Randomised controlled trial and economic evaluation of a task-based weight management group programme.
View/ Open
Volume
19
Pagination
365 - ?
DOI
10.1186/s12889-019-6679-3
Journal
BMC Public Health
Issue
Metadata
Show full item recordAbstract
BACKGROUND: Obesity is a rising global threat to health and a major contributor to health inequalities. Weight management programmes that are effective, economical and reach underprivileged groups are needed. We examined whether a multi-modal group intervention structured to cater for clients from disadvantaged communities (Weight Action Programme; WAP) has better one-year outcomes than a primary care standard weight management intervention delivered by practice nurses (PNI). METHODS: In this randomised controlled trial, 330 obese adults were recruited from general practices in London and allocated (2:1) to WAP (N = 221) delivered over eight weekly group sessions or PNI (N = 109) who received four sessions over eight weeks. Both interventions covered diet, physical activity and self-monitoring. The primary outcome was the change in weight from baseline at 12 months. To indicate value to the NHS, a cost effectiveness analysis estimated group differences in cost and Quality-Adjusted Life-Years (QALYs) related to WAP. RESULTS: Participants were recruited from September 2012 to January 2014 with follow-up completed in February 2015. Most participants were not in paid employment and 60% were from ethnic minorities. 88% of participants in each study arm provided at least one recorded outcome and were included in the primary analysis. Compared with the PNI, WAP was associated with greater weight loss overall (- 4·2 kg vs. - 2·3 kg; difference = - 1·9 kg, 95% CI: -3·7 to - 0·1; P = 0·04) and was more likely to generate a weight loss of at least 5% at 12 months (41% vs. 27%, OR = 14·61 95% CI: 2·32 to 91·96, P = 0·004). With an incremental cost-effectiveness ratio (ICER) of £7742/QALY, WAP would be considered highly cost effective compared to PNI. CONCLUSIONS: The task-based programme evaluated in this study can provide a template for an effective and economical approach to weight management that can reach clients from disadvantaged communities. TRIAL REGISTRATION: ISRCTN ISRCTN45820471 . Registered 12/10/2012 (retrospectively registered).
Authors
McRobbie, H; Hajek, P; Peerbux, S; Kahan, BC; Eldridge, S; Trépel, D; Parrott, S; Griffiths, C; Snuggs, S; Smith, KMCollections
Language
Licence information
Copyright statements
The following license files are associated with this item:
Except where otherwise noted, this item's license is described as This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and
reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver
(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Related items
Showing items related by title, author, creator and subject.
-
Effect of diet and physical activity based interventions in pregnancy on gestational weight gain and pregnancy outcomes: meta-analysis of individual participant data from randomised trials The International Weight Management in Pregnancy (i-WIP) Collaborative Group
Rogozinska, E; Marlin, N; Betran, AP; Astrup, A; Bogaerts, A; Cecatti, JG; Devlieger, R; Dodd, JM; El Beltagy, N; Facchinetti, F (2017-07-19) -
Effect of diet and physical activity based interventions in pregnancy on gestational weight gain and pregnancy outcomes: meta-analysis of individual participant data from randomised trials The International Weight Management in Pregnancy (i-WIP) Collaborative Group
Rogozinska, E; Marlin, N; Betran, AP; Astrup, A; Bogaerts, A; Cecatti, JG; Devlieger, R; Dodd, JM; El Beltagy, N; Facchinetti, F (2017-07-19) -
Protocol for the Weight-bearing in Ankle Fractures (WAX) trial: a multicentre prospective non-inferiority trial of early versus delayed weight-bearing after operatively managed ankle fracture
Bretherton, CP; Claireaux, HA; Achten, J; Athwal, A; Dutton, SJ; Peckham, N; Petrou, S; Kearney, RS; Appelbe, D; Griffin, XL (2021-08-09)