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J Am Pharm Assoc (2003). 2014 May-Jun;54(3):302-7. doi: 10.1331/JAPhA.2014.13138.

Evaluation of a pharmacist-led, 6-month weight loss program in obese patients.

Abstract

OBJECTIVE:

To evaluate a pharmacist-led weight loss program based on the general requirements set forth by the Centers for Medicare & Medicaid Services' (CMS) Decision Memo for Intensive Behavioral Therapy for Obesity.

SETTING:

Onsite Walgreens pharmacy located inside the main administration building of Maricopa County in downtown Phoenix, AZ.

PRACTICE DESCRIPTION:

A prevention and wellness behavioral therapy weight loss program was developed for patients of the Maricopa County on-site Walgreens.

PRACTICE INNOVATION:

Current pharmacy patients were recruited to attend 14 one-on-one, pharmacist-led, face-to-face behavioral therapy sessions during a 6-month period that addressed diet, exercise, and nutrition. Interactive PowerPoint presentations were used throughout the sessions.

MAIN OUTCOME MEASURES:

The primary outcome was mean weight loss from baseline to the end of the study. Secondary outcomes included changes in body composition, changes in nutritional intake, and participant satisfaction.

RESULTS:

Of 12 enrolled participants, 11 (92%) completed the program. The mean weight loss from baseline to the end of the program was 5 kg (P <0.001), representing an average 4.5% weight loss. There was a statistically significant decrease in body mass index (BMI), waist circumference, and percent visceral fat from baseline to the end of the study; however, the increase in percent muscle mass, decrease in percent body fat, and change in nutrition intake was not statistically significant. Overall, the participants rated the program highly.

CONCLUSION:

Pharmacists are accessible health care providers who can effectively provide intensive behavioral therapy for obesity in a manner consistent with the CMS guidelines.

PMID:
24816357
[PubMed - indexed for MEDLINE]
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