Document Detail


Satisfaction with a weight loss program: what matters?
MedLine Citation:
PMID:  20232605     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Satisfaction is understudied in weight loss programs. The purpose of this study was to examine the association between participant/program experiences and satisfaction with a weight loss intervention. DESIGN: A prospective cohort design was utilized. SETTING: The study was conducted in the Minneapolis metro area. SAMPLE: Participants were obese employees of a managed care organization. One hundred were enrolled, and 78 had complete data available. INTERVENTION: Treatment included telephone counseling along with a home telemonitoring scale and instructions to self-weigh daily. MEASURES: Outcomes included overall program satisfaction and willingness to refer the program to others. Predictors included demographics, treatment group, participation in other programs, expected weight, general health, body mass index, diet quality, physical activity, body image, mental health, counseling, and self-weighing. ANALYSIS: Quantitative predictor-outcome associations were examined using multiple logistic regressions. Qualitative satisfaction responses were analyzed using a general inductive approach. RESULTS: Weight loss (odds ratio [OR] = 1.83, p = .008), improved diet (OR = 1.27, p = .092), increased physical activity (OR = 1.05, p = .034), and improved body image (OR = 1.38, p = .051) were independent predictors of overall satisfaction. Treatment group (OR = 14.83, p = .015) and number of counseling calls (OR = 1.49, p = .009) were predictors of willingness to refer the program. Qualitative themes indicated desire to integrate counseling on emotional issues. CONCLUSION: Health progress explained overall satisfaction, whereas treatment characteristics explained willingness to endorse the intervention. Concentrating on these factors may improve retention. Limitations included self-reported measures.
Authors:
Jeffrey J VanWormer; Anna M Martinez; Dan Cosentino; Nicolaas P Pronk
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of health promotion : AJHP     Volume:  24     ISSN:  0890-1171     ISO Abbreviation:  Am J Health Promot     Publication Date:    2010 Mar-Apr
Date Detail:
Created Date:  2010-03-17     Completed Date:  2010-07-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8701680     Medline TA:  Am J Health Promot     Country:  United States    
Other Details:
Languages:  eng     Pagination:  238-45     Citation Subset:  T    
Affiliation:
Minneapolis Heart Institute Foundation, Minneapolis, MN 55407, USA. jvanwormer@mhif.org
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MeSH Terms
Descriptor/Qualifier:
Body Image
Cohort Studies
Directive Counseling*
Female
Health Status
Humans
Logistic Models
Male
Middle Aged
Minnesota
Motor Activity
Multivariate Analysis
Odds Ratio
Patient Satisfaction / statistics & numerical data*
Program Evaluation
Qualitative Research
Telemedicine*
Weight Loss*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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