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.

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 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.

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 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 Dupilumab (Dupixent)

2021 ◽  
Vol 1 (8) ◽  
Author(s):  
Reimbursement Team
Keyword(s):  
Drug Class ◽  
Clinical Effectiveness ◽  
Eosinophilic Asthma ◽  
Asthma Exacerbations ◽  
Oral Corticosteroids ◽  
Clinician Perspectives ◽  
Single Use ◽  
Clinically Significant ◽  
Blood Eosinophils

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 dupilumab (Dupixent), 200 mg or 300 mg, single use syringe, solution for subcutaneous injection. Indication: As add-on maintenance treatment in patients aged 12 years and older with severe asthma with a type 2/eosinophilic phenotype or oral corticosteroid–dependent asthma Reimbursement request: For patients with type 2 or eosinophilic asthma characterized by the following: 2 or more clinically significant asthma exacerbations in the last 12 months and blood eosinophils ≥ 150 cells/µL, or fractional exhaled nitric oxide ≥ 25 parts per billion, or treatment with maintenance oral corticosteroids, or clinically allergen-driven asthma.

scholarly journals PDB76 Clinical Effectiveness of Increased Physical Activity in Type 2 Diabetes, Systematic Review

2012 ◽  
Vol 15 (7) ◽  
pp. A507
Author(s):  
K.H. Herrmann ◽  
T. Semlitsch ◽  
K. Jeitler ◽  
C. Schuermann ◽  
T. Janzen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Type 2 Diabetes ◽  
Clinical Effectiveness
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