Please use this identifier to cite or link to this item:
https://doi.org/10.21256/zhaw-4868
Publication type: | Article in scientific journal |
Type of review: | Peer review (publication) |
Title: | Cognitive-behavioural treatment for weight loss in primary care : a prospective study |
Authors: | Eichler, Klaus Zoller, Marco Steurer, Johann Bachmann, Lucas M. |
DOI: | 10.21256/zhaw-4868 |
Published in: | Swiss Medical Weekly |
Volume(Issue): | 2007 |
Issue: | 137 |
Page(s): | 489 |
Pages to: | 495 |
Issue Date: | 2007 |
Publisher / Ed. Institution: | EMH Schweizerischer Ärzteverlag |
ISSN: | 1424-7860 1424-3997 0036-7672 |
Language: | English |
Subjects: | Primary health care; Behaviour therapy; Quality of health care; Obesity |
Subject (DDC): | 610: Medicine and health |
Abstract: | Questions under Study: Cognitive-behavioural treatment (CBT) is effective for weight loss in obese patients, but such programmes are difficult to implement in primary care. We assessed whether implementation of a community-based CBT weight loss programme for adults in routine care is feasible and prospectively assessed patient outcome. Patients and Methods: The weight loss programme was provided by a network of Swiss general practitioners in cooperation with a community centre for health education. We chose a five-step strategy focusing on structure of care rather than primarily addressing individual physician behaviour. A multidisciplinary core group of trained CBT instructors acted as the central element of the programme. Overweight and obese adults from the community (BMI >25 kg/m2) were included. We used a patient perspective to report the impact on delivery of care and assessed weight change of consecutive participants prospectively with a follow-up of 12 months. Results: Twenty-eight courses, with 16 group meetings each, were initiated over a period of 3 years. 44 of 110 network physicians referred patients to the programme. 147 of 191 study participants were monitored for one year (attrition rate: 23%). Median weight loss after 12 months for 147 completers was 4 kg (IQR: 1-7 kg; intention-to-treat analysis for 191 participants: 2 kg, IQR: 0-5 kg). Conclusions: The programme produced a clinically meaningful weight loss in our participants, with a relatively low attrition rate. Implementation of an easily accessible CBT programme for weight loss in daily routine primary care is feasible. |
URI: | https://digitalcollection.zhaw.ch/handle/11475/12873 |
Fulltext version: | Published version |
License (according to publishing contract): | Licence according to publishing contract |
Departement: | School of Management and Law |
Organisational Unit: | Winterthur Institute of Health Economics (WIG) |
Appears in collections: | Publikationen School of Management and Law |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
2007_Eichler_Cognitive_behavioural_treatment_for_weight_loss.pdf | 346.06 kB | Adobe PDF | View/Open |
Show full item record
Eichler, K., Zoller, M., Steurer, J., & Bachmann, L. M. (2007). Cognitive-behavioural treatment for weight loss in primary care : a prospective study. Swiss Medical Weekly, 2007(137), 489–495. https://doi.org/10.21256/zhaw-4868
Eichler, K. et al. (2007) ‘Cognitive-behavioural treatment for weight loss in primary care : a prospective study’, Swiss Medical Weekly, 2007(137), pp. 489–495. Available at: https://doi.org/10.21256/zhaw-4868.
K. Eichler, M. Zoller, J. Steurer, and L. M. Bachmann, “Cognitive-behavioural treatment for weight loss in primary care : a prospective study,” Swiss Medical Weekly, vol. 2007, no. 137, pp. 489–495, 2007, doi: 10.21256/zhaw-4868.
EICHLER, Klaus, Marco ZOLLER, Johann STEURER und Lucas M. BACHMANN, 2007. Cognitive-behavioural treatment for weight loss in primary care : a prospective study. Swiss Medical Weekly. 2007. Bd. 2007, Nr. 137, S. 489–495. DOI 10.21256/zhaw-4868
Eichler, Klaus, Marco Zoller, Johann Steurer, and Lucas M. Bachmann. 2007. “Cognitive-Behavioural Treatment for Weight Loss in Primary Care : A Prospective Study.” Swiss Medical Weekly 2007 (137): 489–95. https://doi.org/10.21256/zhaw-4868.
Eichler, Klaus, et al. “Cognitive-Behavioural Treatment for Weight Loss in Primary Care : A Prospective Study.” Swiss Medical Weekly, vol. 2007, no. 137, 2007, pp. 489–95, https://doi.org/10.21256/zhaw-4868.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.