject>Public health</subject><subject>Public health. 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(1971)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>LEAHEY, Tricia M</au><au>THOMAS, Graham</au><au>FAVA, Joseph L</au><au>SUBAK, Leslee L</au><au>SCHEMBRI, Michael</au><au>KRUPEL, Katie</au><au>KUMAR, Rajiv</au><au>WEINBERG, Brad</au><au>WING, Rena R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adding Evidence-Based Behavioral Weight Loss Strategies to a Statewide Wellness Campaign: A Randomized Clinical Trial</atitle><jtitle>American journal of public health (1971)</jtitle><addtitle>Am J Public Health</addtitle><date>2014-07-01</date><risdate>2014</risdate><volume>104</volume><issue>7</issue><spage>1300</spage><epage>1306</epage><pages>1300-1306</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><coden>AJPEAG</coden><abstract>We determined the efficacy and cost-effectiveness of adding an evidence-based Internet behavioral weight loss intervention alone or combined with optional group sessions to ShapeUp Rhode Island 2011 (SURI), a 3-month statewide wellness campaign.
We randomized participants (n = 230; body mass index = 34.3 ±6.8 kg/m(2); 84% female) to the standard SURI program (S) or to 1 of 2 enhanced programs: SURI plus Internet behavioral program (SI) or SI plus optional group sessions (SIG). The primary outcome was weight loss at the end of the 3-month program.
Weight losses differed among all 3 conditions (S: 1.1% ±0.9%; SI: 4.2% ±0.6%; SIG: 6.1% ±0.6%; Ps ≤ .04). Both SI and SIG increased the percentage of individuals who achieved a 5% weight loss (SI: 42%; SIG: 54%; S: 7%; Ps < .001). Cost per kilogram of weight loss was similar for S ($39) and SI ($35); both were lower than SIG ($114).
Although weight losses were greatest at the end of SURI with optional group sessions, the addition of an Internet behavioral program was the most cost-effective method to enhance weight losses.</abstract><cop>Washington, DC</cop><pub>American Public Health Association</pub><pmid>24832424</pmid><doi>10.2105/ajph.2014.301870</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | American journal of public health (1971), 2014-07, Vol.104 (7), p.1300-1306 |
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| source | MEDLINE; PAIS Index; PubMed Central; Alma/SFX Local Collection; EBSCOhost Business Source Complete |
| subjects | Adolescent Adult Aged Biological and medical sciences Body Mass Index Cognitive Therapy - economics Cognitive Therapy - methods Community Health Cost analysis Cost-Benefit Analysis Diabetes Exercise Female General aspects Health Promotion Health Promotion - economics Health Promotion - methods Humans Initiatives Internet Internet access Intervention Male Medical sciences Middle Aged Miscellaneous Obesity/Overweight/Underweight Overweight Participation Prevention Public health Public health. Hygiene Public health. Hygiene-occupational medicine Research and Practice Rhode Island Studies Teams Websites Weight control Weight Reduction Programs - economics Weight Reduction Programs - methods Wellness programs Young Adult |
| title | Adding Evidence-Based Behavioral Weight Loss Strategies to a Statewide Wellness Campaign: A Randomized Clinical Trial |
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