Healthy Weight for Life programme: Evaluating the practice and effectiveness of a weight loss maintenance programme in the private health insurance setting

Background: Australian private health insurers are increasingly involved in the delivery of chronic disease management programmes to their members, recognising the importance of decreasing and managing lifestyle risk factors and the impact such factors have on health service utilisation. One such secondary prevention programme is the Healthy Weight for Life programme, an intensive weight loss and lifestyle modification programme that has been designed for overweight and obese private health insurance members in Australia. Together with the insurer, the Healthy Weight for Life service provider developed and implemented a long-term maintenance programme that supports participants who complete the Healthy Weight for Life programme to maintain the weight loss they achieved during the programme. Various studies have shown that evidence-based weight management programmes can be effective; however, the results may vary in different contexts. Objective: This article presents the evaluation rationale and framework designed to assess the process and impact of the long-term maintenance programme on weight loss maintenance, other health-related benefits and participants’ experience with the programme. Methods: The evaluation will comprise a number of inter-related sub-studies balancing evaluation of programme effectiveness and implementation. The maintenance programme presented a unique opportunity for researchers to partner with private health insurance and a service provider to assess a real-world programme in the under-researched area of weight loss maintenance in this setting and emphasises the importance of evaluating such programmes given the potential the private health insurance context has in the future delivery of health care.

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The Effects of If-Then Plans on Weight Loss: Results of the 24-Month Follow-up of the McGill CHIP Healthy Weight Program Randomized Controlled Trial

10.21203/rs.2.13711/v2 ◽

2019 ◽

Author(s):

Barbel Knauper ◽

huma shireen ◽

Kimberly Carriere ◽

Mallory Frayn ◽

Elena Ivanova ◽

...

Keyword(s):

Weight Loss ◽

Controlled Trial ◽

Diabetes Prevention Program ◽

Weight Loss Maintenance ◽

Study Data ◽

Average Weight ◽

Healthy Weight ◽

Clinically Significant

Abstract Background: The NIH-developed Diabetes Prevention Program (DPP) is successful in achieving clinically significant weight loss in individuals with overweight/obesity when delivered one-on-one. However, due to high cost of implementation, the long-term effectiveness remains limited. In response, a group-based version of the program, called the National DPP, was developed. The average weight loss following participation in this program was only about 3.5% with low long-term weight loss maintenance. Purpose: We aimed to optimize weight loss outcomes of the National DPP by integrating the habit formation tool of if-then plans into the program. Results at 3 and 12 months of participation showed no between-group differences between standard and enhanced DPP but higher weight loss in both groups compared to the National DPP. This paper reports the long-term weight loss maintenance data following participation in the program. Methods: Of the 172 participants enrolled at the beginning of the study, data from 110 participants was available and analyzed at 24 months, i.e. 12 months following the end of the 12-month intervention. Results: No between-group difference in weight loss maintenance was seen. Pooled results showed a significant weight regain from 12 to 24 months, i.e. an average of 7.85lbs of the 20.36lbs lost. However, participants from both groups were still 12.51lbs or 6.13% lighter at 24 months than at baseline. Conclusion: If-then plans did not result in a higher percentage of weight loss at 24-month follow-up. However, at 24 months, both groups maintained a significant portion of the weight lost at the end of intervention.

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Long-Term Weight Loss Maintenance on a Nutrient-Dense, Plant-Rich (NDPR) Diet

International Journal of Disease Reversal and Prevention ◽

10.22230/ijdrp.2019v1n1a17 ◽

2019 ◽

Vol 1 (1) ◽

Author(s):

Deana M Ferreri ◽

Joel Fuhrman ◽

Michael D. Singer

Keyword(s):

Weight Loss ◽

Online Survey ◽

Weight Regain ◽

Weight Loss Maintenance ◽

Healthy Weight ◽

Health Goal ◽

Public Health Goal ◽

Insight Into ◽

Lower Adherence

Background: Obesity increases risk of diabetes, heart disease and cancer; a healthy weight reduces these risks, however weight loss efforts are prone to failure. Developing methods to promote weight loss maintenance is an important public health goal. We report on weight loss maintenance in individuals who followed a nutrient-dense, plant-rich (NDPR) diet. NDPR guidelines focus on increasing micronutrient density and avoidance of processed, highly palatable foods. Methods: Patients of a private family medical practice and members of a NDPR diet internet community (2273) completed an online survey providing information on length of time following a NDPR diet and body weight at several time points. Results: In respondents with pre-diet BMI ≥ 25 who had been following a NDPR diet for at least 2 years, those who reported adhering to NDPR guidelines in at least 80% of meals lost significantly more weight than those reporting lower adherence. Weight lost during year 1 was maintained at 2 and 3 years, and in respondents with initial BMI in the obese range (≥ 30), those losses were significantly greater in respondents who reported at least 80% adherence compared to 50-79% (56 lb. vs. 34 lb.) at 3 years. Between 1 year and 3 years, a low rate (19%) of weight regain ( ≥ 5 lb.) was reported among respondents 80-100% adherent to NDPR guidelines. Conclusions: Weight loss and maintenance for a period of 3 years was observed in this self-selected group, and respondents who reported 80-100% adherence lost significantly more weight than those who reported 50-79% adherence to NDPR guidelines. Individuals achieved substantially greater weight loss than that commonly observed in weight loss intervention studies. An intervention study, which would provide further insight into the influence of the NDPR guidelines on weight loss and maintenance, is warranted.

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The effects of if-then plans on weight loss: results of the 24-month follow-up of the McGill CHIP Healthy Weight Program randomized controlled trial

Trials ◽

10.1186/s13063-019-4014-z ◽

2020 ◽

Vol 21 (1) ◽

Author(s):

Bärbel Knäuper ◽

◽

Huma Shireen ◽

Kimberly Carrière ◽

Mallory Frayn ◽

...

Keyword(s):

Physical Activity ◽

Weight Loss ◽

Controlled Trial ◽

Weight Loss Maintenance ◽

Current Evidence ◽

Health Improvement ◽

Average Weight ◽

Healthy Weight

Abstract Background Current evidence suggests that some of the most effective weight loss approaches are changes in dietary and physical activity behaviors through lifestyle modification programs. The Group Lifestyle Balance (GLB) program is a group-based behavior modification program aimed at changing diet and physical activity for weight loss. It was developed to be more cost-effective and easier to disseminate than its individually administered parent program, the Diabetes Prevention Program (DPP). However, the average weight loss following participation in the GLB is only approximately 3.5%, with low long-term weight loss maintenance. Purpose We aimed to optimize the weight loss outcomes of the GLB to increase the efficacy already afforded by its cost-effectiveness and ease of dissemination. We did this by integrating the habit formation tool of if-then plans into the program. This program is called the enriched GLB or the McGill Comprehensive Health Improvement (CHIP) Healthy Weight Program. Results at 3 and 12 months of participation have already been published elsewhere. They showed no between-group differences between the standard and enriched GLB but higher weight loss in both groups compared to the DPP. This paper reports the long-term weight loss maintenance data following participation in the program. Methods Of the 172 participants enrolled at the beginning of the study, data from 110 participants were available and analyzed at 24 months, i.e., 12 months after the end of the 12-month intervention. Results No between-group difference in weight loss maintenance was observed. Pooled results showed a significant weight regain from 12 to 24 months, i.e., an average of 7.85 lbs. of the 20.36 lbs. lost. However, participants from both groups were still 12.51lbs or 6.13% lighter at 24 months than at baseline. Conclusion If-then plans did not result in a higher percentage of weight loss at 24-month follow-up compared to the standard GLB. However, at 24 months, both groups did show a maintenance of a significant portion of the weight lost at the end of intervention. Trial registration ClinicalTrials.gov Identifier: NCT02008435, registered 6 December 2013.

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The Effects of If-Then Plans on Weight Loss: Results of the 24-Month Follow-up of the McGill CHIP Healthy Weight Program Randomized Controlled Trial

10.21203/rs.2.13711/v1 ◽

2019 ◽

Author(s):

Barbel Knauper ◽

Huma Shireen ◽

Kimberly Carriere ◽

Mallory Frayn ◽

Elena Ivanova ◽

...

Keyword(s):

Weight Loss ◽

Controlled Trial ◽

Diabetes Prevention Program ◽

Weight Loss Maintenance ◽

Study Data ◽

Average Weight ◽

Healthy Weight ◽

Clinically Significant

Abstract Background: The NIH-developed Diabetes Prevention Program (DPP) is successful in achieving clinically significant weight loss in individuals with overweight/obesity when delivered one-on-one. However, due to high cost of implementation, the long-term effectiveness remains limited. In response, a group-based version of the program, called the National DPP, was developed. The average weight loss following participation in this program was only about 3.5% with low long-term weight loss maintenance. Purpose: We aimed to optimize weight loss outcomes of the National DPP by integrating the habit formation tool of if-then plans into the program. Results at 3 and 12 months of participation showed no between-group differences between standard and enhanced DPP but higher weight loss in both groups compared to the National DPP. This paper reports the long-term weight loss maintenance data following participation in the program. Methods: Of the 172 participants enrolled at the beginning of the study, data from 110 participants was available and analyzed at 24 months, i.e. 12 months following the end of the 12-month intervention. Results: No between-group difference in weight loss maintenance was seen. Pooled results showed a significant weight regain from 12 to 24 months, i.e. an average of 7.85lbs of the 20.36lbs lost. However, participants from both groups were still 12lbs or 6.13% lighter at 24 months than at baseline. Conclusion: If-then plans did not result in a higher percentage of weight loss at 24-month follow-up. However, at 24 months, both groups maintained a significant portion of the weight lost at the end of intervention.

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Behavioral Mediators of Long-Term Weight Loss Maintenance

PsycEXTRA Dataset ◽

10.1037/e500822014-008 ◽

2013 ◽

Author(s):

J. W. Coughlin ◽

C. M. Gullion ◽

P. J. Brantley ◽

V. J. Stevens ◽

A. Bauck ◽

...

Keyword(s):

Weight Loss ◽

Weight Loss Maintenance

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Faculty Opinions recommendation of Interaction of leptin and amylin in the long-term maintenance of weight loss in diet-induced obese rats.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.2647958.2311057 ◽

2010 ◽

Author(s):

Lora Heisler ◽

Oliver Marston

Keyword(s):

Weight Loss ◽

Obese Rats ◽

Term Maintenance

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Perspectives into the experience of successful, substantial long-term weight-loss maintenance: a systematic review

International Journal of Qualitative Studies on Health and Well-Being ◽

10.1080/17482631.2020.1862481 ◽

2021 ◽

Vol 16 (1) ◽

pp. 1862481

Author(s):

Marie Spreckley ◽

Jaap Seidell ◽

Jutka Halberstadt

Keyword(s):

Systematic Review ◽

Weight Loss ◽

Weight Loss Maintenance

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A Conceptual Model of Long-Term Weight Loss Maintenance: The Importance of Cognitive, Empirical and Computational Approaches

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18020635 ◽

2021 ◽

Vol 18 (2) ◽

pp. 635

Author(s):

Darren Haywood ◽

Blake J. Lawrence ◽

Frank D. Baughman ◽

Barbara A. Mullan

Keyword(s):

Weight Loss ◽

Weight Loss Maintenance ◽

Computational Approaches ◽

Healthy Habits ◽

Health Related ◽

The One ◽

Major Factors ◽

Positive Social Support ◽

Weight Loss Interventions

Living with obesity is related to numerous negative health outcomes, including various cancers, type II diabetes, and cardiovascular disease. Although much is known about the factors associated with obesity, and a range of weight loss interventions have been established, changing health-related behaviours to positively affect obesity outcomes has proven difficult. In this paper, we first draw together major factors that have emerged within the literature on weight loss to describe a new conceptual framework of long-term weight loss maintenance. Key to this framework is the suggestion that increased positive social support influences a reduction in psychosocial stress, and that this has the effect of promoting better executive functioning which in turn facilitates the development of healthy habits and the breaking of unhealthy habits, leading to improved ongoing maintenance of weight loss. We then outline how the use of computational approaches are an essential next step, to more rigorously test conceptual frameworks, such as the one we propose, and the benefits that a mixture of conceptual, empirical and computational approaches offer to the field of health psychology.

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