Randomised controlled trial and economic evaluation of a task-based weight management group programme.
dc.contributor.author | McRobbie, H | en_US |
dc.contributor.author | Hajek, P | en_US |
dc.contributor.author | Peerbux, S | en_US |
dc.contributor.author | Kahan, BC | en_US |
dc.contributor.author | Eldridge, S | en_US |
dc.contributor.author | Trépel, D | en_US |
dc.contributor.author | Parrott, S | en_US |
dc.contributor.author | Griffiths, C | en_US |
dc.contributor.author | Snuggs, S | en_US |
dc.contributor.author | Smith, KM | en_US |
dc.date.accessioned | 2019-04-08T08:01:15Z | |
dc.date.available | 2019-03-19 | en_US |
dc.date.issued | 2019-04-02 | en_US |
dc.identifier.uri | https://qmro.qmul.ac.uk/xmlui/handle/123456789/56748 | |
dc.description.abstract | 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). | en_US |
dc.description.sponsorship | National Institute for Health Research Health Technology Assessment (project number 09/127/34) | en_US |
dc.format.extent | 365 - ? | en_US |
dc.language | eng | en_US |
dc.relation.ispartof | BMC Public Health | en_US |
dc.rights | 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. | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.subject | Cost-effectiveness | en_US |
dc.subject | Obesity | en_US |
dc.subject | Weight loss | en_US |
dc.subject | Weight management | en_US |
dc.subject | Adult | en_US |
dc.subject | Aged | en_US |
dc.subject | Body Weight | en_US |
dc.subject | Cost-Benefit Analysis | en_US |
dc.subject | Diet | en_US |
dc.subject | Ethnic Groups | en_US |
dc.subject | Exercise | en_US |
dc.subject | Female | en_US |
dc.subject | General Practice | en_US |
dc.subject | Humans | en_US |
dc.subject | London | en_US |
dc.subject | Male | en_US |
dc.subject | Middle Aged | en_US |
dc.subject | Obesity | en_US |
dc.subject | Odds Ratio | en_US |
dc.subject | Poverty | en_US |
dc.subject | Primary Health Care | en_US |
dc.subject | Program Evaluation | en_US |
dc.subject | Quality-Adjusted Life Years | en_US |
dc.subject | Retrospective Studies | en_US |
dc.subject | Standard of Care | en_US |
dc.subject | Unemployment | en_US |
dc.subject | Weight Loss | en_US |
dc.subject | Weight Reduction Programs | en_US |
dc.title | Randomised controlled trial and economic evaluation of a task-based weight management group programme. | en_US |
dc.type | Article | |
dc.rights.holder | © The Author(s). 2019. | |
dc.identifier.doi | 10.1186/s12889-019-6679-3 | en_US |
pubs.author-url | https://www.ncbi.nlm.nih.gov/pubmed/30940108 | en_US |
pubs.issue | 1 | en_US |
pubs.notes | No embargo | en_US |
pubs.publication-status | Published online | en_US |
pubs.volume | 19 | en_US |
dcterms.dateAccepted | 2019-03-19 | en_US |
rioxxterms.funder | Default funder | en_US |
rioxxterms.identifier.project | Default project | en_US |
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