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https://doi.org/10.21256/zhaw-4868| Publikationstyp: | Beitrag in wissenschaftlicher Zeitschrift |
| Art der Begutachtung: | Peer review (Publikation) |
| Titel: | Cognitive-behavioural treatment for weight loss in primary care : a prospective study |
| Autor/-in: | Eichler, Klaus Zoller, Marco Steurer, Johann Bachmann, Lucas M. |
| DOI: | 10.21256/zhaw-4868 |
| Erschienen in: | Swiss Medical Weekly |
| Band(Heft): | 2007 |
| Heft: | 137 |
| Seite(n): | 489 |
| Seiten bis: | 495 |
| Erscheinungsdatum: | 2007 |
| Verlag / Hrsg. Institution: | EMH Schweizerischer Ärzteverlag |
| ISSN: | 1424-7860 1424-3997 0036-7672 |
| Sprache: | Englisch |
| Schlagwörter: | Primary health care; Behaviour therapy; Quality of health care; Obesity |
| Fachgebiet (DDC): | 610: Medizin und Gesundheit |
| Zusammenfassung: | 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. |
| URI: | https://digitalcollection.zhaw.ch/handle/11475/12873 |
| Volltext Version: | Publizierte Version |
| Lizenz (gemäss Verlagsvertrag): | Lizenz gemäss Verlagsvertrag |
| Departement: | School of Management and Law |
| Organisationseinheit: | Winterthurer Institut für Gesundheitsökonomie (WIG) |
| Enthalten in den Sammlungen: | Publikationen School of Management and Law |
Dateien zu dieser Ressource:
| Datei | Beschreibung | Größe | Format | |
|---|---|---|---|---|
| 2007_Eichler_Cognitive_behavioural_treatment_for_weight_loss.pdf | 346.06 kB | Adobe PDF |  Öffnen/Anzeigen |
Zur Langanzeige
Eichler, K., Zoller, M., Steurer, J., & Bachmann, L. M. (2007). Cognitive-behavioural treatment for weight loss in primary care : a prospective study. Swiss Medical Weekly, 2007(137), 489–495. https://doi.org/10.21256/zhaw-4868
Eichler, K. et al. (2007) ‘Cognitive-behavioural treatment for weight loss in primary care : a prospective study’, Swiss Medical Weekly, 2007(137), pp. 489–495. Available at: https://doi.org/10.21256/zhaw-4868.
K. Eichler, M. Zoller, J. Steurer, and L. M. Bachmann, “Cognitive-behavioural treatment for weight loss in primary care : a prospective study,” Swiss Medical Weekly, vol. 2007, no. 137, pp. 489–495, 2007, doi: 10.21256/zhaw-4868.
EICHLER, Klaus, Marco ZOLLER, Johann STEURER und Lucas M. BACHMANN, 2007. Cognitive-behavioural treatment for weight loss in primary care : a prospective study. Swiss Medical Weekly. 2007. Bd. 2007, Nr. 137, S. 489–495. DOI 10.21256/zhaw-4868
Eichler, Klaus, Marco Zoller, Johann Steurer, and Lucas M. Bachmann. 2007. “Cognitive-Behavioural Treatment for Weight Loss in Primary Care : A Prospective Study.” Swiss Medical Weekly 2007 (137): 489–95. https://doi.org/10.21256/zhaw-4868.
Eichler, Klaus, et al. “Cognitive-Behavioural Treatment for Weight Loss in Primary Care : A Prospective Study.” Swiss Medical Weekly, vol. 2007, no. 137, 2007, pp. 489–95, https://doi.org/10.21256/zhaw-4868.
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