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Empowering primary care to tackle the obesity epidemic: the Counterweight Programme
journal contribution
posted on 2005-08-01, 00:00 authored by M McQuigg, J Brown, J Broom, Rachel LawsRachel Laws, J Reckless, P Noble, S Kumar, E McCombie, M Lean, G Lyons, G Frost, M Quinn, J Barth, S Haynes, N Finer, H Ross, D HoleSubjects: 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.
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.
History
Journal
European journal of clinical nutritionVolume
59Issue
Supplement 1Pagination
S93 - S101Publisher
Nature PublishingLocation
London, Eng.Publisher DOI
ISSN
0954-3007eISSN
1476-5640Language
engPublication classification
C1.1 Refereed article in a scholarly journalCopyright notice
2005, Nature PublishingUsage metrics
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