Appetite for change: a multidisciplinary team approach to behavioral modification for weight management in a community health group setting

Samantha Cannon*, Kathryn Lawry, Maree Brudell, Rebecca Rees, Rachel Wenke, Leanne Bisset

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

4 Citations (Scopus)

Abstract

Purpose: Obesity is a growing issue in Australia with limited evidence for brief community based intervention. This preliminary study aimed to investigate the long term effects of a 4-week group based multidisciplinary behavior management program for weight loss in the community health setting. 

Method: A quasi-experimental study design was employed recruiting patients referred to two Community Health Centers. Participants completed a 4-week Appetite for change program, comprising four 2-h group sessions co-facilitated by a multidisciplinary team. The mindfulness self efficacy scale (MSES), quality of life scale (QoL), and self-reported knowledge and stages of change were measured pre-treatment, immediately post-treatment and, 6 and 12 months post-treatment. Weight and waist circumference were additionally measured at baseline, 6 and 12 months post-treatment. 

Results: Eighty participants (mean age 63 ± 12.1 years) comprising 73 % women consented to participate. Statistically significant improvements (p ≤ 0.01) from pre-treatment were found at both 6 and 12 months, with a clinically significant mean percentage weight loss of approximately 4 %, and a mean improvement of 8.5 point on QoL at 12 months follow-up. Self-reported improvements in stages of change and knowledge were also maintained at 12 months.

Conclusion: Clinically and statistically significant long term improvements in all outcomes were found following a multidisciplinary brief intervention program for overweight/obese adults in the community health setting. The promising results following the Appetite for Change program warrant further controlled investigation.

Original languageEnglish
Pages (from-to)661-668
Number of pages8
JournalEating and Weight Disorders
Volume21
Issue number4
DOIs
Publication statusPublished - 1 Dec 2016
Externally publishedYes

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