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Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Cognitive-behavioural treatment for weight loss in primary care : a prospective study
Authors : Eichler, Klaus
Zoller, Marco
Steurer, Johann
Bachmann, Lucas M.
DOI : 10.21256/zhaw-4868
Published in : Swiss Medical Weekly
Volume(Issue) : 2007
Issue : 137
Pages : 489
Pages to: 495
Issue Date: 2007
Publisher / Ed. Institution : EMH Schweizerischer Ärzteverlag
ISSN: 1424-7860
Language : English
Subjects : Primary health care; Behaviour therapy; Quality of health care; Obesity
Subject (DDC) : 610: Medicine and health
Abstract: Questions under Study: Cognitive-behavioural treatment (CBT) is effective for weight loss in obese patients, but such programmes are difficult to implement in primary care. We assessed whether implementation of a community-based CBT weight loss programme for adults in routine care is feasible and prospectively assessed patient outcome. Patients and Methods: The weight loss programme was provided by a network of Swiss general practitioners in cooperation with a community centre for health education. We chose a five-step strategy focusing on structure of care rather than primarily addressing individual physician behaviour. A multidisciplinary core group of trained CBT instructors acted as the central element of the programme. Overweight and obese adults from the community (BMI >25 kg/m2) were included. We used a patient perspective to report the impact on delivery of care and assessed weight change of consecutive participants prospectively with a follow-up of 12 months. Results: Twenty-eight courses, with 16 group meetings each, were initiated over a period of 3 years. 44 of 110 network physicians referred patients to the programme. 147 of 191 study participants were monitored for one year (attrition rate: 23%). Median weight loss after 12 months for 147 completers was 4 kg (IQR: 1-7 kg; intention-to-treat analysis for 191 participants: 2 kg, IQR: 0-5 kg). Conclusions: The programme produced a clinically meaningful weight loss in our participants, with a relatively low attrition rate. Implementation of an easily accessible CBT programme for weight loss in daily routine primary care is feasible.
Fulltext version : Published version
License (according to publishing contract) : Licence according to publishing contract
Departement: School of Management and Law
Organisational Unit: Winterthur Institute of Health Economics (WIG)
Appears in Collections:Publikationen School of Management and Law

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