Computerized Weight Loss Intervention Optimizes Staff Time: The Clinical and Cost Results of a Controlled Clinical Trial Conducted in a Managed Care Setting
Section snippets
Study Design
The randomized, controlled clinical trial evaluated the metabolic effects and costs of 3 levels of intervention intensity for providing cognitive behavioral weight control intervention in a managed care environment. Assumptions from previous research (7) were utilized to calculate the sample sizes for each intervention arm to detect a difference in weight loss of 8 pounds between the minimum (do-it-yourself) workbook-only control group and the maximum intervention clinical approach (workbook
Applications
As the US prevalence of obesity and its comorbidities increase, more effort is needed for preventive services related to controlling the adverse effects of obesity. Dietitians and other health professionals should consider using computer-based communications to maintain frequent contact, promote self-monitoring, and tailor behavioral goals. Computer-based communication strategies can be readily combined with other approaches that are found to be predictors of weight loss. The cost per
References (37)
- et al.
Social and economic effects of body weight in the United States
Amer J Clin Nutr.
(1996) - et al.
The DIET studyLong-term weight outcomes of a cognitive behavioral weight control intervention in independently living elders
J Am Diet Assoc.
(1998) - et al.
Dietary interviewing by computer. An experimental approach to counseling
J Am Diet Assoc.
(1976) - et al.
Developing a computer-assisted therapy for the treatment of obesity
Behav Therapy.
(1990) - et al.
The application and impact of computer-generated personalized nutrition educationa review of the literature
Patient Educ Couns.
(1999) - et al.
A brief screen for high fat intake
J Nutr Educ.
(1989) - et al.
A comprehensive evaluation of the heprin-managanese precipitation for estimating high-density lipoprotein cholesterol
J Lipid Research.
(1978) - et al.
Brief computer-assisted diabetes dietary self-management counseling
Med Care.
(1998) - Expert Panel on the Identification, Evaluation and Treatment of Overweight and Obesity in Adults. Clinical guidelines...
- et al.
Overweight and obesity in the United Statesprevalence and trends, 1960-1994
Int J Obesity.
(1998)
The direct health costs of obesity in the United States
Am J Public Health.
Correspondence program for smoking cessation and weight controla comparison of two strategies in the Minnesota Hear Health Program
Health Psychol.
A weight-reduction intervention that optimizes use of practitioner time, lower glucose and raises HDL cholesterol levels in older adults
J Am Diet Assoc.
The telephone as a communication medium for health education
Health Educ Behav.
The effects of a telephone-based intervention for weight loss
Am J Health Promot.
Evaluation of computer-based education in persons with diabetes mellitus and of limited educational background
Diabetes Care.
Computer-tailored interventions motivating people to adopt health promoting behaviorsintroduction to a new approach
Patient Educ Couns.
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A Systematic Review of Cost-Effectiveness Studies of Interventions With a Personalized Nutrition Component in Adults
2021, Value in HealthCitation Excerpt :Nineteen studies27,28,30,32,33,39,41,47–49,55,57–59,61,71,74,86,87 involved a CUA and reported QALYs as outcome measure; 13 studies26,31,36,52,54,56,60,62,63,65,68,81,88 conducted both a CEA and CUA. Other studies conducted a CEA (n = 1929,34,37,38,40,45,50,53,64,67,70,72,73,75–79,82) and cost-consequence analysis (CCA) (n = 251,69); these studies used other outcome measures such as weight change (n = 1034,51,52,60,63,64,76,81,82,89) and life years gained (n = 631,36–38,40,45) (Fig. 2, Appendix 3 in Supplemental Materials found at https://doi.org/10.1016/j.jval.2020.12.006). Two CUAs also calculated the iNMB using WTP thresholds not specifically related to nutrition interventions.54,74
Obesity treatment in disadvantaged population groups: Where do we stand and what can we do?
2014, Preventive MedicineUse of the internet in the treatment of obesity and prevention of type 2 diabetes in primary care
2013, Proceedings of the Nutrition SocietyBlended Care Interventions to Promote Physical Activity: A Systematic Review of Randomized Controlled Trials
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