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Empowering primary care to tackle the obesity epidemic: the Counterweight Programme.

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.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Diabetes Centre, Royal United Hospital, Bath, UK.

    , , , , , , , , , , , , , , , ,

    Source

    European journal of clinical nutrition 59 Suppl 1: 2005 Aug pg S93-100; discussion S101

    MeSH

    Adolescent
    Adult
    Aged
    Clinical Competence
    Cohort Studies
    Evidence-Based Medicine
    Exercise
    Female
    Health Promotion
    Humans
    Life Style
    Male
    Middle Aged
    Nutritional Sciences
    Obesity
    Outcome and Process Assessment (Health Care)
    Patient Compliance
    Patient Education as Topic
    Physicians, Family
    Primary Health Care
    Self Efficacy
    Treatment Outcome
    United 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., ... Hole, D. J. (2005). Empowering primary care to tackle the obesity epidemic: the Counterweight Programme. European Journal of Clinical Nutrition, 59 Suppl 1, pp. 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 L2 - http://dx.doi.org/10.1038/sj.ejcn.1602180 DB - PRIME DP - Unbound Medicine ER -