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Empowering primary care to tackle the obesity epidemic: the Counterweight Programme.
Eur J Clin Nutr. 2005 Aug; 59 Suppl 1:S93-100; discussion S101.EJ

Abstract

OBJECTIVE

To improve the management of obese adults (18-75 y) in primary care.

DESIGN

Cohort study.

SETTINGS

UK primary care.

SUBJECTS

Obese patients (body mass index > or =30 kg/m(2)) or BMI> or =28 kg/m(2) with obesity-related comorbidities in 80 general practices.

INTERVENTION

The model consists of four phases: (1) audit and project development, (2) practice training and support, (3) nurse-led patient intervention, and (4) evaluation. The intervention programme used evidence-based pathways, which included strategies to empower clinicians and patients. Weight Management Advisers who are specialist obesity dietitians facilitated programme implementation.

MAIN OUTCOME MEASURES

Proportion of practices trained and recruiting patients, and weight change at 12 months.

RESULTS

By March 2004, 58 of the 62 (93.5%) intervention practices had been trained, 47 (75.8%) practices were active in implementing the model and 1549 patients had been recruited. At 12 months, 33% of patients achieved a clinically meaningful weight loss of 5% or more. A total of 49% of patients were classed as 'completers' in that they attended the requisite number of appointments in 3, 6 and 12 months. 'Completers' achieved more successful weight loss with 40% achieving a weight loss of 5% or more at 12 months.

CONCLUSION

The Counterweight programme provides a promising model to improve the management of obesity in primary care.

Authors+Show Affiliations

McQuigg M
Diabetes Centre, Royal United Hospital, Bath, UK.
Brown J
No affiliation info available
Broom J
No affiliation info available
Laws RA
No affiliation info available
Reckless JP
No affiliation info available
Noble PA
No affiliation info available
Kumar S
No affiliation info available
McCombie EL
No affiliation info available
Lean ME
No affiliation info available
Lyons GF
No affiliation info available
Frost GS
No affiliation info available
Quinn MF
No affiliation info available
Barth JH
No affiliation info available
Haynes SM
No affiliation info available
Finer N
No affiliation info available
Ross HM
No affiliation info available
Hole DJ
No affiliation info available
Counterweight Project Team
No affiliation info available

MeSH

AdolescentAdultAgedClinical CompetenceCohort StudiesEvidence-Based MedicineExerciseFemaleHealth PromotionHumansLife StyleMaleMiddle AgedNutritional SciencesObesityOutcome and Process Assessment, Health CarePatient CompliancePatient Education as TopicPhysicians, FamilyPrimary Health CareSelf EfficacyTreatment OutcomeUnited Kingdom

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16052202

Citation

McQuigg, M, et al. "Empowering Primary Care to Tackle the Obesity Epidemic: the Counterweight Programme." European Journal of Clinical Nutrition, vol. 59 Suppl 1, 2005, pp. S93-100; discussion S101.
McQuigg M, Brown J, Broom J, et al. Empowering primary care to tackle the obesity epidemic: the Counterweight Programme. Eur J Clin Nutr. 2005;59 Suppl 1:S93-100; discussion S101.
McQuigg, M., Brown, J., Broom, J., Laws, R. A., Reckless, J. P., Noble, P. A., Kumar, S., McCombie, E. L., Lean, M. E., Lyons, G. F., Frost, G. S., Quinn, M. F., Barth, J. H., Haynes, S. M., Finer, N., Ross, H. M., & Hole, D. J. (2005). Empowering primary care to tackle the obesity epidemic: the Counterweight Programme. European Journal of Clinical Nutrition, 59 Suppl 1, S93-100; discussion S101.
McQuigg M, et al. Empowering Primary Care to Tackle the Obesity Epidemic: the Counterweight Programme. Eur J Clin Nutr. 2005;59 Suppl 1:S93-100; discussion S101. PubMed PMID: 16052202.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Empowering primary care to tackle the obesity epidemic: the Counterweight Programme. AU - McQuigg,M, AU - Brown,J, AU - Broom,J, AU - Laws,R A, AU - Reckless,J P D, AU - Noble,P A, AU - Kumar,S, AU - McCombie,E L, AU - Lean,M E J, AU - Lyons,G F, AU - Frost,G S, AU - Quinn,M F, AU - Barth,J H, AU - Haynes,S M, AU - Finer,N, AU - Ross,H M, AU - Hole,D J, AU - ,, PY - 2005/7/30/pubmed PY - 2005/10/29/medline PY - 2005/7/30/entrez SP - S93-100; discussion S101 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 59 Suppl 1 N2 - OBJECTIVE: To improve the management of obese adults (18-75 y) in primary care. DESIGN: Cohort study. SETTINGS: UK primary care. SUBJECTS: Obese patients (body mass index > or =30 kg/m(2)) or BMI> or =28 kg/m(2) with obesity-related comorbidities in 80 general practices. INTERVENTION: The model consists of four phases: (1) audit and project development, (2) practice training and support, (3) nurse-led patient intervention, and (4) evaluation. The intervention programme used evidence-based pathways, which included strategies to empower clinicians and patients. Weight Management Advisers who are specialist obesity dietitians facilitated programme implementation. MAIN OUTCOME MEASURES: Proportion of practices trained and recruiting patients, and weight change at 12 months. RESULTS: By March 2004, 58 of the 62 (93.5%) intervention practices had been trained, 47 (75.8%) practices were active in implementing the model and 1549 patients had been recruited. At 12 months, 33% of patients achieved a clinically meaningful weight loss of 5% or more. A total of 49% of patients were classed as 'completers' in that they attended the requisite number of appointments in 3, 6 and 12 months. 'Completers' achieved more successful weight loss with 40% achieving a weight loss of 5% or more at 12 months. CONCLUSION: The Counterweight programme provides a promising model to improve the management of obesity in primary care. SN - 0954-3007 UR - https://www.unboundmedicine.com/medline/citation/16052202/full_citation DB - PRIME DP - Unbound Medicine ER -