Predictors of attrition from behavioral medicine treatments

Davis, Mary J.; Addis, Michael E.

doi:10.1007/bf02895967

Cited by 127 publications

(122 citation statements)

References 46 publications

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“…It was also comparable to similar "real-world" interventions involving physical activity promotion. 30 In an attempt to minimize disruption of clinic flow, the number of patients approached was not tracked. Given this, another limitation is potential selection bias.…”

Section: Discussionmentioning

confidence: 99%

Pedometers As a Means to Increase Ambulatory Activity for Patients Seen at a Family Medicine Clinic

Stovitz

VanWormer

Bremer

2005

The Journal of the American Board of Family Medicine

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Because of their frequent encounters with sedentary patients, family physicians are poised to be on the forefront of the medical community's response to physical inactivity. The purpose of this pilot study was to examine whether the addition of a pedometer to brief physician counseling could help patients increase their ambulatory activity. Ninety four participants recruited from a family medicine clinic were randomly assigned to 2 groups. Both groups received a brief physician endorsement of regular physical activity, a handout on the benefits of an active lifestyle, and 3 follow-up phone calls from a health educator. In addition, the intervention group received a pedometer and was instructed to record their steps daily over the 9-week study period. Measurements were taken for self-reported walking, walking stageof-change, walking self-efficacy, and pedometer steps (intervention group only). Among completers, mean daily step counts in the pedometer group rose from 6779 at baseline to 8855 at study end. Average individual improvement was 41% over the study period. Both groups significantly increased blocks walked per day, stair climbing versus using the elevator, days per week walking Physical inactivity is widely recognized as a major threat to public health. 1 In the United States, physical inactivity combined with a poor diet accounts for an estimated 16% of the actual causes of death and approximately 24.4 billion dollars per year in health care expenditures alone. 2,3 In contrast, a physically active lifestyle has been associated with health benefits that include improved control of hypertension, diabetes, obesity, hyperlipidemia, and reduced overall morbidity and mortality.

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Section: Discussionmentioning

confidence: 99%

Pedometers As a Means to Increase Ambulatory Activity for Patients Seen at a Family Medicine Clinic

Stovitz

VanWormer

Bremer

2005

The Journal of the American Board of Family Medicine

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“…The dropout rate for later assessments was high, but attrition is always an issue in weight loss trials. 36 Given the low intensity of the intervention and the absence of any incentive to return, this rate of attrition was not surprising. The fact that there were no baseline differences between dropouts and completers is encouraging for generalizing the results, but also means that we lacked any hint about factors that promote participation.…”

Section: Healthy Habits P Lally Et Almentioning

confidence: 99%

Healthy habits: efficacy of simple advice on weight control based on a habit-formation model

2007

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Objective: To evaluate the efficacy of a simple weight loss intervention, based on principles of habit formation. Design: An exploratory trial in which overweight and obese adults were randomized either to a habit-based intervention condition (with two subgroups given weekly vs monthly weighing; n ¼ 33, n ¼ 36) or to a waiting-list control condition (n ¼ 35) over 8 weeks. Intervention participants were followed up for 8 months. Participants: A total of 104 adults (35 men, 69 women) with an average BMI of 30.9 kg m À2 . Intervention: Intervention participants were given a leaflet containing advice on habit formation and simple recommendations for eating and activity behaviours promoting negative energy balance, together with a self-monitoring checklist. Main outcome measures: Weight change over 8 weeks in the intervention condition compared with the control condition and weight loss maintenance over 32 weeks in the intervention condition. Results: At 8 weeks, people in the intervention condition had lost significantly more weight (mean ¼ 2.0 kg) than those in the control condition (0.4 kg), with no difference between weekly and monthly weighing subgroups. At 32 weeks, those who remained in the study had lost an average of 3.8 kg, with 54% losing 5% or more of their body weight. An intention-to-treat analysis (based on last-observation-carried-forward) reduced this to 2.6 kg, with 26% achieving a 5% weight loss. Conclusions: This easily disseminable, low-cost, simple intervention produced clinically significant weight loss. In limited resource settings it has potential as a tool for obesity management.

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“…Goldberg and Kiernan (2005) extended the argument for adding MI to BWL by suggesting that MI can addresses one specific, crucial component of these programs: participant retention. On average, the attrition rate in behavioral weight loss treatments is 32% (Davis & Addis, 1999); thus, a third of participants do not receive the full treatment package. These authors maintain that MI can serve to effectively target the ambivalence that so often causes participants to drop out prematurely.…”

Section: Motivational Interviewing In Behavioral Weight Loss Treatmentmentioning

confidence: 99%

The use of motivational interviewing techniques to enhance the efficacy of guided self-help behavioral weight loss treatment

et al. 2009

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This study assessed whether motivational interviewing (MI), applied as part of a standard guided self-help (GSH) behavioral weight loss treatment, reduced attrition rate and improved participant weight loss and other eating-related and general psychological measures. The study also included assessments based on two theories of motivated behavior, to assess whether these measures predicted treatment outcome and whether MI increased participant motivation. Thirty-nine overweight patients (7 males, 32 females) were randomized to receive either 6 sessions of traditional GSH and 2 traditional motivation-focused sessions (GSH); or 6 GSH sessions and 2 sessions utilizing an MI

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Predictors of attrition from behavioral medicine treatments

Cited by 127 publications

References 46 publications

Pedometers As a Means to Increase Ambulatory Activity for Patients Seen at a Family Medicine Clinic

Pedometers As a Means to Increase Ambulatory Activity for Patients Seen at a Family Medicine Clinic

Healthy habits: efficacy of simple advice on weight control based on a habit-formation model

The use of motivational interviewing techniques to enhance the efficacy of guided self-help behavioral weight loss treatment

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