Weight Loss Through Living Well

McTigue, Kathleen M.; Conroy, Molly B.; Bigi, Lori; Murphy, Cynthia Miller; McNeil, Melissa

doi:10.1177/0145721709332815

Cited by 84 publications

(29 citation statements)

References 36 publications

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“…With the physiologic benefits of type 2 diabetes and cardiovascular disease risk reduction through lifestyle change well-established in clinical [12,55] and translational settings [19,56,21,57,58], these findings help strengthen the case for increasing the use of HRQoL assessment tools in community lifestyle interventions. Building on these results, future studies should include measurement of HRQoL and explore relationships between HRQoL and specific clinical and behavioral outcomes in translational diabetes prevention programs.…”

Section: Resultsmentioning

confidence: 85%

Impact of a community-based lifestyle intervention program on health-related quality of life

et al. 2016

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Background The presence of risk factors for type 2 diabetes and cardiovascular disease, or the conditions themselves, contributes to lower health-related quality of life (HRQoL) among adults. Although community-based lifestyle intervention programs have been shown to be effective for improving risk factors for these diseases, the impact of these interventions on HRQoL has rarely been described. Purpose To examine changes in HRQoL following participation in the Group Lifestyle Balance program, a community translation of the Diabetes Prevention Program lifestyle intervention for adults with pre-diabetes and/or the metabolic syndrome. Methods Participants enrolled in the 12-month, 22-session intervention program (N=223) completed the EuroQol Health Questionnaire (EQ-5D-3L) at baseline, 6, and 12 months. Linear mixed effects regression models determined change in EQ-5D-Visual Analog Scale (VAS) and Index scores post-intervention. Results Mean EQ-5D-VAS improved by +7.38 (SE=1.03) at 6 months and by +6.73 (SE=1.06) at 12 months post-intervention (both; p<0.0001). Mean changes in EQ-5D Index values were +0.00 (SE=0.01; NS) and +0.01 (SE=0.01; p<0.05), respectively. Adjusted for age, baseline score, and achieving intervention goals, mean change in EQ-5D-VAS was +11.83 (SE=1.61) at 6 months and +11.23 (SE=1.54) at 12 months (both; p<0.0001). Adjusted mean change in EQ-5D Index value was +0.04 (SE=0.01) at 6 months and +0.05 (SE=0.01) at 12 months (both; p<0.01). Conclusions Participation in a community lifestyle intervention program resulted in improved HRQoL among adults with pre-diabetes and/or the metabolic syndrome. These benefits to HRQoL, together with improved clinical and behavioral outcomes, should increase the appeal of such programs for improving health.

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Section: Resultsmentioning

confidence: 85%

Impact of a community-based lifestyle intervention program on health-related quality of life

et al. 2016

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“…high risk mothers with preschoolers) may be a fruitful avenue for diabetes prevention translation. Face to face interaction has consistently been shown to be most effective for weight loss and maintenance [52,53], however telephonic and web-based approaches are increasingly being utilized as a cost-effective means to extend the reach and scope of intervention support [16,24,25,52,53]. …”

Section: Discussionmentioning

confidence: 99%

Short and long-term lifestyle coaching approaches used to address diverse participant barriers to weight loss and physical activity adherence

Venditti

Wylie‐Rosett

Delahanty

et al. 2014

Int J Behav Nutr Phys Act

103

102

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BackgroundIndividual barriers to weight loss and physical activity goals in the Diabetes Prevention Program, a randomized trial with 3.2 years average treatment duration, have not been previously reported. Evaluating barriers and the lifestyle coaching approaches used to improve adherence in a large, diverse participant cohort can inform dissemination efforts.MethodsLifestyle coaches documented barriers and approaches after each session (mean session attendance = 50.3 ± 21.8). Subjects were 1076 intensive lifestyle participants (mean age = 50.6 years; mean BMI = 33.9 kg/m2; 68% female, 48% non-Caucasian). Barriers and approaches used to improve adherence were ranked by the percentage of the cohort for whom they applied. Barrier groupings were also analyzed in relation to baseline demographic characteristics.ResultsTop weight loss barriers reported were problems with self-monitoring (58%); social cues (58%); holidays (54%); low activity (48%); and internal cues (thought/mood) (44%). Top activity barriers were holidays (51%); time management (50%); internal cues (30%); illness (29%), and motivation (26%). The percentage of the cohort having any type of barrier increased over the long-term intervention period. A majority of the weight loss barriers were significantly associated with younger age, greater obesity, and non-Caucasian race/ethnicity (p-values vary). Physical activity barriers, particularly thought and mood cues, social cues and time management, physical injury or illness and access/weather, were most significantly associated with being female and obese (p < 0.001 for all). Lifestyle coaches used problem-solving with most participants (≥75% short-term; > 90% long term) and regularly reviewed self-monitoring skills. More costly approaches were used infrequently during the first 16 sessions (≤10%) but increased over 3.2 years.ConclusionBehavioral problem solving approaches have short and long term dissemination potential for many kinds of participant barriers. Given minimal resources, increased attention to training lifestyle coaches in the consistent use of these approaches appears warranted.

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“…Since this landmark clinical trial, there has been a profusion of translational research to establish the DPP-LI's effectiveness in real world settings [11–13]. The DPP-LI has been successfully translated into various settings to include rural and urban communities [14–16], health centers [17–20], community centers, churches, and senior care facilities [21–24]. The DPP-LI has also been translated into many ethnic/racial populations, such as Latinos [25, 26], Native Americans [27], and African-Americans [21, 22, 24].…”

Section: Introductionmentioning

confidence: 99%

Translating the Diabetes Prevention Program in Native Hawaiian and Pacific Islander communities: the PILI ‘Ohana Project

Kaholokula

Wilson

Townsend

et al. 2013

Behav. Med. Pract. Policy Res.

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Native Hawaiians/Pacific Islanders experience a high prevalence of overweight/obesity. The Diabetes Prevention Program Lifestyle Intervention (DPP-LI) was translated into a 3-month community-based intervention to benefit these populations. The weight loss and other clinical and behavioral outcomes of the translated DPP-LI and the socio-demographic, behavioral, and biological factors associated with the weight loss were examined. A total of 239 Native Hawaiian/Pacific Islander adults completed the translated DPP-LI through four community-based organizations (CBOs). Changes from pre- to post-intervention assessments in weight, blood pressure, physical functioning, exercise frequency, and fat in diet were measured. Significant improvements on all variables were found, with differences observed across the four CBOs. CBOs with predominately Native Hawaiian and ethnically homogenous intervention groups had greater weight loss. General linear modeling indicated that larger baseline weight and CBO predicted weight loss. The translated DPP-LI can be effective for Native Hawaiians/Pacific Islanders, especially when socio-cultural, socio-economic, and CBO-related contextual factors are taken into account.

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Weight Loss Through Living Well

Cited by 84 publications

References 36 publications

Impact of a community-based lifestyle intervention program on health-related quality of life

Impact of a community-based lifestyle intervention program on health-related quality of life

Short and long-term lifestyle coaching approaches used to address diverse participant barriers to weight loss and physical activity adherence

Translating the Diabetes Prevention Program in Native Hawaiian and Pacific Islander communities: the PILI ‘Ohana Project

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