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Gepubliceerd in: Journal of Behavioral Medicine 6/2009

01-12-2009

Successful weight loss with self-help: A stepped-care approach

Auteurs: Robert A. Carels, Carissa B. Wott, Kathleen M. Young, Amanda Gumble, Lynn A. Darby, Marissa Wagner Oehlhof, Jessica Harper, Afton Koball

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 6/2009

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Abstract

In a stepped-care approach to treatment, patients are transitioned to more intensive treatments when less intensive treatments fail to meet treatment goals. Self-help programs are recommended as an initial, low intensity treatment phase in stepped-care models. This investigation examined the effectiveness of a self-help, stepped-care weight loss program. Fifty-eight overweight/obese adults (BMI ≥ 27 kg/m2) participated in a weight loss program. Participants were predominately Caucasian (93.1%) and female (89.7%) with a mean BMI of 36.6 (SD = 7.1). Of those completing the program, 57% of participants (N = 21) who remained in self-help maintained an 8% weight loss at follow-up. Participants who were stepped-up self-monitored fewer days and reported higher daily caloric intake than self-help participants. Once stepped-up, weight loss outcomes were equivalent between individuals who remained in self-help compared to those who were stepped-up. Individuals who were stepped-up benefited from early intensive intervention when unsuccessful at losing weight with self-help.
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Metagegevens
Titel
Successful weight loss with self-help: A stepped-care approach
Auteurs
Robert A. Carels
Carissa B. Wott
Kathleen M. Young
Amanda Gumble
Lynn A. Darby
Marissa Wagner Oehlhof
Jessica Harper
Afton Koball
Publicatiedatum
01-12-2009
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 6/2009
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-009-9221-8

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