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Empowering primary care to tackle the obesity epidemic: the Counterweight Programme

McQuigg, M., Brown, J., Broom, J., Laws, R.A., Reckless, J.P.D., Noble, P.A., Kumar,S., McCombie, E.L., Lean, M.E.J., Lyons, G.F., Frost, G.S., Quinn, M.F., Barth, J.H., Haynes, S., Finer, N., Ross, H.M. and Hole, D. 2005, Empowering primary care to tackle the obesity epidemic: the Counterweight Programme, European journal of clinical nutrition, vol. 59, no. Supplement 1, pp. S93-S101, doi: 10.1038/sj.ejcn.1602180.

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Title Empowering primary care to tackle the obesity epidemic: the Counterweight Programme
Author(s) McQuigg, M.
Brown, J.
Broom, J.
Laws, R.A.ORCID iD for Laws, R.A. orcid.org/0000-0003-4328-1116
Reckless, J.P.D.
Noble, P.A.
Kumar,S.
McCombie, E.L.
Lean, M.E.J.
Lyons, G.F.
Frost, G.S.
Quinn, M.F.
Barth, J.H.
Haynes, S.
Finer, N.
Ross, H.M.
Hole, D.
Journal name European journal of clinical nutrition
Volume number 59
Issue number Supplement 1
Start page S93
End page S101
Total pages 9
Publisher Nature Publishing
Place of publication London, Eng.
Publication date 2005
ISSN 0954-3007
1476-5640
Keyword(s) obesity
primary care
empowerment
nutrition education
primary care nurse
general practitioner
Summary Subjects: Obese patients (body mass index greater than or equal to30 kg/m2) or BMIgreater than or equal to28 kg/m2 with obesity-related comorbidities in 80 general practices.

Intervention: The model consists of four phases: (1) audit and project development, (2) practice training and support, (3) nurse-led patient intervention, and (4) evaluation. The intervention programme used evidence-based pathways, which included strategies to empower clinicians and patients. Weight Management Advisers who are specialist obesity dietitians facilitated programme implementation.

Main outcome measures: Proportion of practices trained and recruiting patients, and weight change at 12 months.

Results: By March 2004, 58 of the 62 (93.5%) intervention practices had been trained, 47 (75.8%) practices were active in implementing the model and 1549 patients had been recruited. At 12 months, 33% of patients achieved a clinically meaningful weight loss of 5% or more. A total of 49% of patients were classed as 'completers' in that they attended the requisite number of appointments in 3, 6 and 12 months. 'Completers' achieved more successful weight loss with 40% achieving a weight loss of 5% or more at 12 months.

Conclusion: The Counterweight programme provides a promising model to improve the management of obesity in primary care.

Sponsorship: Educational grant-in-aid from Roche Products Ltd.
Language eng
DOI 10.1038/sj.ejcn.1602180
Field of Research 1111 Nutrition And Dietetics
1106 Human Movement And Sports Science
0908 Food Sciences
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2005, Nature Publishing
Persistent URL http://hdl.handle.net/10536/DRO/DU:30083471

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