scholarly journals Expert Coaching in Weight Loss: Retrospective Analysis (Preprint)

2017 ◽  
Author(s):  
Stefanie Lynn Painter ◽  
Rezwan Ahmed ◽  
Robert F Kushner ◽  
James O Hill ◽  
Richard Lindquist ◽  
...  

BACKGROUND Providing coaches as part of a weight management program is a common practice to increase participant engagement and weight loss success. Understanding coach and participant interactions and how these interactions impact weight loss success needs to be further explored for coaching best practices. OBJECTIVE The purpose of this study was to analyze the coach and participant interaction in a 6-month weight loss intervention administered by Retrofit, a personalized weight management and Web-based disease prevention solution. The study specifically examined the association between different methods of coach-participant interaction and weight loss and tried to understand the level of coaching impact on weight loss outcome. METHODS A retrospective analysis was performed using 1432 participants enrolled from 2011 to 2016 in the Retrofit weight loss program. Participants were males and females aged 18 years or older with a baseline body mass index of ≥25 kg/m², who also provided at least one weight measurement beyond baseline. First, a detailed analysis of different coach-participant interaction was performed using both intent-to-treat and completer populations. Next, a multiple regression analysis was performed using all measures associated with coach-participant interactions involving expert coaching sessions, live weekly expert-led Web-based classes, and electronic messaging and feedback. Finally, 3 significant predictors (P<.001) were analyzed in depth to reveal the impact on weight loss outcome. RESULTS Participants in the Retrofit weight loss program lost a mean 5.14% (SE 0.14) of their baseline weight, with 44% (SE 0.01) of participants losing at least 5% of their baseline weight. Multiple regression model (R2=.158, P<.001) identified the following top 3 measures as significant predictors of weight loss at 6 months: expert coaching session attendance (P<.001), live weekly Web-based class attendance (P<.001), and food log feedback days per week (P<.001). Attending 80% of expert coaching sessions, attending 60% of live weekly Web-based classes, and receiving a minimum of 1 food log feedback day per week were associated with clinically significant weight loss. CONCLUSIONS Participant’s one-on-one expert coaching session attendance, live weekly expert-led interactive Web-based class attendance, and the number of food log feedback days per week from expert coach were significant predictors of weight loss in a 6-month intervention.

2014 ◽  
Vol 30 (10) ◽  
pp. S179-S180 ◽  
Author(s):  
S. Grover ◽  
I. Lowensteyn ◽  
D. Shipley ◽  
E. Skene ◽  
S. Dancausse ◽  
...  

2013 ◽  
Vol 68 (1) ◽  
pp. 64-70 ◽  
Author(s):  
M J Hutchesson ◽  
C E Collins ◽  
P J Morgan ◽  
J F Watson ◽  
M Guest ◽  
...  

2016 ◽  
Vol 18 (4) ◽  
pp. e82 ◽  
Author(s):  
Melinda Jane Hutchesson ◽  
Chor Yin Tan ◽  
Philip Morgan ◽  
Robin Callister ◽  
Clare Collins

2020 ◽  
Author(s):  
Vivienne A Rose ◽  
Elena N Klyushnenkova ◽  
Min Zhang ◽  
Verlyn O Warrington

Abstract Background Diet and lifestyle intervention programs have been shown to be effective in decreasing obesity/overweight and many associated comorbidities in specialty research settings. There is very little information however as to the efficacy of such programs conducted in usual/typical primary care practices. We analysed effectiveness of the Medical Weight Loss Program (MWLP) designed to specifically address overweight/obesity in the setting of an urban academic primary care practice. Objective To determine whether participation in the MWLP within a general primary care setting can result in weight loss. Methods A retrospective medical chart review of patients treated in MWLP and a control group of patients with obesity receiving regular care in the general primary care setting. From the practice database (1 April 2015–31 March 2016), 209 patients (≥18 years old) who participated in the MWLP were identified; 265 controls were selected from the remaining population based on the presence of the obesity-related diagnoses. Results MWLP patients lost on average 2.35 ± 5.88 kg in 6 months compared to their baseline weight (P &lt; 0.0001). In contrast, the control group demonstrated a trend of gaining on average 0.37 ± 6.03 kg. Having three or more visits with the MWLP provider within 6 months after program initiation was the most important factor associated with successful loss of at least 5% of the baseline weight. Weight loss also correlated with a decrease in abdominal girth. Conclusion MWLP integrated into the general primary care practice may potentially be an effective model for managing obesity and related morbidities.


2015 ◽  
Vol 19 (7) ◽  
pp. 1211-1221 ◽  
Author(s):  
Eva Luger ◽  
Rosa Aspalter ◽  
Maria Luger ◽  
Rita Longin ◽  
Anita Rieder ◽  
...  

AbstractObjectiveTo examine the weight-loss success associated with distinct dietary patterns and to determine changes of these dietary patterns during participation in a web-based weight-reduction programme.DesignFactor analysis was used to identify the dietary patterns of twenty-two food groups that were administered in 14 d dietary protocols at baseline and after 3 months. Successful weight loss (≥5 % of initial weight) and BMI were calculated. Logistic regression analyses were used to assess the rates of weight-loss success from each dietary pattern and changing or remaining in the initial dietary pattern. A generalised linear mixed model was used to estimate the effects of changing or staying in a dietary pattern on change in BMI.SubjectsAdults (n 1635) aged 18–81 years.SettingUsers of a web-based weight-reduction programme (2006–2012).ResultsParticipants who aligned to a healthful dietary pattern at baseline (OR=1·8; 95 % CI 1·5, 2·3) and after 3 months (OR=1·5; 95 % CI 1·2, 1·9) had a greater chance of successfully losing weight. After adjusting for age, sex, initial dietary pattern and BMI, participants who started with or changed to the healthful dietary pattern had a greater chance of being successful (OR=1·4; 95 % CI 1·1, 1·7) and a higher BMI reduction of 0·30 (95 % CI 0·2, 0·5) kg/m2 compared with those who started with or changed to the energy-dense or high-carbohydrate dietary pattern.ConclusionsA favourable healthful dietary pattern at the beginning and after 3 months was positively associated with anthropometry. However, successful weight loss was feasible in each dietary pattern.


2014 ◽  
Vol 8 ◽  
pp. 88-89 ◽  
Author(s):  
Megan E. Rollo ◽  
Melinda J. Hutchesson ◽  
Penelope McCoy ◽  
Clare E. Collins

Appetite ◽  
2012 ◽  
Vol 58 (2) ◽  
pp. 695-698 ◽  
Author(s):  
Shannon Byrne ◽  
Danielle Barry ◽  
Nancy M. Petry

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