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Text
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URL Address
<a href="http://doi.org/10.1038/oby.2005.106" target="_blank" rel="noreferrer noopener">http://doi.org/10.1038/oby.2005.106</a>
Rights
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Pages
917-927
Issue
5
Volume
13
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Dublin Core
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Title
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Transtheoretical Model-chronic Disease Care For Obesity In Primary Care: A Randomized Trial
Publisher
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Obesity Research
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
2005-05
Subject
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chronic disease; clinical-trials; cognitive-behavioral therapy; dietary-fat intake; Endocrinology & Metabolism; exercise behavior; intervention; motivational readiness; Nutrition & Dietetics; physical-activity; program; randomized controlled trial; self-efficacy; services task-force; treatment; weight management; weight loss
Creator
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Logue E E; Sutton K; Jarjoura D; Smucker W; Baughman K; Capers C
Description
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Objective: To compare health benefits achieved in a transtheoretical model-chronic disease (TM-CD) minimal intervention for obesity vs. augmented usual care (AUC). Research Method and Procedures: This was a 2-year, randomized clinical trial with overweight or obese men and women from 15 primary care sites. AUC (n = 336) included dietary and exercise advice, prescriptions, and three 24-hour dietary recalls every 6 months. TM-CD care (n = 329) included AUC elements plus "stage of change" (SOC) assessments for five target behaviors every other month, mailed SOC and target behavior-matched-workbooks, and monthly telephone calls from a weight-loss advisor. Weight change was the primary outcome. Results: Repeated measures models under the missing at random assumption yielded nonsignificant adjusted differences between. the AUC and TM-CD groups for weight change, waist circumference, energy intake or expenditure, blood pressure, and blood lipids. The pattern of change over time suggested that TM-CD participants were trying harder to impact target behaviors during the first 6 to 12 months of the trial but relapsed afterward. Sixty percent of trial participants maintained their baseline weights for 18 to 24 months. Discussion: A combination of mailed patient materials and monthly telephone calls based on, the transtheoretical model and some elements of chronic disease care is not powerful enough, relative to AUC, to alter target behaviors among overweight primary care patients in an obesogenic environment. AUC may be sufficient to maintain weights among at-risk primary care patients.
Identifier
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<a href="http://doi.org/10.1038/oby.2005.106" target="_blank" rel="noreferrer noopener">10.1038/oby.2005.106</a>
Format
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Journal Article or Conference Abstract Publication
2005
Baughman K
Capers C
Chronic Disease
clinical-trials
cognitive-behavioral therapy
Department of Family & Community Medicine
dietary-fat intake
Endocrinology & Metabolism
exercise behavior
Intervention
Jarjoura D
Journal Article or Conference Abstract Publication
Logue E E
motivational readiness
NEOMED College of Medicine
Nutrition & Dietetics
Obesity Research
physical-activity
program
randomized controlled trial
self-efficacy
services task-force
Smucker W
Sutton K
Treatment
Weight Loss
weight management