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Equivalent weight loss for weight management programs delivered by phone and clinic
Donnelly, Joseph E. Goetz, Jeannine Gibson, Cheryl A. Sullivan, Debra K. Lee, Robert Smith, Bryan K. Lambourne, Kate Mayo, Matthew S. Hunt, Suzanne L. Lee, Jaehoon
Donnelly, Joseph E.
Goetz, Jeannine
Gibson, Cheryl A.
Sullivan, Debra K.
Lee, Robert
Smith, Bryan K.
Lambourne, Kate
Mayo, Matthew S.
Hunt, Suzanne L.
Lee, Jaehoon
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Abstract
OBJECTIVE Face-to-face weight management is costly and presents barriers for individuals seeking treatment; thus, alternate delivery systems are needed. The objective of this study was to compare weight management delivered by face-to-face (FTF) clinic or group conference calls (phone). DESIGN AND METHODS Randomized equivalency trial in 295 overweight/obese men/women (BMI = 35.1±4.9, Age = 43.8±10.2, Minority = 39.8%). Weight loss (0–6 months) was achieved by reducing energy intake between 1,200– 1,500 kcal/day and progressing physical activity to 300 minutes/week. Weight maintenance (7–18 months) provided adequate energy to maintain weight and continued 300 minutes/week of physical activity. Behavioral weight management strategies were delivered weekly for 6 months and gradually reduced during months 7–18. A cost analysis provided a comparison of expenses between groups. RESULTS Weight change from baseline to 6 months was −13.4 ± 6.7% and −12.3 ± 7.0% for FTF clinic and phone, respectively. Weight change from 6 months to 18 months was 6.4 ± 7.0% and 6.4 ± 5.2%, for FTF clinic and phone, respectively. The cost to FTF participants was $789.58 more person. CONCLUSIONS Phone delivery provided equivalent weight loss and maintenance and reduced program cost. Ubiquitous access to phones provides a vast reach for this approach.
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This is the peer reviewed version of the following article: Donnelly, J. E., Goetz, J., Gibson, C., Sullivan, D. K., Lee, R., Smith, B. K., Lambourne, K., Mayo, M. S., Hunt, S., Lee, J. H., Honas, J. J. and Washburn, R. A. (2013), Equivalent weight loss for weight management programs delivered by phone and clinic. Obesity, 21: 1951–1959. doi:10.1002/oby.20334, which has been published in final form at http://doi.org/10.1002/oby.20334. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
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2013-10
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Wiley
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LeeJ_2013.pdf
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Donnelly, J. E., Goetz, J., Gibson, C., Sullivan, D. K., Lee, R., Smith, B. K., Lambourne, K., Mayo, M. S., Hunt, S., Lee, J. H., Honas, J. J. and Washburn, R. A. (2013), Equivalent weight loss for weight management programs delivered by phone and clinic. Obesity, 21: 1951–1959. doi:10.1002/oby.20334