Applying a stepped-care approach to the treatment of obesity.
Journal Article
OBJECTIVE: In a stepped-care (SC) approach to treatment, more intensive interventions are implemented when less intensive interventions prove to be insufficient. It was hypothesized that a behavioral weight loss program with SC (BWLP+SC) would evidence superior treatment outcomes when compared with a BWLP without SC (BWLP). METHODS: Forty-four obese, sedentary adults were randomly assigned to a BWLP+SC [i.e., problem-solving therapy (PST)] or a BWLP. RESULTS: Participants in the BWLP+SC lost significantly more weight and body fat, reported greater physical activity and greater improvements in diet, and were more likely to achieve their within-treatment weight loss goals than BWLP participants. Participants in the BWLP+SC who received PST (BWLP+SC [PST]) also evidenced superior treatment outcomes including superior weight loss maintenance (through 12 months posttreatment) compared with BWLP participants matched on SC eligibility [BWLP (SC matched)]. CONCLUSION: BWLP+SC may improve treatment outcomes and participant motivation to achieve preestablished weight loss goals.
Full Text
Duke Authors
Cited Authors
- Carels, RA; Darby, L; Cacciapaglia, HM; Douglass, OM; Harper, J; Kaplar, ME; Konrad, K; Rydin, S; Tonkin, K
Published Date
- December 2005
Published In
Volume / Issue
- 59 / 6
Start / End Page
- 375 - 383
PubMed ID
- 16310019
Pubmed Central ID
- 16310019
International Standard Serial Number (ISSN)
- 0022-3999
Digital Object Identifier (DOI)
- 10.1016/j.jpsychores.2005.06.060
Language
- eng
Conference Location
- England