A meta-analytic evaluation of couples weight-loss programs.

Black, David R.; Gleser, Leon Jay; Kooyers, Kimberly J.

doi:10.1037/0278-6133.9.3.330

Cited by 175 publications

(127 citation statements)

References 28 publications

Supporting

Mentioning

119

Contrasting

Order By: Relevance

“…This meant it was not possible to carry out a meta‐analysis. The two areas that previously have had a number of couple‐focused intervention studies conducted, weight loss and HIV prevention, found that couple‐focused interventions were successful in enabling weight loss post‐treatment (Black et al ., 1990), although the effects were not sustained, and reduced unprotected sexual intercourse and increased condom use relative to control groups (Burton et al ., 2010). This evidence for possible effectiveness of couple‐based interventions suggests that, in the health behaviour change areas identified in our review, further studies are needed to assess the effectiveness of couple‐based versus individual interventions, despite increased resources and logistical challenges involved with trying to recruit and retain couples (Coyne & Lepore, 2006; McGrath et al ., 2010).…”

Section: Discussionmentioning

confidence: 99%

“…Using the keyword search method, we searched the databases MEDLINE, Embase, Web of Knowledge, and PsycINFO for articles published in the English language between January 1990 (when the review on weight loss interventions (Black et al ., 1990) was carried out, as based on a search of earlier literature, no couple‐focused interventions on other topics were identified prior to this date) and June 2014. To avoid exacerbating publication bias, we decided not to include unpublished data and dissertations (Ferguson & Brannick, 2012).…”

Section: Methodsmentioning

confidence: 99%

“…A review of weight loss interventions for couples revealed that the couple‐focused interventions led to more weight loss than stand‐alone programmes post‐intervention, but these improvements were not sustained over longer periods (Black, Gleser, & Kooyers, 1990). However, this review addressed only interventions targeting diet and exercise behaviours.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Health behaviour change interventions for couples: A systematic review

Arden‐Close

McGrath

2017

British J Health Psychol

150

View full text Add to dashboard Cite

ObjectivesPartners are a significant influence on individuals’ health, and concordance in health behaviours increases over time in couples. Several theories suggest that couple‐focused interventions for health behaviour change may therefore be more effective than individual interventions.DesignA systematic review of health behaviour change interventions for couples was conducted.MethodsSystematic search methods identified randomized controlled trials (RCTs) and non‐randomized interventions of health behaviour change for couples with at least one member at risk of a chronic physical illness, published from 1990–2014.ResultsWe identified 14 studies, targeting the following health behaviours: cancer prevention (6), obesity (1), diet (2), smoking in pregnancy (2), physical activity (1) and multiple health behaviours (2). In four out of seven trials couple‐focused interventions were more effective than usual care. Of four RCTs comparing a couple‐focused intervention to an individual intervention, two found that the couple‐focused intervention was more effective.ConclusionsThe studies were heterogeneous, and included participants at risk of a variety of illnesses. In many cases the intervention was compared to usual care for an individual or an individual‐focused intervention, which meant the impact of the couplebased content could not be isolated. Three arm studies could determine whether any added benefits of couple‐focused interventions are due to adding the partner or specific content of couple‐focused interventions. Statement of contribution What is already known on this subject? Health behaviours and health behaviour change are more often concordant across couples than between individuals in the general population.Couple‐focused interventions for chronic conditions are more effective than individual interventions or usual care (Martire, Schulz, Helgeson, Small, & Saghafi, 2010). What does this study add? Identified studies targeted a variety of health behaviours, with few studies in any one area.Further assessment of the effectiveness of couple‐focused versus individual interventions for those at risk is needed.Three‐arm study designs are needed to determine benefits of targeting couples versus couple‐focused intervention content.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Health behaviour change interventions for couples: A systematic review

Arden‐Close

McGrath

2017

British J Health Psychol

150

View full text Add to dashboard Cite

show abstract

“…Using an author-de®ned criteria for obesity is not unprecedented in meta-analytical research in obesity; 5 and may be better than having no exclusion criteria at all for obesity, as other meta-analyses have done. 4,5,10 Nonetheless, caution is warranted when interpreting comparative differences among program types. It may be that exercise is a more effective intervention strategy for individuals who are more obese 4,5 or older than those included in the narrowly-de®ned population de®ned by this meta-analysis.…”

Section: Descriptive Datamentioning

confidence: 99%

A meta-analysis of the past 25 years of weight loss research using diet, exercise or diet plus exercise intervention

1997

View full text Add to dashboard Cite

OBJECTIVE: The therapeutic effectiveness of diet, exercise, and diet plus exercise for weight loss in obesity was determined. DATA SOURCES: All human research reported in English, published in peer-reviewed scienti®c journals within the past 25 y was reviewed. STUDY SELECTION: Acceptance criteria (n 493 from b 700 studies) were that a therapeutic intervention of diet, exercise or diet plus exercise was employed, speci®cally for weight reduction in obese adult humans and that weight change was reported numerically. Only aerobic exercise studies were included, while drug, hormone and surgical treatments were excluded. DATA EXTRACTION: All data were extracted by the same investigator from the original research report. Except for gender and program type, all extracted data were numerical. DATA SYNTHESIS: ANOVA, with a Newman±Keuls post hoc test, was used to determine differences among programs (P`0.05). One analysis was performed on the group mean data and one based on effect sizes. Analyses were repeated using initial body weight, initial percent body fat and program length, as covariates. RESULTS: Primarily, subjects aged 40 y have been studied (39.5 AE 0.4 y, mean AE s.e.m.) who are only moderately obese (92.7 AE 0.9 kg, 33.2 AE 0.5 body mass index (BMI), 33.4 AE 0.7% body fat); for short durations (15.6 AE 0.6 weeks). Exercise studies were of a shorter duration, used younger subjects who weighed less, had lower BMI and percentage body fat values, than diet or diet plus exercise studies. Despite these differences, weight lost through diet, exercise and diet plus exercise was 10.7 AE 0.5, 2.9 AE 0.4* and 11.0 AE 0.6 kg, respectively. However, at one-year follow-up, diet plus exercise tended to be the superior program. Effect size and covariate analyses revealed similar program differences. CONCLUSION: Weight loss research over the past 25 y has been very narrowly focused on a middle age population that is only moderately obese, while the interventions lasted for only short periods of time. The data shows, however, that a 15-week diet or diet plus exercise program, produces a weight loss of about 11 kg, with a 6.6 AE 0.5 and 8.6 AE 0.8 kg maintained loss after one year, respectively.

show abstract

“…Small group interventions have also been shown to be effective in promoting weight loss [8,9] and maintenance, and have the added advantage of being more costeffective [10]. Increasing social support [11][12][13] through small group interaction has proven to be equally or more effective than individual behavioral therapy for obesity [14]. A recent systematic review of studies that randomized obese participants to either a group or individual mode of weight loss treatment delivery concluded that group interventions were not only more effective, but may be more resource saving in terms of total health professional hours required per participant [14].…”

Section: Introductionmentioning

confidence: 99%

Virtual small groups for weight management: an innovative delivery mechanism for evidence-based lifestyle interventions among obese men

Azar

Aurora

Wang

et al. 2014

Behav. Med. Pract. Policy Res.

View full text Add to dashboard Cite

While group interventions for weight management have been shown to be efficacious, adherence is often low, especially among men. This pilot study seeks to test whether group interventions using web-based group video conferencing (VC) technology is effective for weight loss. We adapted a 12-week curriculum based on the Diabetes Prevention Program, and delivered this intervention to a small group of men (BMI ≥30 kg/m 2 ), using web-based group VC. Participants were randomized to intervention (n=32) or delayed-intervention control group (n=32). The intervention group lost 3.5 % (95 % CI 2.1 %, 4.9 %) of their initial body weight. Difference in mean weight loss was 3.2 kg (p=0.0002) and mean BMI decrease was 1.0 kg/m 2 (p=0.0010) between the two groups. Virtual small groups may be an effective means of allowing face-to-face group interaction, while overcoming some barriers to access.

show abstract

A meta-analytic evaluation of couples weight-loss programs.

Cited by 175 publications

References 28 publications

Health behaviour change interventions for couples: A systematic review

Health behaviour change interventions for couples: A systematic review

A meta-analysis of the past 25 years of weight loss research using diet, exercise or diet plus exercise intervention

Virtual small groups for weight management: an innovative delivery mechanism for evidence-based lifestyle interventions among obese men

Contact Info

Product

Resources

About