Dataset Information

Two-Year Results of Think Health! ¡Vive Saludable!: A Primary Care Weight-Management Trial.

ABSTRACT:

Objective

Think Health! ¡Vive Saludable! evaluated a moderate-intensity, lifestyle behavior-change weight-loss program in primary care over 2 years of treatment. Final analyses examined weight-change trajectories by treatment group and attendance.

Methods

Adult primary care patients (n?=?261; 84% female; 65% black; 16% Hispanic) were randomly assigned to Basic Plus (moderate intensity; counseling by primary care clinician and a lifestyle coach) or Basic (clinician counseling only). Intention-to-treat analyses used all available weight measurements from data collection, treatment, and routine clinical visits. Linear mixed-effects regression models adjusted for treatment site, gender, and age, and sensitivity analyses evaluated treatment attendance and the impact of loss to follow-up.

Results

Model-based estimates for 24-month mean (95% CI) weight change from baseline were -1.34 kg (-2.92 to 0.24) in Basic Plus and -1.16 kg (-2.70 to 0.37) in Basic (net difference -0.18 kg [-2.38 to 2.03]; P?=?0.874). Larger initial weight loss in Basic Plus was attenuated by a ~0.5-kg rebound at 12 to 16 months. Each additional coaching visit was associated with a 0.37-kg greater estimated 24-month weight loss (P?=?0.01).

Conclusions

These findings in mostly black and Hispanic female primary care patients suggest that strategies to improve treatment attendance may improve weight loss resulting from moderate-intensity counseling.

SUBMITTER: Kumanyika SK

PROVIDER: S-EPMC6143399 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature

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Publications

Two-Year Results of Think Health! ¡Vive Saludable!: A Primary Care Weight-Management Trial.

Kumanyika Shiriki K SK Morales Knashawn H KH Allison Kelly C KC Russell Localio A A Sarwer David B DB Phipps Etienne E Fassbender Jennifer E JE Tsai Adam G AG Wadden Thomas A TA

Obesity (Silver Spring, Md.) 20180829 9

<h4>Objective</h4>Think Health! ¡Vive Saludable! evaluated a moderate-intensity, lifestyle behavior-change weight-loss program in primary care over 2 years of treatment. Final analyses examined weight-change trajectories by treatment group and attendance.<h4>Methods</h4>Adult primary care patients (n = 261; 84% female; 65% black; 16% Hispanic) were randomly assigned to Basic Plus (moderate intensity; counseling by primary care clinician and a lifestyle coach) or Basic (clinician counseling only) ...[more]

PMID: 30160061

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Dataset Information

Two-Year Results of Think Health! ¡Vive Saludable!: A Primary Care Weight-Management Trial.

Objective

Methods

Results

Conclusions

Publications

Two-Year Results of Think Health! ¡Vive Saludable!: A Primary Care Weight-Management Trial.

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