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Applying a stepped-care approach to the treatment of obesity.

Publication ,  Journal Article
Carels, RA; Darby, L; Cacciapaglia, HM; Douglass, OM; Harper, J; Kaplar, ME; Konrad, K; Rydin, S; Tonkin, K
Published in: J Psychosom Res
December 2005

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.

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Published In

J Psychosom Res

DOI

ISSN

0022-3999

Publication Date

December 2005

Volume

59

Issue

6

Start / End Page

375 / 383

Location

England

Related Subject Headings

  • Weight Loss
  • Surveys and Questionnaires
  • Severity of Illness Index
  • Psychiatry
  • Problem Solving
  • Obesity
  • Motor Activity
  • Middle Aged
  • Humans
  • Follow-Up Studies
 

Citation

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ICMJE
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Carels, R. A., Darby, L., Cacciapaglia, H. M., Douglass, O. M., Harper, J., Kaplar, M. E., … Tonkin, K. (2005). Applying a stepped-care approach to the treatment of obesity. J Psychosom Res, 59(6), 375–383. https://doi.org/10.1016/j.jpsychores.2005.06.060
Carels, Robert A., Lynn Darby, Holly M. Cacciapaglia, Olivia M. Douglass, Jessica Harper, Mary E. Kaplar, Krista Konrad, Sofia Rydin, and Karin Tonkin. “Applying a stepped-care approach to the treatment of obesity.J Psychosom Res 59, no. 6 (December 2005): 375–83. https://doi.org/10.1016/j.jpsychores.2005.06.060.
Carels RA, Darby L, Cacciapaglia HM, Douglass OM, Harper J, Kaplar ME, et al. Applying a stepped-care approach to the treatment of obesity. J Psychosom Res. 2005 Dec;59(6):375–83.
Carels, Robert A., et al. “Applying a stepped-care approach to the treatment of obesity.J Psychosom Res, vol. 59, no. 6, Dec. 2005, pp. 375–83. Pubmed, doi:10.1016/j.jpsychores.2005.06.060.
Carels RA, Darby L, Cacciapaglia HM, Douglass OM, Harper J, Kaplar ME, Konrad K, Rydin S, Tonkin K. Applying a stepped-care approach to the treatment of obesity. J Psychosom Res. 2005 Dec;59(6):375–383.
Journal cover image

Published In

J Psychosom Res

DOI

ISSN

0022-3999

Publication Date

December 2005

Volume

59

Issue

6

Start / End Page

375 / 383

Location

England

Related Subject Headings

  • Weight Loss
  • Surveys and Questionnaires
  • Severity of Illness Index
  • Psychiatry
  • Problem Solving
  • Obesity
  • Motor Activity
  • Middle Aged
  • Humans
  • Follow-Up Studies