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Study design and protocol for a theory-based behavioral intervention focusing on maintenance of weight loss: the Maintenance After Initiation of Nutrition TrAINing (MAINTAIN) study.

Publication ,  Journal Article
Voils, CI; Gierisch, JM; Olsen, MK; Maciejewski, ML; Grubber, J; McVay, MA; Strauss, JL; Bolton, J; Gaillard, L; Strawbridge, E; Yancy, WS
Published in: Contemp Clin Trials
September 2014

BACKGROUND: Obesity is a significant public health problem. Although various lifestyle approaches are effective for inducing significant weight loss, few effective behavioral weight maintenance strategies have been identified. It has been proposed that behavior maintenance is a distinct state that involves different psychological processes and behavioral skills than initial behavior change. Previously, we created a conceptual model that distinguishes behavior initiation from maintenance. This model was used to generate Maintenance After Initiation of Nutrition TrAINing (MAINTAIN), an intervention to enhance weight loss maintenance following initiation. The effectiveness of MAINTAIN is being evaluated in an ongoing trial, the rationale and procedures of which are reported herein. METHODS/DESIGN: Veterans aged ≤ 75 with body mass index ≥ 30 kg/m(2) participate in a 16-week, group-based weight loss program. Participants who lose ≥ 4 kg by the end of 16 weeks (target n = 230) are randomized 1:1 to receive (a) usual care for 56 weeks or (b) MAINTAIN, a theoretically-informed weight loss maintenance intervention for 40 weeks, followed by 16 weeks of no intervention contact. MAINTAIN involves 3 in-person group visits that transition to 8 individualized telephone calls with decreasing contact frequency. MAINTAIN focuses on satisfaction with outcomes, weight self-monitoring, relapse prevention, and social support. We hypothesize that, compared to usual care, MAINTAIN will result in at least 3.5 kg less regain and better relative levels of caloric intake and physical activity over 56 weeks, and that it will be cost-effective. DISCUSSION: If effective, MAINTAIN could serve as a model for redesigning existing weight loss programs. CLINICALTRIALSGOV IDENTIFIER: NCT01357551.

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Published In

Contemp Clin Trials

DOI

EISSN

1559-2030

Publication Date

September 2014

Volume

39

Issue

1

Start / End Page

95 / 105

Location

United States

Related Subject Headings

  • Weight Reduction Programs
  • United States Department of Veterans Affairs
  • United States
  • Social Support
  • Research Design
  • Public Health
  • Patient Satisfaction
  • Obesity
  • Nutrition Therapy
  • Middle Aged
 

Citation

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Voils, C. I., Gierisch, J. M., Olsen, M. K., Maciejewski, M. L., Grubber, J., McVay, M. A., … Yancy, W. S. (2014). Study design and protocol for a theory-based behavioral intervention focusing on maintenance of weight loss: the Maintenance After Initiation of Nutrition TrAINing (MAINTAIN) study. Contemp Clin Trials, 39(1), 95–105. https://doi.org/10.1016/j.cct.2014.08.002
Voils, Corrine I., Jennifer M. Gierisch, Maren K. Olsen, Matthew L. Maciejewski, Janet Grubber, Megan A. McVay, Jennifer L. Strauss, et al. “Study design and protocol for a theory-based behavioral intervention focusing on maintenance of weight loss: the Maintenance After Initiation of Nutrition TrAINing (MAINTAIN) study.Contemp Clin Trials 39, no. 1 (September 2014): 95–105. https://doi.org/10.1016/j.cct.2014.08.002.
Voils CI, Gierisch JM, Olsen MK, Maciejewski ML, Grubber J, McVay MA, et al. Study design and protocol for a theory-based behavioral intervention focusing on maintenance of weight loss: the Maintenance After Initiation of Nutrition TrAINing (MAINTAIN) study. Contemp Clin Trials. 2014 Sep;39(1):95–105.
Voils, Corrine I., et al. “Study design and protocol for a theory-based behavioral intervention focusing on maintenance of weight loss: the Maintenance After Initiation of Nutrition TrAINing (MAINTAIN) study.Contemp Clin Trials, vol. 39, no. 1, Sept. 2014, pp. 95–105. Pubmed, doi:10.1016/j.cct.2014.08.002.
Voils CI, Gierisch JM, Olsen MK, Maciejewski ML, Grubber J, McVay MA, Strauss JL, Bolton J, Gaillard L, Strawbridge E, Yancy WS. Study design and protocol for a theory-based behavioral intervention focusing on maintenance of weight loss: the Maintenance After Initiation of Nutrition TrAINing (MAINTAIN) study. Contemp Clin Trials. 2014 Sep;39(1):95–105.
Journal cover image

Published In

Contemp Clin Trials

DOI

EISSN

1559-2030

Publication Date

September 2014

Volume

39

Issue

1

Start / End Page

95 / 105

Location

United States

Related Subject Headings

  • Weight Reduction Programs
  • United States Department of Veterans Affairs
  • United States
  • Social Support
  • Research Design
  • Public Health
  • Patient Satisfaction
  • Obesity
  • Nutrition Therapy
  • Middle Aged