| A motivation-focused weight loss maintenance program is an effective alternative to a skill-based approach. | |
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MedLine Citation:
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PMID: 20680012 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Maintaining weight loss is a major challenge in obesity treatment. Individuals often indicate that waning motivation prompts cessation of effective weight management behaviors. Therefore, a novel weight loss maintenance program that specifically targets motivational factors was evaluated. DESIGN: Overweight women (N=338; 19% African American) with urinary incontinence were randomized to lifestyle obesity treatment or control and followed for 18 months. All participants in lifestyle (N=226) received the same initial 6-month group behavioral obesity treatment and were then randomized to (1) a novel motivation-focused maintenance program (N=113) or (2) a standard skill-based maintenance approach (N=113). MAIN OUTCOME MEASURE: Weight assessed at baseline, 6 and 18 months. RESULTS: Both treatment groups (motivation-focused and skill-based) achieved comparable 18-month weight losses (-5.48% for motivation-focused vs -5.55% in skill-based, P=0.98), and both groups lost significantly more than controls (-1.51%; P=0.0012 in motivation-focused and P=0.0021 in skill-based). CONCLUSIONS: A motivation-focused maintenance program offers an alternative, effective approach to weight maintenance expanding available evidence-based interventions beyond traditional skill-based programs. |
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Authors:
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D S West; A A Gorin; L L Subak; G Foster; C Bragg; J Hecht; M Schembri; R R Wing; |
Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural Date: 2010-08-03 |
Journal Detail:
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Title: International journal of obesity (2005) Volume: 35 ISSN: 1476-5497 ISO Abbreviation: Int J Obes (Lond) Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-02-15 Completed Date: 2011-05-10 Revised Date: 2012-05-10 |
Medline Journal Info:
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Nlm Unique ID: 101256108 Medline TA: Int J Obes (Lond) Country: England |
Other Details:
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Languages: eng Pagination: 259-69 Citation Subset: IM |
Affiliation:
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Department of Health Behavior and Health Education, College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR 7205, USA. WestDelia@uams.edu |
| Data Bank Information | |
Bank Name/Acc. No.:
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ClinicalTrials.gov/NCT00091988 |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Behavior Therapy
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methods* Diet, Reducing / methods, psychology* Female Humans Middle Aged Motivation* Obesity / complications, psychology*, therapy Patient Compliance Risk Reduction Behavior Self Concept Treatment Outcome Urinary Incontinence / complications, psychology*, therapy Weight Loss* |
| Grant Support | |
ID/Acronym/Agency:
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K24 DK080775/DK/NIDDK NIH HHS; K24 DK080775-04/DK/NIDDK NIH HHS; U01 DK067860-03/DK/NIDDK NIH HHS; U01 DK067861/DK/NIDDK NIH HHS; U01 DK067861-03/DK/NIDDK NIH HHS; U01 DK067862/DK/NIDDK NIH HHS; U01 DK067862-02/DK/NIDDK NIH HHS; U01DK067860/DK/NIDDK NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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