Transtheoretical Model-chronic Disease Care For Obesity In Primary Care: A Randomized Trial

Title

Transtheoretical Model-chronic Disease Care For Obesity In Primary Care: A Randomized Trial

Creator

Logue E E; Sutton K; Jarjoura D; Smucker W; Baughman K; Capers C

Publisher

Obesity Research

Date

2005
2005-05

Description

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.

Subject

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

Format

Journal Article or Conference Abstract Publication

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

917-927

Issue

5

Volume

13

Citation

Logue E E; Sutton K; Jarjoura D; Smucker W; Baughman K; Capers C, “Transtheoretical Model-chronic Disease Care For Obesity In Primary Care: A Randomized Trial,” NEOMED Bibliography Database, accessed January 23, 2021, https://neomed.omeka.net/items/show/10793.

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