TY - JOUR
KW - Behavior Therapy
KW - Blood Pressure
KW - Body Mass Index
KW - Comparative Effectiveness Research
KW - Counseling
KW - Female
KW - Humans
KW - Hypertension/therapy
KW - Male
KW - Middle Aged
KW - Obesity/therapy
KW - Primary Health Care/standards/statistics & numerical data/trends
KW - Self Care
KW - Socioeconomic Factors
KW - Telephone
KW - Treatment Outcome
KW - Vulnerable Populations/statistics & numerical data
KW - Weight Loss
AU - G. G. Bennett
AU - E. T. Warner
AU - R. E. Glasgow
AU - S. Askew
AU - J. Goldman
AU - D. P. Ritzwoller
AU - K. M. Emmons
AU - B. A. Rosner
AU - G. A. Colditz
AU - Be Well Study Investigators Be Fit
A1 - 
AB - BACKGROUND: Few evidence-based weight loss treatment options exist for medically vulnerable patients in the primary care setting. METHODS: We conducted a 2-arm, 24-month randomized effectiveness trial in 3 Boston community health centers (from February 1, 2008, through May 2, 2011). Participants were 365 obese patients receiving hypertension treatment (71.2% black, 13.1% Hispanic, 68.5% female, and 32.9% with less than a high school educational level). We randomized participants to usual care or a behavioral intervention that promoted weight loss and hypertension self-management using eHealth components. The intervention included tailored behavior change goals, self-monitoring, and skills training, available via a website or interactive voice response; 18 telephone counseling calls; primary care provider endorsement; 12 optional group support sessions; and links with community resources. RESULTS: At 24 months, weight change in the intervention group compared with that in the usual care group was -1.03 kg (95% CI, -2.03 to -0.03 kg). Twenty-four-month change in body mass index (calculated as weight in kilograms divided by height in meters squared) in the intervention group compared with that in the usual care group was -0.38 (95% CI, -0.75 to -0.004). Intervention participants had larger mean weight losses during the 24 months compared with that in the usual care group (area under the receiver operating characteristic curve, -1.07 kg; 95% CI, -1.94 to -0.22). Mean systolic blood pressure was not significantly lower in the intervention arm compared with the usual care arm. CONCLUSION: The intervention produced modest weight losses, improved blood pressure control, and slowed systolic blood pressure increases in this high-risk, socioeconomically disadvantaged patient population. Trial Registration clinicaltrials.gov Identifier: NCT00661817.
BT - Archives of Internal Medicine
C5 - HIT & Telehealth
CP - 7
CY - United States
DO - https://doi.org/10.1001/archinternmed.2012.1
IS - 7
JF - Archives of Internal Medicine
N2 - BACKGROUND: Few evidence-based weight loss treatment options exist for medically vulnerable patients in the primary care setting. METHODS: We conducted a 2-arm, 24-month randomized effectiveness trial in 3 Boston community health centers (from February 1, 2008, through May 2, 2011). Participants were 365 obese patients receiving hypertension treatment (71.2% black, 13.1% Hispanic, 68.5% female, and 32.9% with less than a high school educational level). We randomized participants to usual care or a behavioral intervention that promoted weight loss and hypertension self-management using eHealth components. The intervention included tailored behavior change goals, self-monitoring, and skills training, available via a website or interactive voice response; 18 telephone counseling calls; primary care provider endorsement; 12 optional group support sessions; and links with community resources. RESULTS: At 24 months, weight change in the intervention group compared with that in the usual care group was -1.03 kg (95% CI, -2.03 to -0.03 kg). Twenty-four-month change in body mass index (calculated as weight in kilograms divided by height in meters squared) in the intervention group compared with that in the usual care group was -0.38 (95% CI, -0.75 to -0.004). Intervention participants had larger mean weight losses during the 24 months compared with that in the usual care group (area under the receiver operating characteristic curve, -1.07 kg; 95% CI, -1.94 to -0.22). Mean systolic blood pressure was not significantly lower in the intervention arm compared with the usual care arm. CONCLUSION: The intervention produced modest weight losses, improved blood pressure control, and slowed systolic blood pressure increases in this high-risk, socioeconomically disadvantaged patient population. Trial Registration clinicaltrials.gov Identifier: NCT00661817.
PP - United States
PY - 2012
SN - 1538-3679; 0003-9926
SP - 565
EP - 574
EP - 
T1 - Obesity treatment for socioeconomically disadvantaged patients in primary care practice
T2 - Archives of Internal Medicine
TI - Obesity treatment for socioeconomically disadvantaged patients in primary care practice
U1 - HIT & Telehealth
U2 - 22412073
U3 - https://doi.org/10.1001/archinternmed.2012.1
VL - 172
VO - 1538-3679; 0003-9926
Y1 - 2012
ER -