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Can certified health professionals treat obesity in a community-based programme? A quasi-experimental study
OBJECTIVE: To test the effectiveness of a non-pharmaceutical programme for obese participants in a rural Eastern Canadian Province using certified health professionals. DESIGN: A prospective quasi-experimental design with repeated premeasure and postmeasure. PARTICIPANTS: 146 participants with obesi...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322212/ https://www.ncbi.nlm.nih.gov/pubmed/25652801 http://dx.doi.org/10.1136/bmjopen-2014-006650 |
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author | Miedema, Baukje Reading, Stacey A Hamilton, Ryan A Morrison, Katherine S Thompson, Ashley E |
author_facet | Miedema, Baukje Reading, Stacey A Hamilton, Ryan A Morrison, Katherine S Thompson, Ashley E |
author_sort | Miedema, Baukje |
collection | PubMed |
description | OBJECTIVE: To test the effectiveness of a non-pharmaceutical programme for obese participants in a rural Eastern Canadian Province using certified health professionals. DESIGN: A prospective quasi-experimental design with repeated premeasure and postmeasure. PARTICIPANTS: 146 participants with obesity (body mass index >30 kg/m(2)) from rural and urban communities in an Eastern Canadian Province were divided into four groups. INTERVENTION: A 6-month intensive active community-based lifestyle intervention (InI) delivered by Certified Exercise Physiologists, Certified Personal Trainers and Registered Dietitians, followed by 6 months of self-management. A second intervention (InII) was nested in InI and consisted of group-mediated cognitive–behavioral intervention (GMCBI) delivered by an exercise psychologist to two of the four InI groups. OUTCOMES: (1) Improving health outcomes among the participants’ preactive and postactive 6-month intervention and self-management period, (2) Documenting the impact of InII (GMCBI) and location of the intervention (urban vs rural). RESULTS: The 6-month active InI significantly improved cardiovascular health for participants who completed the intervention. InII (GMCBI) significantly lowered the attrition rate among the participants. The self-management period was challenging for the participants and they did not make further gains; however, most were able to maintain the gains achieved during the active intervention. The location of the intervention, urban or rural, had little impact on outcomes. CONCLUSIONS: A community-based programme utilising healthcare professionals other than physicians to treat obese patients was effective based on premeasure and postmeasure. During the self-management phase, the participants were able to maintain the gains. Psychological support is essential to participant retention. |
format | Online Article Text |
id | pubmed-4322212 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-43222122015-02-13 Can certified health professionals treat obesity in a community-based programme? A quasi-experimental study Miedema, Baukje Reading, Stacey A Hamilton, Ryan A Morrison, Katherine S Thompson, Ashley E BMJ Open Complementary Medicine OBJECTIVE: To test the effectiveness of a non-pharmaceutical programme for obese participants in a rural Eastern Canadian Province using certified health professionals. DESIGN: A prospective quasi-experimental design with repeated premeasure and postmeasure. PARTICIPANTS: 146 participants with obesity (body mass index >30 kg/m(2)) from rural and urban communities in an Eastern Canadian Province were divided into four groups. INTERVENTION: A 6-month intensive active community-based lifestyle intervention (InI) delivered by Certified Exercise Physiologists, Certified Personal Trainers and Registered Dietitians, followed by 6 months of self-management. A second intervention (InII) was nested in InI and consisted of group-mediated cognitive–behavioral intervention (GMCBI) delivered by an exercise psychologist to two of the four InI groups. OUTCOMES: (1) Improving health outcomes among the participants’ preactive and postactive 6-month intervention and self-management period, (2) Documenting the impact of InII (GMCBI) and location of the intervention (urban vs rural). RESULTS: The 6-month active InI significantly improved cardiovascular health for participants who completed the intervention. InII (GMCBI) significantly lowered the attrition rate among the participants. The self-management period was challenging for the participants and they did not make further gains; however, most were able to maintain the gains achieved during the active intervention. The location of the intervention, urban or rural, had little impact on outcomes. CONCLUSIONS: A community-based programme utilising healthcare professionals other than physicians to treat obese patients was effective based on premeasure and postmeasure. During the self-management phase, the participants were able to maintain the gains. Psychological support is essential to participant retention. BMJ Publishing Group 2015-02-04 /pmc/articles/PMC4322212/ /pubmed/25652801 http://dx.doi.org/10.1136/bmjopen-2014-006650 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Complementary Medicine Miedema, Baukje Reading, Stacey A Hamilton, Ryan A Morrison, Katherine S Thompson, Ashley E Can certified health professionals treat obesity in a community-based programme? A quasi-experimental study |
title | Can certified health professionals treat obesity in a community-based programme? A quasi-experimental study |
title_full | Can certified health professionals treat obesity in a community-based programme? A quasi-experimental study |
title_fullStr | Can certified health professionals treat obesity in a community-based programme? A quasi-experimental study |
title_full_unstemmed | Can certified health professionals treat obesity in a community-based programme? A quasi-experimental study |
title_short | Can certified health professionals treat obesity in a community-based programme? A quasi-experimental study |
title_sort | can certified health professionals treat obesity in a community-based programme? a quasi-experimental study |
topic | Complementary Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322212/ https://www.ncbi.nlm.nih.gov/pubmed/25652801 http://dx.doi.org/10.1136/bmjopen-2014-006650 |
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