Cognitive-behavioural treatment for weight loss in primary care: a prospective study.

Cognitive-behavioural treatment for weight loss in primary care: a prospective study. Research Abstract Details 

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Cognitive-behavioural treatment for weight loss in primary care: a prospective study. Abstract Text:

Klaus Eichler,Marco Zoller,Johann Steurer,Lucas M Bachmann,Klaus Eichler,Marco Zoller,Johann Steurer,Lucas M Bachmann,

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.

Cognitive-behavioural treatment for weight loss in primary care: a prospective study. Publishing Authors By Initials

K Eichler,M Zoller,J Steurer,LM Bachmann,K Eichler,M Zoller,J Steurer,LM Bachmann,

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Cognitive-behavioural treatment for weight loss in primary care: a prospective study. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Swiss medical weekly : official journal of the Swi

VOLUME: 137

Page Numbers: 489-95

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ISSN: 1424-7860

DAY: 8

MONTH: Sep

YEAR: 2007

Cognitive-behavioural treatment for weight loss in primary care: a prospective study. Information

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LANGUAGE: eng

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Grant and Affiliation Information for Cognitive-behavioural treatment for weight loss in primary care: a prospective study.

AFFILIATION: Horten Centre, University Hospital of Zurich, Zurich, Switzerland. klaus.eichler@zhwin.ch

Country: Switzerland

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MEDLINETA: Swiss Med Wkly

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