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Int J Obes (Lond). 2011 Feb;35(2):259-69. doi: 10.1038/ijo.2010.138. Epub 2010 Aug 3.

A motivation-focused weight loss maintenance program is an effective alternative to a skill-based approach.

Author information

1
Department of Health Behavior and Health Education, College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR 7205, USA. WestDelia@uams.edu

Abstract

OBJECTIVE:

Maintaining weight loss is a major challenge in obesity treatment. Individuals often indicate that waning motivation prompts cessation of effective weight management behaviors. Therefore, a novel weight loss maintenance program that specifically targets motivational factors was evaluated.

DESIGN:

Overweight women (N=338; 19% African American) with urinary incontinence were randomized to lifestyle obesity treatment or control and followed for 18 months. All participants in lifestyle (N=226) received the same initial 6-month group behavioral obesity treatment and were then randomized to (1) a novel motivation-focused maintenance program (N=113) or (2) a standard skill-based maintenance approach (N=113).

MAIN OUTCOME MEASURE:

Weight assessed at baseline, 6 and 18 months.

RESULTS:

Both treatment groups (motivation-focused and skill-based) achieved comparable 18-month weight losses (-5.48% for motivation-focused vs -5.55% in skill-based, P=0.98), and both groups lost significantly more than controls (-1.51%; P=0.0012 in motivation-focused and P=0.0021 in skill-based).

CONCLUSIONS:

A motivation-focused maintenance program offers an alternative, effective approach to weight maintenance expanding available evidence-based interventions beyond traditional skill-based programs.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT00091988.

PMID:
20680012
PMCID:
PMC2974962
DOI:
10.1038/ijo.2010.138
[Indexed for MEDLINE]
Free PMC Article
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