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Obesity treatment for socioeconomically disadvantaged patients in primary care practice.

Publication ,  Journal Article
Bennett, GG; Warner, ET; Glasgow, RE; Askew, S; Goldman, J; Ritzwoller, DP; Emmons, KM; Rosner, BA; Colditz, GA; Be Fit, Be Well Study Investigators,
Published in: Archives of internal medicine
April 2012

Few evidence-based weight loss treatment options exist for medically vulnerable patients in the primary care setting.We conducted a 2-arm, 24-month randomized effectiveness trial in 3 Boston community health centers (from February 1, 2008, through May 2, 2011). Participants were 365 obese patients receiving hypertension treatment (71.2% black, 13.1% Hispanic, 68.5% female, and 32.9% with less than a high school educational level). We randomized participants to usual care or a behavioral intervention that promoted weight loss and hypertension self-management using eHealth components. The intervention included tailored behavior change goals, self-monitoring, and skills training, available via a website or interactive voice response; 18 telephone counseling calls; primary care provider endorsement; 12 optional group support sessions; and links with community resources.At 24 months, weight change in the intervention group compared with that in the usual care group was -1.03 kg (95% CI, -2.03 to -0.03 kg). Twenty-four-month change in body mass index (calculated as weight in kilograms divided by height in meters squared) in the intervention group compared with that in the usual care group was -0.38 (95% CI, -0.75 to -0.004). Intervention participants had larger mean weight losses during the 24 months compared with that in the usual care group (area under the receiver operating characteristic curve, -1.07 kg; 95% CI, -1.94 to -0.22). Mean systolic blood pressure was not significantly lower in the intervention arm compared with the usual care arm.The intervention produced modest weight losses, improved blood pressure control, and slowed systolic blood pressure increases in this high-risk, socioeconomically disadvantaged patient population. Trial Registration  clinicaltrials.gov Identifier: NCT00661817.

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Published In

Archives of internal medicine

DOI

EISSN

1538-3679

ISSN

0003-9926

Publication Date

April 2012

Volume

172

Issue

7

Start / End Page

565 / 574

Related Subject Headings

  • Weight Loss
  • Vulnerable Populations
  • Treatment Outcome
  • Telephone
  • Socioeconomic Factors
  • Self Care
  • Primary Health Care
  • Obesity
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Bennett, G. G., Warner, E. T., Glasgow, R. E., Askew, S., Goldman, J., Ritzwoller, D. P., … Be Fit, Be Well Study Investigators, . (2012). Obesity treatment for socioeconomically disadvantaged patients in primary care practice. Archives of Internal Medicine, 172(7), 565–574. https://doi.org/10.1001/archinternmed.2012.1
Bennett, Gary G., Erica T. Warner, Russell E. Glasgow, Sandy Askew, Julie Goldman, Debra P. Ritzwoller, Karen M. Emmons, Bernard A. Rosner, Graham A. Colditz, and Graham A. Be Fit, Be Well Study Investigators. “Obesity treatment for socioeconomically disadvantaged patients in primary care practice.Archives of Internal Medicine 172, no. 7 (April 2012): 565–74. https://doi.org/10.1001/archinternmed.2012.1.
Bennett GG, Warner ET, Glasgow RE, Askew S, Goldman J, Ritzwoller DP, et al. Obesity treatment for socioeconomically disadvantaged patients in primary care practice. Archives of internal medicine. 2012 Apr;172(7):565–74.
Bennett, Gary G., et al. “Obesity treatment for socioeconomically disadvantaged patients in primary care practice.Archives of Internal Medicine, vol. 172, no. 7, Apr. 2012, pp. 565–74. Epmc, doi:10.1001/archinternmed.2012.1.
Bennett GG, Warner ET, Glasgow RE, Askew S, Goldman J, Ritzwoller DP, Emmons KM, Rosner BA, Colditz GA, Be Fit, Be Well Study Investigators. Obesity treatment for socioeconomically disadvantaged patients in primary care practice. Archives of internal medicine. 2012 Apr;172(7):565–574.

Published In

Archives of internal medicine

DOI

EISSN

1538-3679

ISSN

0003-9926

Publication Date

April 2012

Volume

172

Issue

7

Start / End Page

565 / 574

Related Subject Headings

  • Weight Loss
  • Vulnerable Populations
  • Treatment Outcome
  • Telephone
  • Socioeconomic Factors
  • Self Care
  • Primary Health Care
  • Obesity
  • Middle Aged
  • Male