Successful Weight Loss with Self-Help: A Stepped-Care Approach
In a stepped-care approach to treatment, patients are transitioned to more intensive treatments when less intensive treatments fail to meet treatment goals. Self-help programs are recommended as an initial, low intensity treatment phase in stepped-care models. This investigation examined the effectiveness of a self-help, stepped-care weight loss program. Fifty-eight overweight/obese adults (BMI ≥27 kg/m(2)) participated in a weight loss program. Participants were predominately Caucasian (93.1%) and female (89.7%) with a mean BMI of 36.6 (SD=7.1). Of those completing the program, 57% of participants (N=21) who remained in self-help maintained an 8% weight loss at follow-up. Participants who were stepped-up self-monitored fewer days and reported higher daily caloric intake than self-help participants. Once stepped-up, weight loss outcomes were equivalent between individuals who remained in self-help compared to those who were stepped-up. Individuals who were stepped-up benefited from early intensive intervention when unsuccessful at losing weight with self-help.
Availability via databases maintained by the United States National Library of Medicine.
Carels, Robert A.; Wott, C B.; Young, K M.; Gumble, A; Darby, L; Oehlhof, M W.; Harper, J; and Koball, A, "Successful Weight Loss with Self-Help: A Stepped-Care Approach" (2009). Psychology Faculty Publications. 26.
Journal of Behavioral Medicine