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Lifestyle intervention programmes for clinically obese clients: Need for psychological and physical profiling
e70 Conclusion: Women trended to consuming fewer amounts of fruit and vegetables and they were gaining weight over time. The FAVI did not predict long term weight gain in mid-aged women. However, this lack of association may be due to limitations related to self-reported data on weight and dietary intake. Further research is warranted to evaluate the impact of promoting optimal diet quality on weight gain prospectively. http://dx.doi.org/10.1016/j.orcp.2013.12.629 131
Abstracts measure of ‘‘Autonomy’’ & ‘‘Impersonal’’ orientation correlated with dimensions of general well-being and self perceptions. Regression showed that Autonomy and Chance scales predicted adherence to the programme. Also Self-determination Index predicted adherence at 52 weeks. Conclusion: It is recommended that psychological and physical profiling of individuals to be carried out prior to actual lifestyle intervention to identify those who will likely to need additional, psychological intervention to enhance their responsiveness to lifestyle interventions.
Lifestyle intervention programmes for clinically obese clients: Need for psychological and physical profiling
http://dx.doi.org/10.1016/j.orcp.2013.12.630
Erika Borkoles ∗ , Remco Polman
General practice weight loss clinic in group sessions with multidisciplinary approach
Victoria University, Melbourne, VIC, Australia Interventions in community or naturalistic settings targeting exercise and health eating have been difficult to implement. Making such changes simultaneously in both of these areas is difficult for clients. This study evaluated the effectiveness of a 52 week, non-dieting, PA focused lifestyle intervention programme, using Blue and Black’s (2005) evaluation framework and tenets of the Self-Determination Theory (SDT) to identify intervention mechanisms that are more efficacious and conducive for adherence, retention, and prevention of relapse. Participants. 62 healthy, pre-menopausal, predominantly white (97%) obese (BMI ≥ 30.0 kg m−2 ) females (age 24—55 years) randomly assigned to an intervention or a delayed start control group. Intervention Phase — 12 weeks: Exercise: Required 4 h/week: Healthy Eating Sessions: Food practices; shopping and cooking (1× week for 3 weeks); Brief Cognitive Behavioural Therapy (Group session): 3 weeks intensive intervention focusing on eating behaviours; Educational Sessions: (1× week for 12 weeks); Physiology & psychology of exercise & eating behaviours; Healthcare Professionals Provided an Intervention Rationale in Accordance with SDT: Maintenance Phase — 40 weeks: Exercise Only for 4 h/week: Tai Chi, Aqua aerobics, Circuit Classes × 2; Social Support: Follow up phone calls if missed 2 weeks of exercise sessions. Attrition, attendance, and participants’ evaluations of treatment helpfulness were also monitored. Results: Participants completing the 52 weeks lifestyle intervention showed significantly improved psychological functioning without significant weight change. Theoretically derived outcome
132
Tri Tuyen Cao 1,∗ , Oliver Frank 2 1 Montague
Farm Medical Centre, Pooraka, SA, Australia 2 Discipline of General Practice, University of Adelaide, Adelaide, SA, Australia Background: Obesity is a major and increasing problem in Australia, despite many strategies in place to prevent or reverse it. We developed a new model of weight loss clinic in general practice that uses a multidisciplinary approach and group sessions. Method: Patients of one general practice were recruited via: a letter sent to patients over 18 years of age who had a BMI of >30, or who had received a prescription of phentermine in the previous 12 months; waiting room pamphlets; referral from general practitioners within the practice. Six programs of eight weeks each were conducted by a team comprising a general practitioner, practice nurse, lifestyle adviser, dietician, psychologist and exercise physiologist. Patients were taught to identify and establish key health habits. Clinic reminder and motivational text messages were sent between meetings. Eating and physical activity behaviours were monitored using weekly group instruction, measurement, and weekly consultations with the general practitioner. The program was funded without out of pocket cost to participants by bulk billing available Medicare item numbers and by donation of the health professionals’ time. Results: 170 patients were recruited between October 2011 and February 2013, with 141 (83%) participants completing the eight week program. Baseline and 8 week measurements for all groups
Abstracts measure of ‘‘Autonomy’’ & ‘‘Impersonal’’ orientation correlated with dimensions of general well-being and self perceptions. Regression showed that Autonomy and Chance scales predicted adherence to the programme. Also Self-determination Index predicted adherence at 52 weeks. Conclusion: It is recommended that psychological and physical profiling of individuals to be carried out prior to actual lifestyle intervention to identify those who will likely to need additional, psychological intervention to enhance their responsiveness to lifestyle interventions.
Lifestyle intervention programmes for clinically obese clients: Need for psychological and physical profiling
http://dx.doi.org/10.1016/j.orcp.2013.12.630
Erika Borkoles ∗ , Remco Polman
General practice weight loss clinic in group sessions with multidisciplinary approach
Victoria University, Melbourne, VIC, Australia Interventions in community or naturalistic settings targeting exercise and health eating have been difficult to implement. Making such changes simultaneously in both of these areas is difficult for clients. This study evaluated the effectiveness of a 52 week, non-dieting, PA focused lifestyle intervention programme, using Blue and Black’s (2005) evaluation framework and tenets of the Self-Determination Theory (SDT) to identify intervention mechanisms that are more efficacious and conducive for adherence, retention, and prevention of relapse. Participants. 62 healthy, pre-menopausal, predominantly white (97%) obese (BMI ≥ 30.0 kg m−2 ) females (age 24—55 years) randomly assigned to an intervention or a delayed start control group. Intervention Phase — 12 weeks: Exercise: Required 4 h/week: Healthy Eating Sessions: Food practices; shopping and cooking (1× week for 3 weeks); Brief Cognitive Behavioural Therapy (Group session): 3 weeks intensive intervention focusing on eating behaviours; Educational Sessions: (1× week for 12 weeks); Physiology & psychology of exercise & eating behaviours; Healthcare Professionals Provided an Intervention Rationale in Accordance with SDT: Maintenance Phase — 40 weeks: Exercise Only for 4 h/week: Tai Chi, Aqua aerobics, Circuit Classes × 2; Social Support: Follow up phone calls if missed 2 weeks of exercise sessions. Attrition, attendance, and participants’ evaluations of treatment helpfulness were also monitored. Results: Participants completing the 52 weeks lifestyle intervention showed significantly improved psychological functioning without significant weight change. Theoretically derived outcome
132
Tri Tuyen Cao 1,∗ , Oliver Frank 2 1 Montague
Farm Medical Centre, Pooraka, SA, Australia 2 Discipline of General Practice, University of Adelaide, Adelaide, SA, Australia Background: Obesity is a major and increasing problem in Australia, despite many strategies in place to prevent or reverse it. We developed a new model of weight loss clinic in general practice that uses a multidisciplinary approach and group sessions. Method: Patients of one general practice were recruited via: a letter sent to patients over 18 years of age who had a BMI of >30, or who had received a prescription of phentermine in the previous 12 months; waiting room pamphlets; referral from general practitioners within the practice. Six programs of eight weeks each were conducted by a team comprising a general practitioner, practice nurse, lifestyle adviser, dietician, psychologist and exercise physiologist. Patients were taught to identify and establish key health habits. Clinic reminder and motivational text messages were sent between meetings. Eating and physical activity behaviours were monitored using weekly group instruction, measurement, and weekly consultations with the general practitioner. The program was funded without out of pocket cost to participants by bulk billing available Medicare item numbers and by donation of the health professionals’ time. Results: 170 patients were recruited between October 2011 and February 2013, with 141 (83%) participants completing the eight week program. Baseline and 8 week measurements for all groups