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Empowering primary care to tackle the obesity epidemic: the Counterweight Programme.
Eur J Clin Nutr 2005; 59 Suppl 1:S93-100; discussion S101EJ

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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    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 Care)Patient 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., ... 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 -