A Nurse-Led and Teacher-Assisted Adolescent Healthy Weight Program to Improve Health Behaviors in the School Setting

2017 ◽  
Vol 35 (3) ◽  
pp. 178-188 ◽  
Author(s):  
Gary Dupart ◽  
Diane C. Berry ◽  
Jennifer D’Auria ◽  
Leslie Sharpe ◽  
Linda McDonough ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Management ◽  
Repeated Measures ◽  
School Setting ◽  
Overweight And Obesity ◽  
Healthy Weight ◽  
Management Intervention ◽  
Repeated Measures Design ◽  
Nutrition And Physical Activity ◽  
Weight Management Intervention

Adolescents with overweight and obesity are at risk for future health problems. The purpose of this study was to examine the feasibility and initial efficacy of a weight management intervention to help adolescents develop healthy nutrition and physical activity behaviors and improve their anthropometrics. This study used a single-group repeated measures design in a small school in Durham, North Carolina (NC). The intervention consisted of a nurse-led and teacher-assisted nutrition and physical activity education and exercise classes that met twice each week for 45–60 minutes for 7 weeks. Data were collected at Time 1 (baseline), Time 2 (after intervention completion), and Time 3 (after 3 months on their own). Interview feedback, low cost, and successful completion of all planned activities indicated that all stakeholders found the project beneficial and suitable for their school. This study suggests that a weight management intervention for adolescents was feasible in the school setting.

scholarly journals A Natural Experiment Comparing the Effectiveness of the “Healthy Eagles” Child Weight Management Intervention in School Versus Community Settings

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3912
Author(s):  
Melissa Little ◽  
Shirley Serber-Souza ◽  
Maryam Kebbe ◽  
Tanisha Spratt ◽  
Paul N. Aveyard ◽  
...  
Keyword(s):  
Weight Management ◽  
Natural Experiment ◽  
School Setting ◽  
Community Setting ◽  
Healthy Weight ◽  
Z Score ◽  
Community Settings ◽  
Management Intervention ◽  
Management Interventions ◽  
Weight Management Intervention

Behavioural weight management interventions are recommended for the treatment of obesity in children. However, the evidence for these is limited and often generated under trial conditions with White, middle-class populations. Healthy Eagles is a behavioural weight management intervention designed to treat excess weight in children. It ran in the London Borough of Croydon from 2017 to 2020 and was delivered in both school and community settings, providing a natural experiment to compare outcomes. A total of 1560 participants started the Healthy Eagles programme; 347 were in the community setting and 703 in the school setting. Data were analysed for those who completed 70% of the programme. In the school setting, there was a small but significant reduction in BMI z-score (M = −0.04, 95% CI = −0.08, −0.01) for participants above a healthy weight, especially in those with severe obesity (M = −0.09, 95% CI = −0.15, −0.03); there was no significant change in any subgroup in the community setting. Linear regression analysis showed the school setting was associated with a 0.26 (95% CI = 0.13, 0.49) greater reduction in BMI z-score than the community setting after adjusting for ethnicity, deprivation, age and gender. Across both programmes, the effect was somewhat greater in participants from a Black (African/Caribbean/Other) ethnic background (M = −0.06, 95% CI = −0.09, −0.02) and from the two most deprived quintiles (M = −0.06, 95% CI = −0.11, −0.01). Data were limited, but minimal changes were measured in nutrition and physical activity behaviours regardless of setting. This evaluation provides indirect evidence of a small but significant benefit to running weight management interventions in a school versus community setting.

Obesity Treatment in African American Churches: Current Treatment Targets and Preferences among Parishioners

2020 ◽  
pp. 019394592094995
Author(s):  
Shelby Frances Brewer ◽  
Carnisha M. Gilder ◽  
Tricia M. Leahey
Keyword(s):  
Physical Activity ◽  
African American ◽  
Weight Management ◽  
Dietary Quality ◽  
Public Health Issue ◽  
African American Churches ◽  
Management Intervention ◽  
Church Support ◽  
American Churches ◽  
Weight Management Intervention

Obesity is prevalent among African Americans, and church-based weight management programs may help address this public health issue. To develop more effective interventions, a survey was administered to members of a large, African American faith-based organization that assessed weight management intervention targets and preferences. Respondents ( N = 1,439) represented the Midwestern and Southern United States. Mean body mass index was 30.8 ± 9.2 kg/m2, and 82.5% of respondents were overweight/obese. The majority (65.0%) wanted a weight management intervention conducted with the church and preferred an in-person (69.0%), group-based (68.0%) program that meets weekly for one hour or less (72%) and addresses identified barriers including access to healthy foods, childcare, and physical activity support. Church support was linked to better dietary quality and higher physical activity among parishioners ( p’s ≤ 0.02), suggesting church support may be important for healthy eating and exercise. This study provides a clear path forward for developing and delivering weight loss interventions within African American churches.

scholarly journals Characteristics of a Group of Obese Tunisian People and Results of a Weight Management Intervention

2020 ◽  
Vol 2 (6) ◽  
Author(s):  
Insaf Oueslati ◽  
Eya Safi ◽  
Aroua Temessek ◽  
Yosra Htira ◽  
Faika Ben Mami
Keyword(s):  
Weight Management ◽  
Healthy Lifestyle ◽  
Vitamin B1 ◽  
Overweight And Obesity ◽  
The Body ◽  
Obese People ◽  
Management Intervention ◽  
The Mean ◽  
Dietary Intake Assessment ◽  
Weight Management Intervention

Background and aims: Overweight and obesity are increasing worldwide. The aim of this study was to determine the characteristics of a group of obese and overweight Tunisian adults and the results of a weight management intervention Methods: this is a prospective study that included 58 Tunisian adults. at baseline, they undertook dietary intake assessment, arthrometric measurements and biological tests, then after 3 weeks of healthy diet and physical activity. Results: this study included 8 men and 50 women. The mean age was 44 years ±10.68. The mean BMI for men and women was respectively 37.86kg/m2±7.6 and 34.77kg/m2±4.77. Abdominal obesity affected all but one participant. Hyperglycemia affected 20.7% of participants, 43.1% had hypercholesterolaemia and 19% had hypertriglyceridemia. vitamin B1, folate and vitamin C intake was insufficient respectively in 82.8%, 75.9% and 89.7% of participants. More than 80% were not consuming enough calcium. An insufficiency in iron intake was observed in half participants. The body weight and BMI after 3 weeks were significantly lower than measurements at baseline, P=0.00. There was a nonsignificant beneficial effect on glycemia and lipidic profile. Conclusion: Overweight and obese people are subjects to obesity-related diseases and deficiencies in micronutrients. A persistent healthy lifestyle can reduce weight and related morbidities.

scholarly journals An Adaptive CBPR Approach to Create Weight Management Materials for a School-Based Health Center Intervention

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Andrew L. Sussman ◽  
Carolyn Montoya ◽  
Olaf Werder ◽  
Sally Davis ◽  
Nina Wallerstein ◽  
...  
Keyword(s):  
Physical Activity ◽  
Formative Assessment ◽  
Health Center ◽  
Weight Management ◽  
Community Based Participatory Research ◽  
Clinical Work ◽  
Advisory Council ◽  
Management Intervention ◽  
School Based ◽  
Weight Management Intervention

Purpose. From our previous clinical work with overweight/obese youth, we identified the need for research to create an effective weight management intervention to address the growing prevalence of adolescent metabolic syndrome. Formative assessment through an adaptive community-based participatory research (CBPR) approach was conducted toward the development of a nutritional and physical activity (DVD) and clinician toolkit for a school-based health center (SBHC) weight management intervention.Methods. We first conducted parent and adolescent interviews on views and experiences about obesity while convening a community advisory council (CAC) recruited from two participating urban New Mexico high schools. Thematic findings from the interviews were analyzed with the CAC to develop culturally and developmentally appropriate intervention materials.Results. Themes from the parent and adolescent interviews included general barriers/challenges, factors influencing motivation, and change facilitators. The CAC and university-based research team reached consensus on the final content of nutrition and physical activity topics to produce a DVD and clinician toolkit through six monthly sessions. These materials used in the SBHC intervention resulted in a greater reduction of body mass index when compared to adolescents receiving standard care.Conclusions. Formative assessment using an adaptive CBPR approach resulted in the creation of culturally and age appropriate weight reduction materials that were acceptable to study participants. This trial is registered with ClinicalTrials.govNCT00841334.

scholarly journals Estimating Clinical Burden and Valuation of Weight Management Strategies (using Willingness to Pay - WTP) for Overweight and Obesity in Primary Care Setting in Borneo Sarawak, Malaysia

2020 ◽  
Author(s):  
Zafar Ahmed ◽  
Euphrasia Anak Bari ◽  
Noormah Z Ahmed ◽  
Sharifa Ezat Wan Puteh
Keyword(s):  
Primary Care ◽  
Willingness To Pay ◽  
Weight Management ◽  
Weight Reduction ◽  
Care Setting ◽  
Overweight And Obesity ◽  
Management Intervention ◽  
Clinical Burden ◽  
Diet And Exercise ◽  
Weight Management Intervention

Abstract Background Overweight and obesity is one of the most serious public health challenges of the 21st century. Despite the consequences of obesity, participation in weight management programs. Aim of this study is to estimate the clinical burden of obese patients in government primary care clinics in Kuching, Sarawak. We use randomized patients from these clinics to carry out a willingness to pay study for weight management and estimated the economic burden of overweight and obesity management in primary care setting in Sarawak. Identifying their willingness to pay will help in formulation and implementation of policies for effective weight management therefore improve the quality of care in future. Clinic based cross-sectional study involving 252 randomly overweight and obese patients (with BMI ≥ 23), age 18 to 59 years old, who attended outpatient department. Results Patients indicated their preference for three hypothetical weight reduction programs: diet, exercise, drug and combination of all. Data from secondary sources was used to estimate the prevalence of overweight and obesity in Sarawak. Out of 1,504,779 patients aged 18 to 59 years attending government health clinics in Sarawak, it was estimated that overweight and obesity would account for approximately 30% of total adult patients (451,433 patients). Conversion to USD was based on December 2015 conversion rate of USD 100 to MYR 430.31. The median willingness to pay was MYR 44.87 (USD 11.56), MYR 88.80 (USD 21.01), and MYR 60.18 (USD14.24) for Drug and Exercise, Diet and Exercise and Drug, Diet and Exercise respectively. Conclusion Resource allocation for weight management intervention in Sarawak, Malaysia depend on evaluation of weight management intervention (objectively measured by WTP) and the availability of fixed budget from State Health Department. The total WTP for weight reduction intervention via diet and exercise was MYR 22, 512, 963.71 (USD 5,231,801.19), while weight reduction intervention via drug, diet and exercise was MYR of 40, 087, 250.40 (USD 9,315,900.30 ) and weight reduction intervention via drug and exercise was MYR 27, 167, 237.94 (USD 6,313,410.78). Clinical and economic burden of overweight and obesity in Sarawak is substantial. Therefore implementation of effective policies and programs are essential in tackling obesity.

scholarly journals ‘Shape-Up’, a Modified Cognitive-Behavioural Community Programme for Weight Management: Real-World Evaluation as an Approach for Delivering Public Health Goals

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2807
Author(s):  
Amber Soni ◽  
Rebecca J Beeken ◽  
Laura McGowan ◽  
Victoria Lawson ◽  
Paul Chadwick ◽  
...  
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Weight Management ◽  
Weight Change ◽  
Local Population ◽  
Overweight And Obesity ◽  
Evidence Based ◽  
Positive Effects ◽  
Health Goals ◽  
Nutrition And Physical Activity

Obesity is widespread, with serious health consequences; addressing it requires considerable effort at a public health level, incorporating prevention and management along with policies to support implementation. Behavioural weight-management programmes are widely used by public health bodies to address overweight and obesity. Shape-Up is an evidence-based programme combining a structured behavioural intervention (targeting nutrition and physical activity behaviours) within a peer-learning framework. This study was a service-evaluation of Shape-Up, as delivered in Rotherham by a local leisure provider, and included a secondary analysis of data collected in the community by service providers. The RE-AIM (Reach Effectiveness Adoption Implementation Maintenance) framework was used to explore programme effectiveness, implementation, and whom it reached. A total of 141 participants were included. Compared to local demographics, participants were older, at 48.9 (SD 14.47) years, with a lower employment rate (41% employed) and greater proportion female (67% female). Mean BMI was 38.0 (SD 7.54) kg/m2. Mean weight-change between baseline and endpoint (12 weeks, 10 group sessions) was −4.4 (SD 3.38) kg, and degree of weight change was associated with session attendance (F (9, 131) = 6.356, p < 0.0005). There were positive effects on participants’ weight, health-related behaviours, and quality of life. The intervention content (including the focus of nutritional recommendations) and structure were adapted during implementation to better suit national guidelines and local population needs. RE-AIM was found to be a useful framework for evaluating and adapting an existing evidence-based weight management programme in line with local population needs. This could be a more cost-effective approach, compared to developing new programmes, for delivering public health goals relating to obesity, nutrition, and physical activity.

scholarly journals Design and Development of a Digital Weight Management Intervention (ToDAy): Qualitative Study

10.2196/17919 ◽  
2020 ◽  
Vol 8 (9) ◽  
pp. e17919
Author(s):  
Charlene L Shoneye ◽  
Barbara Mullan ◽  
Andrea Begley ◽  
Christina M Pollard ◽  
Jonine Jancey ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Qualitative Study ◽  
Focus Groups ◽  
Weight Management ◽  
Self Monitoring ◽  
Management Intervention ◽  
Monitoring Tools ◽  
Diet And Physical Activity ◽  
Weight Management Intervention

Background The Tailored Diet and Activity (ToDAy) study aims to build on the campaign by adding a digital intervention with the potential to provide wide-reaching, cost-effective weight management support. Objective The ToDAy study aims to build a tailored intervention using mobile technology to improve diet and physical activity behaviours in adults with overweight and obesity. The main objectives were to identify behavior change techniques for diet and physical activity (PA) change for weight loss and explore preferences for digital intervention features that would be effective in changing diet and PA behaviors. Methods This qualitative study uses the principles of a person-based approach to intervention development; the behavioral intervention technology framework; and the capability, opportunity, motivation, and behavior (COM-B) framework. Focus groups and telephone interviews were conducted with 56 adults in Western Australia. Open-ended questions and example intervention features were used to explore the usability and acceptability of the self-monitoring tools, knowledge about effective weight-loss strategies, and acceptability of tailored feedback. Findings from the focus groups and interviews were analyzed using thematic analysis. Results Qualitative findings revealed an awareness of key public health messages but a lack of confidence in how to perform these behaviors to help manage their weight. A total of 4 major themes were identified and mapped to the domains of the COM-B framework: (1) misinformation, (2) environmental support, (3) social norms, and (4) confidence. Conclusions This study explores users’ capability, opportunity, and motivation to perform the target behaviors for weight loss. The findings suggested that a digital weight management intervention using a mobile food record and activity trackers to inform tailored feedback may be acceptable and feasible. Participants expressed a preference for simple expert advice, digital self-monitoring tools, and visual feedback. International Registered Report Identifier (IRRID) RR2-10.2196/12782

scholarly journals Liraglutide (Saxenda)

2021 ◽  
Vol 1 (12) ◽  
Author(s):  
Reimbursement Team
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Weight Management ◽  
Drug Class ◽  
Clinical Effectiveness ◽  
Management Intervention ◽  
Calorie Diet ◽  
Clinician Perspectives ◽  
Weight Management Intervention

CADTH reimbursement reviews are comprehensive assessments of the clinical effectiveness and cost-effectiveness, as well as patient and clinician perspectives, of a drug or drug class. The assessments inform non-binding recommendations that help guide the reimbursement decisions of Canada's federal, provincial, and territorial governments, with the exception of Quebec. This review assesses liraglutide 6 mg/mL (Saxenda). Indication under review : Indicated as an adjunct to a reduced-calorie diet and increased physical activity for chronic weight management in adult patients with an initial BMI of: 30 kg/m2 or greater (obesity), or 27 kg/m2 or greater (overweight) in the presence of at least 1 weight-related comorbidity (e.g., hypertension, type 2 diabetes, or dyslipidemia) and who have failed a previous weight management intervention.

Sign in / Sign up

Export Citation Format

Share Document