Title: Improving quality of obesity management in primary care : implementation of a behaviour modification programme for weight loss in primary care : a prospective interventional study
Authors : Eichler, Klaus
Zoller, Marco
Steurer, Johann
Conference details: EGPRN Annual Meeting, Kavala, Greece, 10 Oct 2006
Issue Date: 2006
License (according to publishing contract) : Licence according to publishing contract
Type of review: Not specified
Language : English
Subjects : Primary care; Obesity; Behaviour modification
Subject (DDC) : 616: Internal medicine and diseases
Abstract: Background: Cognitive behaviour modification programmes (CBT) have shown to be effective in treating obese patients, but difficult to implement in primary care setting. / Objectives: We aimed to implement a CBT weight loss programme for overweight and obese adults into routine care of Swiss general practitioners network in cooperation with a community centre for adult education. / Methods: Based on evidence reports, we choose an organisational intervention rather than addressing individual physician behaviour. A team of network physicians and scientists planned the intervention, a multidisciplinary core group of trained CBT weight-loss-instructors acted as the central element. To monitor the results we prospectively collected data for participant characteristics, weight change, self reported physical activity, and quality of life (SF-36) until 1 year of follow-up. / Results: The CBT-programme for weight loss was implemented successfully. 25 courses, with 16 group meetings each, were initiated over a period of 3 years. Median weight loss after 1 year in a cohort of 190 participants was - 4.0 kg (IQR: - 1.5 to - 7.5 kg). Changes in quality of life were modest, attrition rate was 25%. / Conclusions: Based on an organisational change a CBT programme for weight loss is now available as an easily accessible therapeutic option for family doctors and their overweight patients as well as for overweight persons from the community.
Departement: School of Management and Law
Organisational Unit: Winterthur Institute of Health Economics (WIG)
Publication type: Conference Poster
URI: https://digitalcollection.zhaw.ch/handle/11475/14881
Appears in Collections:Publikationen School of Management and Law

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