Ontology highlight
ABSTRACT: Objective
To test the effectiveness of a non-pharmaceutical programme for obese participants in a rural Eastern Canadian Province using certified health professionals.Design
A prospective quasi-experimental design with repeated premeasure and postmeasure.Participants
146 participants with obesity (body mass index >30?kg/m(2)) from rural and urban communities in an Eastern Canadian Province were divided into four groups.Intervention
A 6-month intensive active community-based lifestyle intervention (InI) delivered by Certified Exercise Physiologists, Certified Personal Trainers and Registered Dietitians, followed by 6?months of self-management. A second intervention (InII) was nested in InI and consisted of group-mediated cognitive-behavioral intervention (GMCBI) delivered by an exercise psychologist to two of the four InI groups.Outcomes
(1) Improving health outcomes among the participants' preactive and postactive 6-month intervention and self-management period, (2) Documenting the impact of InII (GMCBI) and location of the intervention (urban vs rural).Results
The 6-month active InI significantly improved cardiovascular health for participants who completed the intervention. InII (GMCBI) significantly lowered the attrition rate among the participants. The self-management period was challenging for the participants and they did not make further gains; however, most were able to maintain the gains achieved during the active intervention. The location of the intervention, urban or rural, had little impact on outcomes.Conclusions
A community-based programme utilising healthcare professionals other than physicians to treat obese patients was effective based on premeasure and postmeasure. During the self-management phase, the participants were able to maintain the gains. Psychological support is essential to participant retention.
SUBMITTER: Miedema B
PROVIDER: S-EPMC4322212 | biostudies-literature | 2015 Feb
REPOSITORIES: biostudies-literature
Miedema Baukje B Reading Stacey A SA Hamilton Ryan A RA Morrison Katherine S KS Thompson Ashley E AE
BMJ open 20150204 2
<h4>Objective</h4>To test the effectiveness of a non-pharmaceutical programme for obese participants in a rural Eastern Canadian Province using certified health professionals.<h4>Design</h4>A prospective quasi-experimental design with repeated premeasure and postmeasure.<h4>Participants</h4>146 participants with obesity (body mass index >30 kg/m(2)) from rural and urban communities in an Eastern Canadian Province were divided into four groups.<h4>Intervention</h4>A 6-month intensive active commu ...[more]