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Factors associated with participant retention in a clinical, intensive, behavioral weight management program
BACKGROUND: We sought to identify factors associated with participant retention in a 2-year, physician-lead, multidisciplinary, clinical weight management program that employs meal replacements to produce weight loss and intensive behavioral interventions and financial incentives for weight loss mai...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4511029/ https://www.ncbi.nlm.nih.gov/pubmed/26217526 http://dx.doi.org/10.1186/s40608-015-0041-9 |
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author | Rothberg, Amy E McEwen, Laura N Kraftson, Andrew T Ajluni, Nevin Fowler, Christine E Miller, Nicole M Zurales, Katherine R Herman, William H |
author_facet | Rothberg, Amy E McEwen, Laura N Kraftson, Andrew T Ajluni, Nevin Fowler, Christine E Miller, Nicole M Zurales, Katherine R Herman, William H |
author_sort | Rothberg, Amy E |
collection | PubMed |
description | BACKGROUND: We sought to identify factors associated with participant retention in a 2-year, physician-lead, multidisciplinary, clinical weight management program that employs meal replacements to produce weight loss and intensive behavioral interventions and financial incentives for weight loss maintenance. We studied 270 participants enrolled in 2010 and 2011. Sociodemographic factors, health insurance, distance traveled, body mass index, comorbidities, health-related quality-of-life, and depression were explored as potential predictors of retention. RESULTS: Mean age was 49 ± 8 years and BMI was 41 ± 5 kg/m(2). Retention was excellent at 3 months (90%) and 6 months (83%). Attrition was greatest after participants were transitioned to regular foodstuffs and fell to 67% at 12 months and 51% at 2 years. Weight decreased by 15 ± 12 kg and BMI decreased by 5.1 ± 4.0 kg/m(2) in 2-year completers. Older age, lower baseline BMI, and financial incentives for program participation were independently associated with retention. Fewer depressive symptoms at baseline were associated with retention. CONCLUSIONS: This multidisciplinary, clinical, weight management program demonstrated high retention and excellent outcomes. Older age at baseline, less extreme obesity, and financial incentives were associated with program retention. |
format | Online Article Text |
id | pubmed-4511029 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-45110292015-07-27 Factors associated with participant retention in a clinical, intensive, behavioral weight management program Rothberg, Amy E McEwen, Laura N Kraftson, Andrew T Ajluni, Nevin Fowler, Christine E Miller, Nicole M Zurales, Katherine R Herman, William H BMC Obes Research Article BACKGROUND: We sought to identify factors associated with participant retention in a 2-year, physician-lead, multidisciplinary, clinical weight management program that employs meal replacements to produce weight loss and intensive behavioral interventions and financial incentives for weight loss maintenance. We studied 270 participants enrolled in 2010 and 2011. Sociodemographic factors, health insurance, distance traveled, body mass index, comorbidities, health-related quality-of-life, and depression were explored as potential predictors of retention. RESULTS: Mean age was 49 ± 8 years and BMI was 41 ± 5 kg/m(2). Retention was excellent at 3 months (90%) and 6 months (83%). Attrition was greatest after participants were transitioned to regular foodstuffs and fell to 67% at 12 months and 51% at 2 years. Weight decreased by 15 ± 12 kg and BMI decreased by 5.1 ± 4.0 kg/m(2) in 2-year completers. Older age, lower baseline BMI, and financial incentives for program participation were independently associated with retention. Fewer depressive symptoms at baseline were associated with retention. CONCLUSIONS: This multidisciplinary, clinical, weight management program demonstrated high retention and excellent outcomes. Older age at baseline, less extreme obesity, and financial incentives were associated with program retention. BioMed Central 2015-03-01 /pmc/articles/PMC4511029/ /pubmed/26217526 http://dx.doi.org/10.1186/s40608-015-0041-9 Text en © Rothberg et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Rothberg, Amy E McEwen, Laura N Kraftson, Andrew T Ajluni, Nevin Fowler, Christine E Miller, Nicole M Zurales, Katherine R Herman, William H Factors associated with participant retention in a clinical, intensive, behavioral weight management program |
title | Factors associated with participant retention in a clinical, intensive, behavioral weight management program |
title_full | Factors associated with participant retention in a clinical, intensive, behavioral weight management program |
title_fullStr | Factors associated with participant retention in a clinical, intensive, behavioral weight management program |
title_full_unstemmed | Factors associated with participant retention in a clinical, intensive, behavioral weight management program |
title_short | Factors associated with participant retention in a clinical, intensive, behavioral weight management program |
title_sort | factors associated with participant retention in a clinical, intensive, behavioral weight management program |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4511029/ https://www.ncbi.nlm.nih.gov/pubmed/26217526 http://dx.doi.org/10.1186/s40608-015-0041-9 |
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