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Patient factors associated with initiation of behavioral weight loss treatment: a prospective observational study in an integrated care setting.

Publication ,  Journal Article
McVay, MA; Yancy, WS; Scott, CN; Wilson-Barlow, L; Woolson, S; McSherry, WC; Allen, S; Voils, CI
Published in: Transl Behav Med
March 2017

Low enrollment in behavioral weight loss treatments limits their impact. We aimed to identify factors associated with treatment initiation. The participants were outpatients (n = 198) at Veterans Affairs (VA) healthcare facilities who were referred to a free VA-based behavioral weight loss treatment. Participants were assessed on psychosocial factors potentially relevant to treatment initiation. Subsequent treatment initiation was determined via medical record review. Study participants were 77 % male, 60 % African American, and 54 % initiated treatment. In multivariable analyses, treatment initiation was associated with being single, higher anxiety, and patients' perceptions that referring provider supported their weight autonomy. Endorsement of treatment barriers was not associated with treatment initiation. Treatments offering in-person sessions and mood management components were rated as more preferred. Initiation of behavioral weight loss treatments may increase if patients believe that providers respect their weight control autonomy and if healthcare organizations offer treatments that match patients' preferences.

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Published In

Transl Behav Med

DOI

EISSN

1613-9860

Publication Date

March 2017

Volume

7

Issue

1

Start / End Page

75 / 83

Location

England

Related Subject Headings

  • Weight Reduction Programs
  • Weight Loss
  • Veterans
  • United States
  • Psychology
  • Prospective Studies
  • Perception
  • Middle Aged
  • Male
  • Humans
 

Citation

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McVay, M. A., Yancy, W. S., Scott, C. N., Wilson-Barlow, L., Woolson, S., McSherry, W. C., … Voils, C. I. (2017). Patient factors associated with initiation of behavioral weight loss treatment: a prospective observational study in an integrated care setting. Transl Behav Med, 7(1), 75–83. https://doi.org/10.1007/s13142-016-0430-8
McVay, Megan A., William S. Yancy, Christine N. Scott, Lindsay Wilson-Barlow, Sandra Woolson, W Clint McSherry, Sandra Allen, and Corrine I. Voils. “Patient factors associated with initiation of behavioral weight loss treatment: a prospective observational study in an integrated care setting.Transl Behav Med 7, no. 1 (March 2017): 75–83. https://doi.org/10.1007/s13142-016-0430-8.
McVay MA, Yancy WS, Scott CN, Wilson-Barlow L, Woolson S, McSherry WC, et al. Patient factors associated with initiation of behavioral weight loss treatment: a prospective observational study in an integrated care setting. Transl Behav Med. 2017 Mar;7(1):75–83.
McVay, Megan A., et al. “Patient factors associated with initiation of behavioral weight loss treatment: a prospective observational study in an integrated care setting.Transl Behav Med, vol. 7, no. 1, Mar. 2017, pp. 75–83. Pubmed, doi:10.1007/s13142-016-0430-8.
McVay MA, Yancy WS, Scott CN, Wilson-Barlow L, Woolson S, McSherry WC, Allen S, Voils CI. Patient factors associated with initiation of behavioral weight loss treatment: a prospective observational study in an integrated care setting. Transl Behav Med. 2017 Mar;7(1):75–83.
Journal cover image

Published In

Transl Behav Med

DOI

EISSN

1613-9860

Publication Date

March 2017

Volume

7

Issue

1

Start / End Page

75 / 83

Location

England

Related Subject Headings

  • Weight Reduction Programs
  • Weight Loss
  • Veterans
  • United States
  • Psychology
  • Prospective Studies
  • Perception
  • Middle Aged
  • Male
  • Humans