scholarly journals Specialized Medical Weight Management Intervention for High-Risk Obesity

2021 ◽  
Author(s):  
Gitanjali Srivastava ◽  
Chelsea Paris ◽  
Jessica Johnson ◽  
Emma Barnes ◽  
Brittany L. Cunningham ◽  
...  
Keyword(s):  
High Risk ◽  
Weight Management ◽  
Management Intervention ◽  
Medical Weight Management ◽  
Weight Management Intervention

scholarly journals Healthy eating and lifestyle in pregnancy (HELP): a cluster randomised trial to evaluate the effectiveness of a weight management intervention for pregnant women with obesity on weight at 12 months postpartum

2021 ◽  
Author(s):  
Sharon A. Simpson ◽  
Elinor Coulman ◽  
Dunla Gallagher ◽  
Karen Jewell ◽  
David Cohen ◽  
...  
Keyword(s):  
Weight Management ◽  
Healthy Eating ◽  
Primary Outcome ◽  
Intervention Group ◽  
Control Group ◽  
Risky Drinking ◽  
Management Intervention ◽  
Cluster Randomised ◽  
Secondary Outcomes ◽  
Weight Management Intervention

Abstract Objective To assess whether a weight management intervention for pregnant women with obesity was effective in reducing body mass index (BMI) 12 months after giving birth. Methods Pragmatic, cluster randomised controlled trial (RCT) with embedded cost-effectiveness analysis. 598 women with a BMI of ≥30 kg/m2 (between 12 and 20 weeks gestation) were recruited from 20 secondary care maternity units in England and Wales. BMI at 12 months postpartum was the primary outcome. A range of clinical and behavioural secondary outcomes were examined. Interventions Women attending maternity units randomised to intervention were invited to a weekly weight management group, which combined expertise from a commercial weight loss programme with clinical advice from midwives. Both intervention and control participants received usual care and leaflets on diet and physical activity in pregnancy. Results Mean (SD) BMI at 12 months postpartum was 36.0 kg/m2 (5.2) in the control group, and 37.5 kg/m2 (6.7) in the intervention group. After adjustment for baseline BMI, the intervention effect was −0.02 (95% CI −0.04 to 0.01). The intervention group had an improved healthy eating score (3.08, 95% CI 0.16 to 6.00, p < 0.04), improved fibre score (3.22, 1.07 to 5.37, p < 0.01) and lower levels of risky drinking at 12 months postpartum compared to the control group (OR 0.45, 0.27 to 0.74, p < 0.002). The net incremental monetary benefit was not statistically significantly different between arms, although the probability of the intervention being cost-effective was above 60%, at policy-relevant thresholds. Conclusions There was no significant difference between groups on the primary outcome of BMI at 12 months. Analyses of secondary outcomes indicated improved healthy eating and lower levels of risky drinking. Trial registration: Current Controlled Trials ISRCTN25260464.

A pilot test of the GoWoman weight management intervention for women with mobility impairments in the online virtual world of Second Life®

2018 ◽  
Vol 41 (22) ◽  
pp. 2718-2729 ◽  
Author(s):  
Margaret A. Nosek ◽  
Susan Robinson-Whelen ◽  
Tracey A. Ledoux ◽  
Rosemary B. Hughes ◽  
Daniel P. O’Connor ◽  
...  
Keyword(s):  
Weight Management ◽  
Second Life ◽  
Virtual World ◽  
Pilot Test ◽  
Mobility Impairments ◽  
Management Intervention ◽  
Weight Management Intervention

Fidelity and acceptability of a family-focused technology-based telehealth nutrition intervention for child weight management

2019 ◽  
pp. 1357633X1986481 ◽  
Author(s):  
Li Kheng Chai ◽  
Clare E Collins ◽  
Chris May ◽  
Leanne J Brown ◽  
Amy Ashman ◽  
...  
Keyword(s):  
Weight Management ◽  
Process Evaluation ◽  
Child Nutrition ◽  
Eating Habits ◽  
Text Messages ◽  
Nutrition Intervention ◽  
Intervention Fidelity ◽  
Management Intervention ◽  
Evaluation Survey ◽  
Weight Management Intervention

Introduction Previous reviews of family-based interventions for childhood obesity treatment found that studies were of low methodological quality with inadequate details reported, especially related to intervention fidelity. The evaluation of fidelity is crucial to inform interpretation of the intervention outcomes. This study aimed to summarise intervention fidelity, participants’ acceptability and satisfaction with a 12-week family-focused technology-based child nutrition and weight management intervention. Methods Families with children aged 4–11 years participated in a telehealth intervention with complementary components: website, Facebook group and text messages. Intervention fidelity was reported using National Institutes of Health Treatment Fidelity Framework. Delivery was measured using a dietitian-reported evaluation survey. Google Analytics and Bitly platform were used to objectively track data on frequency and pattern of intervention use. Participants’ acceptability and satisfaction were measured using a process evaluation survey. Results Telehealth consultations delivered by trained dietitians had good adherence (≥83%) to the structured content. Process evaluation results indicated that parents ( n =  30; mean age 41 years, 97% were female, body mass index 30 kg/m2) found the intervention components easy to use/understand (87–100%), the programme had improved their family/child eating habits (93%), and they wanted to continue using telehealth and the website, as well as recommending it to other parents (90–91%). Discussion In summary, a family-focused technology-based child nutrition and weight management intervention using telehealth, website, Facebook and SMS can be delivered by trained dietitians with good fidelity and attain high acceptability and satisfaction among families with primary-school-aged children in New South Wales, Australia.

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