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Evaluation of the Counterweight Programme for obesity management in primary care: a starting point for continuous improvement

Ross, H.M., Laws, R., Reckless, J. and Lean, M. 2008, Evaluation of the Counterweight Programme for obesity management in primary care: a starting point for continuous improvement, British journal of general practice, vol. 58, pp. 548-554, doi: 10.3399/bjgp08X319710.

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Title Evaluation of the Counterweight Programme for obesity management in primary care: a starting point for continuous improvement
Author(s) Ross, H.M.
Laws, R.ORCID iD for Laws, R. orcid.org/0000-0003-4328-1116
Reckless, J.
Lean, M.
Journal name British journal of general practice
Volume number 58
Start page 548
End page 554
Total pages 7
Publisher Royal College of General Practitioners
Place of publication London, Eng.
Publication date 2008
ISSN 0960-1643
1478-5242
Keyword(s) continuous improvement
lifestyle intervention
primary care
weight loss maintenance
weight management
Summary Background Evaluation for obesity management in primary care is limited, and successful outcomes are from intensive clinical trials in hospital settings.

Aim To determine to what extent measures of success seen in intensive clinical trials can be achieved in routine primary care. Primary outcome measures were weight change and percentage of patients achieving ≤5% loss at 12 and 24 months.

Design of study Prospective evaluation of a new continuous improvement model for weight management in primary care.

Setting Primary care, UK.

Method Primary care practice nurses from 65 UK general practices delivered interventions to 1906 patients with body mass index (BMI) ≥30 kg/m2 or ≥28 kg/m2 with obesity-related comorbidities.

Results Mean baseline weight was 101.2 kg (BMI 37.1 kg/m2); 25% of patients had BMI ≥40 kg/m2 and 74% had ≥1 major obesity-related comorbidity. At final data capture 1419 patients were in the programme for ≥12 months, and 825 for ≥24 months. Mean weight change in those who attended and had data at 12 months (n = 642) was −3.0 kg (95% CI = −3.5 to −2.4 kg) and at 24 months (n = 357) was −2.3 kg (95% CI = −3.2 to −1.4 kg). Among attenders at specific time-points, 30.7% had maintained weight loss of ≥5% at 12 months, and 31.9% at 24 months. A total of 761 (54%) of all 1419 patients who had been enrolled in the programme for >12 months provided data at or beyond 12 months.

Conclusion This intervention achieves and maintains clinically valuable weight loss within routine primary care.
Language eng
DOI 10.3399/bjgp08X319710
Field of Research 1117 Public Health And Health Services
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2008, Royal College of General Practitioners
Persistent URL http://hdl.handle.net/10536/DRO/DU:30083469

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