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Can certified health professionals treat obesity in a community-based programme? A quasi-experimental study.


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

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Publications

Can certified health professionals treat obesity in a community-based programme? A quasi-experimental study.

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]

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